Hashimoto disease

By | 19 April 2021

What is Hashimoto disease?

Hashimoto’s disease is an autoimmune thyroid disease in which the body’s immune system attacks its own thyroid gland and thyroid cells lose their function.

Its incidence is 0.3-1.5 per 1.000, and it is seen much more frequently (5-20 times) in women than men. Thyroid hormone deficiency develops in 4-5% of patients every year. It is most common in women between the ages of 30-50.

As a result of Hashimoto’s disease, thyroid hormone deficiency, in other words, hypothyroidism develops.

What is Hashimoto disease Symptoms:

  • Fatigue and sleepiness and/or weakness
  • Intolerance to cold and very cold
  • Difficulty concentrating or thinking
  • Depression
  • Getting fat
  • Enlargement or goiter in the neck and shrinkage or shrinkage of the thyroid gland in more advanced stages of the disease
  • Menstrual irregularities, difficulty in conceiving
  • Constipation
  • Joint or muscle pain
  • Hair loss
  • Dry skin
  • Brittle nails
  • Swelling of the face and sometimes the whole body

Women are more likely to get Hashimoto’s disease. The disease can occur at any age but occurs more often in middle age (30-50 years). Your risk for Hashimoto’s disease is higher if your family members have thyroid or other autoimmune diseases.

If left untreated, thyroid hormone deficiency caused by Hashimoto’s disease can lead to stomach and intestinal problems such as goiter, heart diseases, high cholesterol, blood pressure abnormalities, constipation, and decreased sexual desire in men and women.

Patients with hypothyroidism should be treated with thyroid hormone (levothyroxine). Levothyroxine dose should be adjusted by checking thyroid hormone levels in patients receiving treatment at intervals of 3-6 months. Levothyroxine is best taken in the morning, on an empty stomach with water, at least half an hour before eating and drinking. Since stomach medications, calcium, iron, cholesterol-lowering drugs and multivitamins can affect the absorption of the drug, there should be an interval of at least four hours between taking these drugs and thyroxine.

Thyroid hormones should be monitored more frequently during pregnancy and levothyroxine treatment should not be discontinued.

Most patients with Hashimoto’s disease require lifelong treatment with levothyroxine.


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