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Hashimoto Case Summary

Decent Essays

Question: What is the appropriate therapy for treating hashimotos induced hypothyroidism?
Background: An 83 year old female is taking her levothyroxine medication to help treat her thyroid disorder induced by Hashimoto. She has been taking this medication for thirty years. While always being adherent to taking her medication, she has never really understood what Hashimoto thyroiditis actually is, or why levothyroxine is the best choice of therapy for treating her hypothyroidism caused by the disease. She is also positive for hypertension, GERD, and insomnia.
Response: Hashimoto’s thyroiditis is characterized as a type of immune disorder and is the leading cause of hypothyroidism in America.1 The gradual failure of the thyroid is due to an autoimmune disorder that is causing glandular destruction.2 Thyroxine (T4) and triiodothyronine (T3) are two hormones …show more content…

According to one study found, this disease is seen more often in people between the ages of 45 to 65 years old.2 Another epidemiologic study also showed a female predominance of 10:1 to 20:1, and that the disease is more commonly seen in women rather than men.2, 5 During this study, 102 families were chosen to be observed and were made up of 540 individuals to determine if there is a significant genetic component to Hashimoto thyroiditis.5 While a high percentage of adults who had an autoimmune disorder such as trisomy 21 or Turner syndrome showed greater risk for having Hashimoto thyroiditis, a small group of about 20 percent had an indistinguishable clinical hypothyroidism much different from Hashimoto thyroiditis.5 Finally, an analyses of genome linkage in families with Hashimoto thyroiditis showed evidence that some loci, like chromosomes 6p and 12q, could be harboring genes that are already linked to this

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