| MINI REVIEW |
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| Year : 2013 | Volume
: 10
| Issue : 4 | Page : 5-6 |
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Hashitoxicosis: A clinical perspective
AG Unnikrishnan
Department of Endocrinology, Amrita Institute of Medical Sciences, Cochin, Kerala, India
Correspondence Address:
A G Unnikrishnan
Department of Endocrinology, Amrita Institute of Medical Sciences, Cochin, Kerala
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0973-0354.106803
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Chronic autoimmune thyroiditis is the most common cause of hypothyroidism worldwide. Sometimes, it is associated with a transient hyperthyroid phase. This hyperthyroid phase, called Hashitoxicosis (the term generally refers to a combination of thyrotoxicosis/hyperthyroidism in the setting of ongoing autoimmune thyroiditis), is self limiting, and lasts for a period of a few weeks to some months. During this time, classical symptoms of mild to moderate hyperthyroidism may co-exist with a diffuse, firm, painless goiter. Thyroid scintigraphy may show normal or a slightly increased uptake. Anti-thyroid antibodies are often positive, and ultrasound with Doppler is a useful test. A combination of clinical features, thyroid function tests, and appropriate radiology will help make the diagnosis. This mini review will touch upon the clinical aspects of Hashitoxicosis. |
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