Hashimoto’s Thyroiditis – A predominantly Multinodular Thyroid Disorder in Coastal South India
Keywords:
Hashimoto’s thyroiditis, multinodular goiter, diffuse goiter, hypothyroidism, thyroidectomy.Abstract
Introduction:Hashimoto’s thyroiditis is common cause of diffuse goiter and hypothyroidism in US. But in India hashimoto’s thyroiditis is increasingly presenting as nodular goiter. This is significant as multi nodular goitres in young adults and adolescents have varying causes and HT requires a different therapeutic approach and if untreated can progress to malignancies later.
Objectives & aim:To estimate the proportion of Multi Nodular form of Hashimoto’s Thyroiditis among cases of thyroid disorders andTo determine the causative factors for Multi Nodular form of Hashimoto’s Thyroiditis.
Materials & methods :This is a cross sectional study of patients who reported with thyroid enlargements at the General Surgery department of this hospital during a period of 3 years between January 2013 and December 2015was done. All patients who underwent thyroidectomy with histology proven Hashimoto’s thyroiditis were included in the study.
Results:In our study conducted retrospectively in a 122 patients who underwent thyroidectomy surgery, the most common presenting symptom was nodular goiter(81.9%).The incidence of Hashimoto’s thyroiditis is high (36%) in the age group of 31 – 40 years, followed by 21 – 30 years of age(24.6%). The incidence of Hashimoto’s thyroiditis is more common in females with a F:M of 30.5:1. In total no of 122 patients, 36% presented in the euthyroid state.
Conclusion:The increased incidence of Multinodular goiter in Indian population and euthyroid state could indicate variation in etiopathogenetic factors attributed to racial characters, dietary factors and iodine consumption.
DOI:10.21276/APALM.1638
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