Management of Hashimotos thyroiditis at a tertiary care hospital
Author(s): Dr. Padmanabh R Bhat and Dr. Ramesh Tambhat
Abstract: Hashimotos Thyroiditis is a very common clinical problem affecting up to 2% of female population this disorder has a varied presentation across the clinical spectrum its study seeks to analyze the clinical profile. Evaluate is also notorious for being associated with a large number of other disorders there is also controversy regarding indications of surgical management. This study seeks to analyze the clinical profile, evaluate the incidence of associated disorders and to study the management including indications of surgical management. Patients with diagnosis of Hashimoto’s thyroiditis were included in this study. Detailed clinical history and physical examination of the patients was done. Suspected patients were subjected to thyroid function test, FNAC, USG neck. The diagnosis was confirmed with serology. After confirmation of diagnosis, patients were treated with levothyroxine at the standard dose of 1.6-1.8 mcg/kg lean body weight per day. A subset of patients was treated surgically. Treatment of hashimotos in most cases is conservative with thyroxine supplementation and regular follow up. A significant subset requires surgical intervention. Surgery in hashimotos thyroiditis according to latest recommendations is total thyroidectomy.