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diagnosis differential endocrinology dermatology hairloss hyperthyroidism hypothyroid dequervains focal hair hashimotos hashitoxicosis loss management pathophysiology signs subacute symptoms thyroiditis tsh
Abnormal Serum TSH - Differential Diagnosis Algorithm Increased TSH • Hypothyroidism • Sub-clinical Hypothyroidism • Recovery from
Differential Diagnosis Algorithm ... Recovery from Non-Thyroid ... Thyrotoxicosis • Non-Thyroid ... Thyrotoxicosis • T3 ... #Hypothyroid #Hyperthyroid
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
high; in some cases ... iodine uptake; thyroid ... procedure that ablates thyroid ... disease course #hypothyroid ... #hyperthyroid #
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
) - General (Diffuse ... Differential Diagnosis Algorithm ... contraceptives • Hyperthyroid ... Differential #Diagnosis #Algorithm ... #causes
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm Radioactive iodine scan – get if concern for nodular
low TSH, High T4/T3 ... ) - Diagnostic Algorithm ... concern for nodular thyroid ... Hyperthyroidism #Hyperthyroid ... #Diagnosis #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... hyperthyroidism #causes
Diffuse Hair Loss (Alopecia) - Differential Diagnosis Algorithm Scarring - Irreversible-biopsy required • Lupus erythematosus • Lichen
Diffuse Hair Loss ... Diagnosis Algorithm ... contraceptives • Hyperthyroid ... Psychological stress #Diffuse ... #causes
Hashitoxicosis ‘Leakage’ symptoms of active Hashimoto’s disease - Hashitoxicosis (Htx) can occur during the initial hyperthyroid stage in
during the initial hyperthyroid ... thyroiditis that causes ... thyroid swelling ... Diffuse infiltration ... of the thyroid
Allopecia - Differential Diagnosis Framework for Hair Loss Localized / Focal Hair Loss Pattern: • Scarring Alopecia:
: • Scarring Alopecia ... , Traction alopecia ... Diffuse Hair ... Scaling, pustules, crusts ... deficiency • Thyroid
Nonscarring Alopecias: Clinical features of the most common types Patterned hair loss: - Age: puberty or older
Nonscarring Alopecias ... iron deficiency, thyroid ... patches; rarely diffuse ... multifocal - Total alopecia ... in 5% of cases
Subacute Thyroiditis Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis What? Postviral inflammatory process caused by
inflammatory process caused ... in viruses and thyroid ... after onset Causes ... phase: ↑ T4 and T3 ... levels, ↓ TSH (2) Hypothyroid
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