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diagnosis differential endocrinology dermatology hairloss hyperthyroidism dequervains erythematosus focal hair hashimotos hashitoxicosis hypothyroid loss lupus management pathophysiology rheumatology signs sle
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
of Patients for Thyroid ... high; in some cases ... iodine uptake; 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 ... ) - Diagnostic Algorithm ... concern for nodular thyroid ... Hyperthyroidism #Hyperthyroid ... #Diagnosis #Algorithm
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
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
goiter • Toxic diffuse ... T3 • ↑ Free T4 ... suspected • Thyroid ... Glucocorticoids: Reduce T4 ... hyperthyroidism #causes
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
the most common types ... iron deficiency, thyroid ... patches; rarely diffuse ... in 5% of cases ... #types #differential
Subacute Thyroiditis Also known as: de Quervain’s thyroiditis, granulomatous thyroiditis, or viral thyroiditis What? Postviral inflammatory process caused by
inflammatory process caused ... after onset Causes ... Cytomegalovirus (CMV) • HSV types ... levels, ↓ TSH (2) Hypothyroid ... phase: ↓ T4 and
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
and permanent alopecia ... disorders (e.g. thyroid ... Kikuchi disease • Type-I ... pneumonitis • Diffuse ... enteropathy, and diffuse
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