Silent Thyroiditis or something else?

[amir650]

Hi,

   I'm new to this forum.  I started having symptoms of hyperthyroidism in late march, early april which included:

fatigue
dizziness
weight loss
heart palpitations
nervousness
diahhrea


I also had 1 full blown panic attack.  Two weeks ago I was in urgent care for these symptoms, and the doctor ordered blood work which showed that my T4 = 4.4 and my TSH = .005

Finally went to nuclear medicine, the doctor did a radioactive iodine uptake test, which showed very little uptake.  His diagnosis was silent thyroiditis.  Does this sound right?  I'm a 28 year old male who was very physically active before this hit me.

best regards,
   amir

[Mark Lupo, M.D.]

Yes, this sounds correct.  You should recover fully on your own, but may go through a hypothyroid phase in 1-2 months.

[amir650]

I don't know what my references ranges are, but the doctor said this in his email which I hope helps.


Since your thyroiditis is not associated with thyroid pain, we refer to it as silent thyroiditis. Your thyroid hormone level (T4) was 4.4 - this is about 2.5 times the upper limit of normal. Your thyroid stimulating hormone (TSH) is suppressed at 0.005 (0.2 is the lower limit of normal) which is appropriate when the thyroid hormone level is high (negative feedback of thyroid hormone on pituitary). I hope this answers your questions and that you are feeling better. If you have any other questions, please don't hesitate to contact me.