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Hyperthyroidism

Definition

Hyperthyroidism is a condition caused by an overactive thyroid gland. The gland makes too much T4 and T3 hormones. Hormones are substances that affect and control many important functions in the body.

Alternative Names

Thyrotoxicosis; Overactive thyroid

Causes, incidence, and risk factors

The thyroid gland is located in the neck. It produces several hormones which control the way that every cell in the body uses energy (metabolism). The thyroid is part of the endocrine system.

Hyperthyroidism or thyrotoxicosis occurs when the thyroid releases too many of its hormones over a short (acute) or long (chronic) period of time. Many diseases and conditions can cause this problem, including:

  • Graves disease
  • Non-cancerous growths of the thyroid gland or pituitary gland
  • Tumors of the testes or ovaries
  • Inflammation (irritation and swelling) of the thyroid due to viral infections or other causes
  • Ingestion (taking in through the mouth, such as in eating) of large amounts of thyroid hormone
  • Ingestion of excessive iodine

Graves disease accounts for 85% of all cases of hyperthyroidism.

Related topics:

  • Painless (silent) thyroiditis
  • Factitious hyperthyroidism
  • Hypothyroidism
  • Graves disease

Symptoms

Additional symptoms that may be associated with this disease:

Signs and tests

Physical examination may reveal thyroid enlargement or goiter. Vital signs (temperature, pulse, rate of breathing, blood pressure) show increased heart rate. Systolic blood pressure (the first number in a blood pressure reading) may be high.

Laboratory tests that evaluate thyroid function:

  • Serum TSH is usually low
  • T3 and free T4 are usually high
This disease may also alter the results of the following tests:
  • Vitamin B-12
  • TSI
  • Triglycerides
  • RT3U
  • Radioactive iodine uptake
  • Glucose test
  • Cholesterol test
  • Antithyroglobulin antibody

Treatment

Treatment varie

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Thyroid diseases (4 images) (Doctor-Reviewed information)
The thyroid gland is located in the base of the neck on both sides of the lower part of the voice box (larynx) and upper part of the wind pipe (trachea. The thyroid produces chemicals (hormones) that help the body control metabolism. Thyroid hormone is also produced in response to another hormone secreted by the pituitary gland. There are four main types of thyroid disease: Hyperthyroidism - too much thyroid hormone; Hypothyroidism - too little thyroid hormone; Benign (non-cancerous) thyroid disease; Thyroid cancer. For information about a specific type of thyroid disease see one of the following: Anaplastic carcinoma of the thyroid; Chronic thyroiditis (Hashimoto's disease; Colloid nodular goiter; Hyperthyroidism; Hypopituitarism; Hypothyroidism; Hypothyroidism - primary; Hypothyroidism - secondary; Medullary thyroid carcinoma; Multiple endocrine neoplasia (MEN) II; Painless (silent) thyroiditis; Papillary carcinoma of the thyroid; Subacute thyroiditis; Thyroid cancer; Congenital goiter. Reviewer: Robert Hurd, M.D., Department of Biology, College of Arts and Sciences, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network.Date: 10/25/2006

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