{"id":2454,"date":"2010-03-16T12:09:04","date_gmt":"2010-03-16T12:09:04","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/thyroiditis\/"},"modified":"2025-05-14T19:08:52","modified_gmt":"2025-05-14T19:08:52","slug":"thyroiditis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/thyroiditis\/","title":{"rendered":"Manifestaciones Cl\u00ednicas de Subtipos de Tiroiditis"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"long_text\">Tiroiditis se refiere a un grupo de enfermedades inflamatorias que afectan a la gl\u00e1ndula tiroides.\u00a0Con la ayuda de los antecedentes, examen f\u00edsico y pruebas diagn\u00f3sticas, los m\u00e9dicos pueden clasificar el tipo de tiroiditis y de iniciar el tratamiento apropiado.<\/span><br \/>\n<!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td>\u00a0Subtipo<\/td>\n<td align=\"center\">\u00a0Etiolog\u00eda<\/td>\n<td align=\"center\">Dolor de cuello<\/td>\n<td align=\"center\">\u00a0RAIU<\/td>\n<td align=\"center\">\u00a0TSH<\/td>\n<td align=\"center\">\u00a0T4<\/td>\n<td align=\"center\">Auto-<br \/>\nanticuerpos tiroideos<\/td>\n<\/tr>\n<tr>\n<td>Linfoc\u00edtica cr\u00f3nica (Enfermedad de Hashimoto)<\/td>\n<td>Autoinmune<\/td>\n<td>\u00a0No<\/td>\n<td>\u00a0Variable<\/td>\n<td>\u00a0Variable<\/td>\n<td>\u00a0Variable<\/td>\n<td>\u00a0Presentes<\/td>\n<\/tr>\n<tr>\n<td>Granulomatosa subaguda<\/td>\n<td>Viral<\/td>\n<td>\u00a0Si<\/td>\n<td>\u00a0Disminuida<\/td>\n<td>\u00a0Disminuida<\/td>\n<td>\u00a0Incrementada<\/td>\n<td>\u00a0Ausente<\/td>\n<\/tr>\n<tr>\n<td>Linfoc\u00edtica subaguda<\/td>\n<td>Autoinmune<\/td>\n<td>\u00a0No<\/td>\n<td>\u00a0Disminuida<\/td>\n<td>\u00a0Disminuida<\/td>\n<td>\u00a0Incrementada<\/td>\n<td>\u00a0Presentes<\/td>\n<\/tr>\n<tr>\n<td>Inflamatoria microbiano<\/td>\n<td>Bacteriano, mic\u00f3tico, parasitario<\/td>\n<td>\u00a0Si<\/td>\n<td>\u00a0Variable<\/td>\n<td>\u00a0Normal<\/td>\n<td>\u00a0Normal<\/td>\n<td>\u00a0Ausente<\/td>\n<\/tr>\n<tr>\n<td>Hashitoxicosis<\/td>\n<td>Autoinmune<\/td>\n<td>\u00a0No<\/td>\n<td>\u00a0Disminuida<\/td>\n<td>\u00a0Disminuida<\/td>\n<td>\u00a0Incrementada<\/td>\n<td>\u00a0Presentes<\/td>\n<\/tr>\n<tr>\n<td>Fibroso invasivo<\/td>\n<td>Desconocido<\/td>\n<td>\u00a0No<\/td>\n<td>\u00a0Variable<\/td>\n<td>\u00a0Normal<\/td>\n<td>\u00a0Normal<\/td>\n<td>\u00a0Variable<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"long_text\">RAIU = captaci\u00f3n de iodo radiactivo, TSH: hormona estimulante de tiroides; T4: tiroxina.<br \/>\n<\/span><\/p>\n<p><span class=\"long_text\">La tiroiditis es un grupo de trastornos inflamatorios de la tiroides. Los pacientes con tiroiditis linfoc\u00edtica cr\u00f3nica (tambi\u00e9n conocida como tiroiditis de Hashimoto) se presentan con hipotiroidismo, bocio, o ambos. La medici\u00f3n en suero de autoanticuerpos tiroideos y tiroglobulina confirma el diagn\u00f3stico. La tiroiditis subaguda (a veces se denomina enfermedad de De Quervain) es auto-limitada, pero presenta dolor en el cuello. El examen f\u00edsico, la eritrosedimentaci\u00f3n elevada, los niveles de tiroglobulina elevados y la disminuci\u00f3n en la captaci\u00f3n de iodo radiactivo (RAIU) confirma el diagn\u00f3stico. La tiroiditis linfoc\u00edtica subaguda (tiroiditis silente) se considera de origen autoinmune y habitualmente se produce en el per\u00edodo posparto. Los s\u00edntomas de hipertiroidismo y la disminuci\u00f3n de la RAIU predominan. La\u00a0<\/span><span class=\"long_text\">tiroiditis<\/span><span class=\"long_text\">\u00a0aguda (supurativa)\u00a0 es rara, un trastorno\u00a0<\/span><span class=\"long_text\">infeccioso\u00a0<\/span><span class=\"long_text\">de la tiroides\u00a0 causada por bacterias y otros microbios.\u00a0<\/span><span class=\"long_text\">La tiroiditis fibrosa\u00a0<\/span><span class=\"long_text\">invasora (tiroiditis de Riedel) es rara, se presenta como una masa de crecimiento lento en la regi\u00f3n anterior del cuello que a veces se confunde con una neoplasia maligna.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Slatosky J, Shipton B, Wahba H. Thyroiditis: differential diagnosis and management. Am Fam Physician. 2000 Feb 15;61(4):1047-52 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10706157\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Nayak B, Hodak SP. Hyperthyroidism. Endocrinol Metab Clin North Am. 2007 Sep;36(3):617-56 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17673122\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Mar 16, 2010<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Tiroiditis se refiere a un grupo de enfermedades inflamatorias que afectan a la gl\u00e1ndula tiroides.\u00a0Con la ayuda de los antecedentes, examen f\u00edsico y pruebas diagn\u00f3sticas, los m\u00e9dicos pueden clasificar el tipo de tiroiditis y de iniciar el tratamiento apropiado.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[490,935,1322,1327,1326,1325,1324,1323,1328],"class_list":["post-2454","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-clinical","tag-clinicas","tag-endocrinology","tag-manifestaciones","tag-manifestations","tag-subclinicas","tag-subtypes","tag-thyroiditis","tag-tiroiditis"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2454"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2454\/revisions"}],"predecessor-version":[{"id":8943,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2454\/revisions\/8943"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2454"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}