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Hypothyroidism

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Hypothyroidism is a chronic endocrine disease. It occurs when the thyroid gland fails to produce enough thyroid hormones. The thyroid is a gland located in the front of the neck. It is the only source of thyroid hormone in the human body. These hormones are vital for the normal functioning of many different tissues. Without enough hormone, the body's many systems can slow down. This condition can affect humans and animals like dogs, cats, and horses.

Thyroid system
Thyroid system

To understand how this happens, we must look at the hypothalamic-pituitary-thyroid axis. This is a chain of signals that maintains hormonal balance. First, the hypothalamus releases thyrotropin-releasing hormone, or TRH. This hormone stimulates the anterior pituitary gland to produce thyroid-stimulating hormone, or TSH. The TSH then signals the thyroid gland to produce thyroxine, also known as T4. The thyroid uses iodine and the amino acid tyrosine to create these hormones.

Thyroid system
Thyroid system

This system uses a process called negative feedback to stay balanced. When thyroxine levels are sufficient, they signal the hypothalamus and pituitary to decrease TRH and TSH production. In the body, T4 is often converted into triiodothyronine, or T3, by an enzyme called iodothyronine deiodinase. T3 then binds to receptors in cell nuclei to turn on specific genes. This process regulates cell growth and many other vital functions. If the thyroid cannot produce enough hormone, this delicate balance is lost.

Doctors categorize hypothyroidism into different types based on where the failure occurs. Primary hypothyroidism is the most common type. It happens when the thyroid gland itself cannot function properly. Secondary and tertiary hypothyroidism are known as central hypothyroidism. Secondary hypothyroidism occurs when the pituitary gland fails to release enough TSH. Tertiary hypothyroidism happens when the hypothalamus fails to release enough TRH. Primary hypothyroidism is about a thousand times more common than central hypothyroidism.

Thyroid system
Thyroid system

There are several specific causes for these conditions. Globally, the most common cause of primary hypothyroidism is iodine deficiency. In countries with enough dietary iodine, Hashimoto's thyroiditis is the leading cause. Hashimoto's is an autoimmune disease. In this condition, the body's immune system attacks the thyroid gland using T lymphocytes and autoantibodies. Other causes include previous thyroid surgery, or treatments involving radioactive iodine. Some medications, such as lithium, can also cause the condition.

Signs and symptoms of hypothyroidism
Signs and symptoms of hypothyroidism

Symptoms of hypothyroidism can be very diverse. Some people experience only mild signs, while others have severe issues. Common symptoms include extreme fatigue, weight gain, and constipation. People may also feel cold easily or experience a slow heart rate. Physical signs can include dry skin, hair loss, and a swelling in the neck called a goiter. In rare, extreme cases, a person may develop myxedema coma. This is a life-threatening state characterized by low body temperature and confusion.

Signs and symptoms of hypothyroidism
Signs and symptoms of hypothyroidism

Hypothyroidism is particularly significant during pregnancy and childhood. Untreated cases in pregnant women can lead to miscarriage or infant death. It can also cause delays in a baby's growth and intellectual development. For newborns, symptoms might include drowsiness, poor weight gain, or a hoarse cry.

CDpic1
CDpic1

In severe cases, children may face intellectual impairments of 6 to 15 IQ points. In the United States, overt hypothyroidism affects about 0.3% to 0.4% of people. Subclinical hypothyroidism, a milder form, affects between 4.3% and 8.5% of the population.

CDpic1
CDpic1

Medical professionals diagnose the condition using blood tests. They measure levels of TSH and thyroxine (T4) to confirm the diagnosis. The standard treatment is thyroid hormone replacement therapy using levothyroxine. This medication replaces the missing hormone to restore balance. Doctors adjust the dosage based on a patient's symptoms and TSH levels. This treatment is considered safe for use during pregnancy. Maintaining these levels helps the body's systems function normally again.

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File:Signs and symptoms of hypothyroidism.png
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File:Hypothyroid Labrador retriever 1.jpg
Hypothyroid Labrador retriever 1.jpg
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