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CindyinAtl 03-24-2013 03:26 PM

Multi-nodal goiter = Hashimoto's??
I'm confused about multi-nodal goiter (which is what my sonogram showed.) If that is what I have, does that mean I have Hashimotos? What relation is there to hypothyroidism? I have some symtpoms, but not all: dry skin, fatigue, mile memory issues, weight gain that is difficult to offset.


gloom 03-24-2013 04:48 PM

Re: Multi-nodal goiter = Hashimoto's??
I think multinodular goiter means, big lumpy thyroid.

Usually discovery of such would result in a full thyroid work up.

Which would be tests for
TSH (Thyroid stimulating hormone)
free T4/T3 (Actual thyroid hormones)
And an thyroid antibody panel. (Used to confirm autoimmune disease, but does not rule out autoimmune disease)
If nodules are large/suspicious, a biopsy may be done

Often people with autoimmune thyroid diseases have multinodular goiters, because antibodies attacking the thyroid. In graves disease antibodies stimulate the thyroid to produce hormones causing hyperthyroidism. In Hashimotos the thyorid can't produce enough hormone causing hypothyroidism.

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