Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Recurrent Thyroiditis
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Recurrent Thyroiditis

During the last four years, I have had recurrent subacute thyroiditis. I had a thyroid uptake scan four years ago and a thyroid uptake scan last week. Both had borderline low uptake. My endocrinologist diagnosed me with thyroiditis/multi-nodular goiter. My most recent labs:

TSH: 0.09
T3, T4: normal

I take Atenolol 50mg 2x a day. It manages some of the symptoms including a fast pulse and tremors. I still suffer from extreme anxiety, constantly feeling like I am in flight or fight mode. This extreme anxiety has altered the course of my life several times when my thyroid flares up, including dropping out of two grad school programs. (Perhaps stress brings on the attacks.) My endocrinologist won't treat it other than with Atenolol because I am overweight and the blood results are always borderline. She said treatment is not worth the benefits.  But I can't face another attack again.  Is there any solution? Is there anyway to prevent another attack?
97953_tn?1440868992
In cases of recurrent thyroiditis like this, one consideration is to knock out the thyroid w/ I-131 between attacks (would need to document adequate uptake of I-123 or use thyrogen to augment the uptake if low) or consider thyroid surgery.  In either case, you would likely be dependent on levothyroxine replacement, but this is much more predictable than random bouts of thyroditis.
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
Sarasota, FL
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