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Hashimoto's vs. Hypothyroidism
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida Sarasota - FL
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.

Hashimoto's vs. Hypothyroidism

by bknowles, Apr 13, 2007 12:00AM
How is it determined that a patient has Hashimoto's and not just hypothyroidism? I have no signs of goiter or enlargement of the thyroid gland but yet have been diagnosed with Hashimoto's.

by Mark Lupo, M.D., Apr 14, 2007 12:00AM
Thyroid antibodies against TPO (thyroperoxidase) & Tg (thyroglobulin) - if positive and you have hypothyroidism -- this is Hashimoto's.
Member Comments (4)

by AppleJacs, Apr 13, 2007 12:00AM
I think its when they test your antibodies and they abnormal.  I think thats whats happening with me.  My last blood work came back abnormal antibodies.  I just can't say for sure yet because my follow up its for a while. She will probably tell me then whats going on.

by jd2, Apr 14, 2007 12:00AM
i have hashimotos (and hypothyroidism). when i was first tested they tested my antibodies (which i had - meaning i have hashimotos), and my tsh (which was normal (4 - a little bit higher than normal actually), as i was having a hashimotos attack).
when you have hashimotos your tsh can go up and down depending on whether you are having a hashimotos attack or not, so it could be normal, low or high! this is why they test your antibodies. my tsh was mostly low (hypothyroid), but normal and high during the last hashimotos attack. But i think with hashis you will always have the antibodies.
not sure if that helps?!

by jd2, Apr 14, 2007 12:00AM
oh yeah sorry i dont have a goiter or enlarged thyroid gland either. although they checked for this.
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