The thyroid gland is a butterfly-shaped gland in the front of the neck.
is a condition in which the thyroid gland does not produce enough thyroid hormones. A healthy thyroid produces the hormones thyroxine (T4) and triiodothyronine (T3), which control metabolism. This affects how many calories you burn, how warm you feel, how much you weigh, and how the body handles functions of the cardiovascular, gastrointestinal, and nervous systems. Hypothyroidism results in a slower metabolism and a slower heartbeat.
The Thyroid Gland
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Hashimotos thyroiditis occurs when the
immune system produces antibodies that attack cells of the thyroid gland.
This results in thyroid swelling. Other less common causes include hypothyroidism as a result of neck
for lymphoma and treatment of hyperthyroidism or
with radioactive iodine or surgery.
Other causes of hypothyroidism include: Subacute thyroiditis
—This occurs when there is inflammation of the thyroid gland after a viral upper respiratory tract infection.
—Drugs used to treat hyperthyroidism such as lithium (used to treat certain psychiatric disorders), certain cardiac medicines, and other medicines (interleukins, alpha interferon).
—Treatments include radiation or surgical removal of part of the thyroid gland (called subtotal thyroidectomy) to treat other thyroid diseases.
Idiopathic thyroid atrophy
—The thyroid tissue shrivels up (atrophies) for unknown reasons.
—The thyroid gland does not get enough iodine to produce thyroid hormone (this is rare in the United States).
—Certain foods (such as shellfish) and certain medicines (such as cough medicine) contain large amounts of iodine, which can block thyroid hormone production (rare).
—Cancers and certain infections.
—A benign tumor of the pituitary gland that can cause a problem signaling the thyroid to make thyroid hormones.
—This condition usually improves but may be long lasting.
—An infant that is born with problems making normal amounts of thyroid hormones.
About 5% of Americans have hypothyroidism. This condition usually occurs in adults. However, in some cases, children or infants may have hypothyroidism (called
). Children need treatment as quickly as possible or
Garber JR, Hennessey JV, et al. Clinical update. Managing the challenges of hypothyroidism.
J Fam Pract.
Hypothyroidism. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated November 19, 2012. Accessed November 20, 2012.
Hypothyroidism. National Endocrine and Metabolic Diseases Information Service website. Available at:
http://endocrine.niddk.nih.gov/pubs/Hypothyroidism/. Updated February 27, 2012. Accessed November 20, 2012.
Vanderpump MPJ, Tunbridge WMG, et al. The incidence of thyroid disorders in the community: a twenty-year follow-up of the Whickham survey.
Last reviewed March 2015 by Kim A. Carmichael, MD, FACP
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