Thursday, December 25, 2014

Causes of Hyperthyroidism


Majority of the hyperthyroidism conditions are caused by Graves’ disease which accounts for 80% of the hyperthyroidism cases.

Graves' disease can be distinctively identified by lumpy neck and protruding eyes (if you remember that pair of eyes on our very first post). It is an autoimmune disease where the immune system makes antibody called thyroid stimulating immunoglobulin (TSI). These antibodies mimics the function of TSH to stimulate the thyroid to make thyroid hormone excessively.

So what about the other 20%? Other causes will include the following: 

Abnormal secretion of TSH
Presence of tumour in the pituitary gland may result in the secretion of high level of TSH. This leads to excessive signalling of thyroid hormone production by the thyroid gland.

Temporary Thyroiditis
Following viral infections or pregnancies, some people will have inflammatory reaction in their thyroid glands known as thyroiditis. Inflammation of the thyroid gland causes it to become “leaky”, so the amount of thyroid hormone entering the blood will increase.

Over-consumption of Iodine
The thyroid gland uses iodine to make thyroid hormones. Taking certain medications, such as amiodarone, food that has high-iodine content, or supplements that contain higher-than-recommended daily allowances of iodine, can induce hyperthyroidism.

Hot nodules
Thyroid nodules are tumor-like growths that can develop within the thyroid gland. Most of these nodules do not affect thyroid hormone levels but a fraction of them can be presented as “hot nodules”. These hot nodules have the ability to mimic the thyroid gland tissue which will absorb the iodine coming into the body, resulting in the production of thyroid hormones. Additional thyroid hormone production causes the levels to become abnormally high.

Up next will be the effects of Hyperthyroidism. 

References
The Best Darn Hyperthyroidism Book!: Studies on the Overactive Thyroid Gland
 By James M. Lowrance
Thyroid For Dummies, 2nd Edition
 By Alan L. Rubin, MD
http://www.medicinenet.com/hyperthyroidism/page4.htm#what_causes_hyperthyroidism
http://www.endocrine.niddk.nih.gov/pubs/Hyperthyroidism/#symptoms

2 comments:

  1. The "thyroid nodules are tumour-like growths", so will they lead to cancer?

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    1. They have the potential to become cancerous but it its not that common(less than 5%). The presence of thyroid nodules is fairly common in the population (they increase with age) but most of these tumors are malignant.

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