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[1] [3] [4] [5] In the thyrotoxic phase, the follicular cells of the thyroid gland are damaged leading to release of pre-formed thyroid hormone and symptoms of thyrotoxicosis. The damage to the follicles impairs ability to produce and secrete thyroid hormones which then leads to a hypothyroid phase.
Calcitonin-producing parafollicular cells are also found along the basement membrane of the thyroid follicle, interspersed between follicular cells; and in spaces between the spherical follicles. Parafollicular cells can be distinguished from follicular cells based on their lighter staining cytoplasm using H&E.
The plasma cells are polyclonal, with present germinal centers resembling the structure of a lymph node [5] (aka secondary lymphoid follicles, not to be confused with the normally present colloid-filled follicles that constitute the thyroid). [60] Atrophic colloid follicles are lined by Hürthle cells (cells with intensely eosinophilic and ...
Toxic multinodular goiter (TMNG), also known as multinodular toxic goiter (MNTG), is an active multinodular goiter associated with hyperthyroidism.. It is a common cause of hyperthyroidism [2] [3] in which there is excess production of thyroid hormones from functionally autonomous thyroid nodules, which do not require stimulation from thyroid stimulating hormone (TSH).
Colloid nodules may be initially identified as an unspecified kind of thyroid nodule. Follow-up examinations typically include an ultrasound if it is unclear whether or not there really is a nodule present. Once the presence of a nodule has been confirmed, the determination of the kind of thyroid nodule is done by fine needle aspiration biopsy. [7]
Thyroiditis is generally caused by an immune system attack on the thyroid, resulting in inflammation and damage to the thyroid cells. This disease is often considered a malfunction of the immune system and can be associated with IgG4-related systemic disease, in which symptoms of autoimmune pancreatitis, retroperitoneal fibrosis and noninfectious aortitis also occur.
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Hashitoxicosis, which can be abbreviated "Htx", [1] is a transient hyperthyroidism caused by inflammation associated with Hashimoto's thyroiditis disturbing the thyroid follicles, resulting in excess release of thyroid hormone. [2
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