DDx ⬇
- Chronic fatigue syndrome
- Depression
- Congestive heart failure
- Irregular vaginal bleeding due to other causes
- Anemia due to other causes
- Amyloidosis (thick tongue)
Related DDx ⬆ ⬇
Etiology ⬆
- Hashimotos thyroiditis
- Iodine deficiency (rare in developed world)
- Thyroid surgery, irradiation, or radioiodine
- Subacute (de Quervains) thyroiditis (after initial hyperthyroidism)
- Severe illness
- Drugs causing hypothyroidism: lithium, amiodarone, propylthiouracil, methimazole, phenylbutazone, sulfonamides, interferon ?
- Riedels thyroiditis
- Deficient pituitary thyroid-stimulating hormone (TSH)
- "Subclinical" hypothyroidism: high TSH, clinically euthyroid, normal T4