The difference between Hashimoto’s hyperthyroidism and hyperthyroidism is in incidence, pathogenesis, treatment, and disease outcome.
1. Incidence: The incidence of Hashimoto’s hyperthyroidism is lower than that of hyperthyroidism.
2. Pathogenesis: Hashimoto’s hyperthyroidism is caused by the intermittent predominance of thyroid-related antibodies (e.g., thyroid peroxidase antibodies, thyroid-promoting receptor antibodies), and may be accompanied by both Graves’ disease and Hashimoto’s thyroiditis. Hyperthyroidism is a clinical syndrome due to the excessive amount of thyroid hormones in the circulation, and the causes of the disease include Graves’ disease, transient hyperthyroidism in pregnancy, and so on, with the most common causes being Graves’ disease.
3. Treatment: Hashimoto’s hyperthyroidism generally does not require high-dose antithyroid medication. Hyperthyroidism needs to be treated according to the cause. Graves’ disease can be treated with medication, surgery, and iodine 131.
4. Disease outcome: Hashimoto’s hyperthyroidism can have alternating hypothyroidism and hypothyroidism, hypothyroidism requires oral levothyroxine sodium replacement therapy, hyperthyroidism requires antithyroid therapy. Hyperthyroidism can be normalized by antithyroid treatment.
It is recommended that patients with symptoms of hyperthyroidism go to a regular hospital in time to complete the relevant examinations, to clarify the cause of the disease, and standardize the treatment under the guidance of the doctor.