The Thin Hashimoto’s Patient

Today we will be discussing what is termed fear avoidance syndrome or kinesophobia as it pertains to fibromyalgia. This is a well acknowledged condition that applies to patients with chronic pain conditions including but not limited to fibromyalgia. We will discuss  how we handle this issue in our fibro sufferers as well as what this means relative to prognosis.

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References:
1. Autoimmunity affects health-related quality of life in patients with Hashimoto’s thyroiditis.
Bektas Uysal H, Ayhan M.
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2. Hashimoto’s thyroiditis affects symptom load and quality of life unrelated to hypothyroidism: a prospective case-control study in women undergoing thyroidectomy for benign goiter.
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3. Cognitive and affective dysfunctions in autoimmune thyroiditis.
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4. Structural and functional MRI study of the brain, cognition and mood in long-term adequately treated Hashimoto’s thyroiditis.
Quinque EM, Karger S, Arélin K, Schroeter ML, Kratzsch J, Villringer A.
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5. Thyroid peroxidase antibody positivity is associated with symptomatic distress in patients with Hashimoto’s thyroiditis.
Müssig K, Künle A, Säuberlich AL, Weinert C, Ethofer T, Saur R, Klein R, Häring HU, Klingberg S, Gallwitz B, Leyhe T.
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6. The prevalence of affective disorder and in particular of a rapid cycling of bipolar disorder in patients with abnormal thyroid function tests.
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7. Effects of thyroid status on thyroid autoimmunity expression in euthyroid and hypothyroid patients with Hashimoto’s thyroiditis.
Rieu M, Richard A, Rosilio M, Laplanche S, Ropion V, Fombeur JP, Berrod JL.
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8. Increased prevalence of antibodies to central nervous system tissue and gangliosides in Hashimoto’s thyroiditis compared to other thyroid illnesses.
Müssig K, Leyhe T, Holzmüller S, Klein R, Weinert C, Saur R, Klingberg S, Häring HU, Gallwitz B.
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9. Increased occurrence of weaknesses in attention testing in patients with Hashimoto’s thyroiditis compared to patients with other thyroid illnesses.
Leyhe T, Müssig K, Weinert C, Laske C, Häring HU, Saur R, Klingberg S, Gallwitz B.
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10. Epitope recognition patterns of thyroid peroxidase autoantibodies in healthy individuals and patients with Hashimoto’s thyroiditis*.
Nielsen CH, Brix TH, Gardas A, Banga JP, Hegedüs L.
Clin Endocrinol (Oxf). 2008 Oct;69(4):664-8. doi: 10.1111/j.1365-2265.2008.03245.x.
PMID: 18363888 [PubMed – indexed for MEDLINE]
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