Thyroid Awareness Month

January is Thyroid Awareness Month, a month that observes the importance of raising awareness of thyroid disorders and how they affect the lives of millions of people around the world.  

The thyroid is a gland located in front of the neck. It is a part of the body’s endocrine system and produces hormones that play an important role in many of the body’s systems, such as cells and tissues, the heart, brain, liver, and kidneys.  

The hormones the thyroid produces include: 

  • Thyroxine (T4)- the primary hormone made and released by the thyroid. It is the hormone that the thyroid makes the most of; however, it doesn’t have much of an effect on the metabolism 
  • Triiodothyronine (T3)- the thyroid makes lesser amounts of this hormone, but it has a much bigger impact on the metabolism than T4 
  • Reverse triiodothyronine- the thyroid makes very small amounts of RT3. This hormone reverses the effects of T3 
  • Calcitonin- this hormone helps regulate the amount of calcium in the blood 

These hormones also affect several bodily functions, including: 

  • Blood pressure 
  • Body temperature 
  • Heart rate 
  • Metabolism 
  • Breathing 
  • Digestion 
  • Brain development 
  • Mental activity 
  • Skin and bone maintenance 
  • Fertility 

Four main conditions affect the thyroid, including: 

  • Hypothyroidism, which is an underactive thyroid gland 
  • Hyperthyroidism, which is an overactive thyroid gland 
  • Goiter, which is an enlarged thyroid gland 
  • Thyroid cancer 

Different thyroid conditions have different symptoms. Symptoms depend on whether the thyroid is under- or over-producing hormones and can often be silent or present symptoms that are overlooked due to their subtlety.  

Symptoms that may signal a thyroid condition include: 

  • Slow or rapid heart rate 
  • Unexplained weight loss or weight gain 
  • Difficulty tolerating the cold or heat 
  • Depression (caused by hypothyroidism) or anxiety (caused by hyperthyroidism) 
  • Irregular menstrual periods 

When a healthcare provider wants to check the health of a person’s thyroid, they perform a blood test that measures the levels of thyroid-stimulating hormone (TSH). They will also check the levels of T4 and T3 in the blood. If the results of these tests come back and are abnormal, the healthcare provider may suggest an imaging test such as a thyroid scan or an ultrasound of the thyroid.  

There are several treatment options for thyroid conditions, depending on what they are and their severity. The three main treatment options for thyroid conditions include: 

  • Medication 
  • Surgery 
  • Radiation therapy and chemotherapy 

Thyroid conditions are common and can affect anyone at any age. However, some people face a higher risk if they: 

  • Have a family history of thyroid disease 
  • Have an autoimmune condition, such as type 1 diabetes, rheumatoid arthritis, or lupus 
  • Take a medication that’s high in iodine 
  • Are older than 60, especially if you’re female 

Fortunately, there is a way for a person to keep their thyroid healthy. This can be done by getting enough iodine in their diet with foods that are fortified with iodine, such as cheese, cow milk, eggs, yogurt, saltwater fish, shellfish, seaweed, soy milk, and soy sauce. 

If you would like to get your thyroid checked or to receive more information about Jamaica Hospital’s endocrinology service, you can make an appointment by calling 718-206-7001. 

                                                                                                                                                                                                                                                                                                             

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Symptoms of Autoimmune Disease

Autoimmune diseases are health conditions that happen when the immune system attacks the body instead of defending it. They are also called autoimmune disorders by healthcare providers. 

The immune system is the body’s built-in defense system. It automatically detects substances that shouldn’t be in the body, such as viruses, bacteria, or toxins. It sends out white blood cells to eliminate them before they can damage the body or make a person sick.  

If a person has an autoimmune disease, their immune system is overactive. When it doesn’t have anything to attack, the immune system turns on the body and damages healthy tissue.  

Autoimmune diseases are chronic conditions, which means a person will have to manage them and the symptoms they cause for the rest of their life.  

There are more than 100 different autoimmune diseases, and they can affect almost any tissue or organ in the body, depending on where the immune system malfunctions. These autoimmune diseases can include: 

  • Joints and muscles 
  • Rheumatoid arthritis (RA) 
  • Lupus 
  • Myositis 
  • Skin and blood vessels 
  • Sjögren’s syndrome 
  • Psoriasis 
  • Psoriatic arthritis 
  • Dermatomyositis 
  • Scleroderma 
  • Vasculitis 
  • Rheumatoid vasculitis 
  • Urticarial vasculitis 
  • Vitiligo 
  • Digestive system 
  • Crohn’s disease 
  • Celiac disease 
  • Ulcerative colitis 
  • Autoimmune gastritis 
  • Endocrine system 
  • Type 1 diabetes 
  • Addison’s disease 
  • Hashimoto’s thyroditis 
  • Graves’ disease 
  • Nervous system 
  • Multiple sclerosis (MS) 
  • Myasthenia gravis (MG) 
  • Guillain-Barré syndrome 
  • Chronic Inflammatory Demyelinating Polyneuropathy (CIPD) 

Autoimmune diseases are very common due to there being so many different types, with experts estimating that around 1 in 15 people in the U.S. has an autoimmune disease. 

Autoimmune diseases can cause a wide range of symptoms that can affect a person’s body from head to toe. Conditions that affect the muscles can cause muscle weakness, joint pain, swelling, or stiffness, indicating a condition such as rheumatoid arthritis. Type 1 diabetes causes high blood sugar. And some autoimmune diseases can affect a person’s vision. 

Many autoimmune diseases can cause inflammation, which causes a feeling of warmth, discoloration or redness of the skin, swelling, and pain.  

Additionally, a lot of autoimmune diseases can cause recurring symptoms. These episodes of more noticeable or more severe symptoms are called flares or attacks.  

Unfortunately, experts don’t know for certain what causes autoimmune diseases, and researchers are still studying what makes the immune system start attacking the body in the first place.  

However, some studies have found certain factors, or triggers, that might increase the risk of developing an autoimmune disease. They include: 

  • Viral infections such as COVID-19 and the Epstein-Barr virus 
  • A person’s sex, as women are more likely to have an autoimmune condition 
  • Having biological relatives with autoimmune diseases, as some are genetic and can be passed through generations of a biological family 
  • Having one autoimmune disease can increase a person’s odds of developing another one. This is called multiple autoimmune syndrome 
  • Exposure to chemicals or other environmental factors may trigger autoimmune diseases 
  • Smoking and other types of tobacco use can cause many health issues, including potentially triggering autoimmune diseases 

A healthcare provider diagnoses autoimmune diseases when they perform a physical exam and discuss a person’s health history with them. They will examine their body, specifically if they are experiencing symptoms in a specific area. They will ask about the person’s symptoms and when they first noticed them.  

A healthcare provider will perform tests for several different conditions that can cause the symptoms until they find a cause. This is called a differential diagnosis. They may order blood tests to look for specific markers, or clues the immune system leaves behind after it damages the body or causes specific issues, of autoimmune diseases.  

They may also perform imaging tests to look inside the body, including: 

  • X-rays 
  • MRI 
  • CT scan 
  • Ultrasound 

Autoimmune diseases may need a variety of treatments, since they cause a variety of symptoms. Which treatment is needed depends on which condition a person has. Everyone’s immune system, genetics, and environment are different, which means the treatments will be unique to each person. Some common treatments to manage autoimmune disease symptoms include: 

  • Pain relievers 
  • Anti-inflammatory medications such as NSAIDs or corticosteroids 
  • Immunosuppressants 
  • Physical therapy 
  • Occupational therapy 
  • IVIG infusions 

A person may need specific treatment based on what condition they have. People with Type 1 diabetes will need insulin therapy. People with celiac disease will need to eat a gluten-free diet. 

The Division of Rheumatology at Jamaica Hospital provides consultations for patients in Queens, NY, who develop rheumatological disorders. If you would like to make an appointment, please call 718-206-6742. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

World Vitiligo Day

June 25th is World Vitiligo Day. Vitiligo is a disease that causes skin to lose color or pigmentation. Smooth white or light areas called macules or patches appear on the skin. It generally starts on the hands, forearms, feet, and face.

Vitiligo occurs when the cells that produce melanin, melanocytes, stop making it or die. It is unclear what exactly causes vitiligo; however, it may be related to the following:

  • An autoimmune condition
  • Family history
  • A trigger event, such as stress, severe sunburn, or skin trauma, such as a chemical burn

About 1% of the global population has vitiligo. It affects all races and sexes equally. Vitiligo is more visible in people with darker skin tones. Although the disease can develop at any age, macules or patches usually become apparent before the age of 30.

A person may be at a higher risk of developing vitiligo if they have certain autoimmune conditions, such as:

  • Addison’s disease
  • Anemia
  • Type 1 diabetes
  • Lupus
  • Psoriasis
  • Rheumatoid arthritis
  • Thyroid disease

There are several types of vitiligo, including:

  • Generalized- the most common type of vitiligo that causes macules to appear in various places on the body
  • Segmental- this type only affects one side of the body or one area, such as the hands or face
  • Mucosal- this type affects the mucous membranes of the mouth and/or genitals
  • Focal- this rare type is where the macules develop in a small area and don’t spread in a certain pattern within one to two years
  • Trichome- this type causes a bullseye with a white or colorless center, then an area of lighter pigmentation, and an area of the person’s natural skin tone
  • Universal- this rare type causes more than 80% of the skin to lose pigment

The signs and symptoms of vitiligo include:

  • Patches of skin or mucous membranes that lose color and appear white or lighter than your natural skin tone
  • Patches of hair on the body turn silver, gray, or white

Symptoms can be mild and only affect a small area of the body or severe, affecting a large area of the skin. Some people with vitiligo experience itchy skin before depigmentation starts.

To diagnose vitiligo, a healthcare provider will ask about your medical history and examine your skin, possibly with a special lamp. This evaluation may also include a skin biopsy and blood tests.

The choice of treatment for vitiligo depends on your age, how much skin is involved and where, how quickly the disease is progressing, and how it’s affecting your life.

Medications and light-based therapies are available to help restore skin color or even skin tone, though results may vary and are unpredictable. Some treatments have serious side effects, so a healthcare provider may suggest that you try changing the appearance of your skin by applying a self-tanning product or makeup first.

If you and a healthcare provider decide to treat your condition with a drug, surgery, or therapy, it may take several months to judge its effectiveness. You may also have to try a combination of approaches before finding what works best.

If you have vitiligo, certain self-care tactics may help you care for your skin and improve its appearance, including:

  • Protecting your skin from the sun and artificial sources of UV light
  • Concealing affected skin
  • Not getting a tattoo

To schedule an appointment with a dermatologist at Jamaica Hospital Medical Center, please call (718) 206-7001.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Lupus Awareness Month

May is observed as Lupus Awareness Month, a month used to educate, advocate, and support those affected by lupus.

Lupus is an autoimmune disease that occurs when the body’s immune system attacks its tissues and organs. Inflammation caused by lupus can affect many different body systems, such as the joints, skin, kidneys, blood cells, brain, heart, and lungs.

Healthcare providers sometimes call lupus systemic lupus erythematosus (SLE). It is the most common type of lupus, which means you have lupus throughout your body. Other types of lupus include:

  • Cutaneous lupus erythematosus is lupus that only affects your skin
  • Drug-induced lupus occurs when some medications trigger lupus symptoms as a side effect. It is usually temporary and might go away after you stop taking the medication that caused it
  • Neonatal lupus occurs when babies are sometimes born with lupus. Babies born to biological parents with lupus aren’t certain to have lupus, but they might have an increased risk

No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have a mild form of the disease characterized by flare-ups, when signs and symptoms may get worse for a while, and then improve or disappear completely for a time.

The signs and symptoms of lupus you experience will depend on which body systems are affected by the disease. The most common signs and symptoms include:

  • Fatigue
  • Fever
  • Joint pain, stiffness, and swelling
  • A butterfly-shaped rash on the face that covers the cheeks and bridge of the nose, or rashes elsewhere on the body
  • Skin lesions that appear or worsen with sun exposure
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods
  • Shortness of breath
  • Chest pain
  • Dry eyes
  • Headaches, confusion, and memory loss

Lupus likely results from a combination of genetics and environment.

People with an inherited predisposition for lupus may develop the disease when they come into contact with an environmental trigger of the disease. Some potential triggers of lupus include:

  • Sunlight
  • Infections

Diagnosing lupus is difficult because signs and symptoms can vary from person to person and may change over time, overlapping with those of many other disorders.

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and results of a physical examination can lead to a diagnosis. Blood and urine tests may include:

  • A complete blood count
  • Erythrocyte sedimentation rate
  • Kidney and liver assessment
  • Urinalysis
  • Antinuclear antibody (ANA) test

If your healthcare provider suspects that lupus is affecting your lungs or heart, they may suggest imaging tests that can include:

  • A chest X-ray
  • An echocardiogram

Lupus can harm the kidneys in many ways, and treatments can vary depending on the type of damage it causes. Sometimes, a kidney biopsy is needed to determine the best treatment. A skin biopsy can be performed to confirm a diagnosis of lupus affecting the skin.

A healthcare provider will suggest treatments for lupus that manage your symptoms. The goal is to minimize damage to the organs and how much lupus affects your day-to-day life. Most people with lupus need a combination of medications to help them prevent flare-ups and lessen the severity of symptoms during one. Medications you might need include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroids
  • Antimalarial drugs
  • Immunosuppressants
  • Biologics

Simple measures can help prevent lupus flare-ups if they occur, and help you to better cope with the signs and symptoms you experience, including:

  • Seeing your doctor regularly
  • Being sun smart
  • Getting regular exercise
  • Quitting smoking
  • Eating a healthy diet
  • Asking your healthcare provider if you need vitamin D and calcium supplements

For more information about the Lupus Center at the campus of Jamaica Hospital Medical Center or to make an appointment with a lupus doctor, call (718) 206-9888 or the Lupus Hotline at 1-877-33-LUPUS.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Guillain-Barre Syndrome

Guillain-Barre syndrome is a rare autoimmune condition in which the body’s immune system attacks the peripheral nerves, causing sudden numbness and muscle weakness.

Guillain-Barre syndrome often begins with tingling and weakness starting in the legs and feet and spreads to the upper body and arms. Some people may notice the first symptoms in the arms or face. As the condition progresses, muscle weakness can turn into paralysis. Symptoms of Guillain-Barre syndrome include:

  • A pins and needles feeling in the fingers, toes, ankles, or wrists
  • Weakness in the legs that spreads to the upper body
  • An unsteady walk, or not being able to walk or climb stairs
  • Trouble with facial movements, including speaking, chewing, or swallowing
  • Double vision or inability to move the eyes
  • Severe pain that may feel achy, shooting, or cramp-like, and may be worse at night
  • Trouble with bladder control or bowel function
  • Rapid heart rate
  • Low or high blood pressure
  • Trouble breathing

People with Guillain-Barre syndrome usually experience their most significant weakness within two weeks after symptoms begin.

The symptoms of Guillain-Barre syndrome differ depending on the type, as there are several forms of the condition. The main types are:

  • Acute Inflammatory Demyelinating Polyradiculoneuropathy (AIDP)
  • Miller Fisher syndrome (MFS)
  • Acute motor axonal neuropathy (AMAN) and acute motor-sensory axonal neuropathy (AMSAN)

There is no exact known cause of Guillain-Barre syndrome. It usually appears days or weeks after a respiratory or digestive tract infection. Rarely, a recent surgery or vaccination can trigger it.

In Guillain-Barre syndrome, the immune system attacks the nerves. In AIDP, the myelin sheath protecting the nerves is damaged. The damage prevents nerves from transmitting signals to your brain, causing weakness, numbness, or paralysis. It can be triggered by:

  • Most commonly, an infection with Campylobacter, a type of bacteria often found in undercooked poultry
  • Influenza virus
  • Cytomegalovirus
  • Epstein-Barr virus
  • Zika virus
  • Hepatitis A, B, C, and E
  • HIV
  • Mycoplasma pneumonia
  • Surgery
  • Trauma
  • Hodgkin lymphoma
  • Rarely, influenza vaccinations or childhood vaccinations
  • COVID-19 virus

Healthcare providers can typically diagnose Guillain-Barre syndrome based on symptoms and medical history. They may ask how and when your symptoms started and if you have been sick recently. They will also perform physical and neurological exams to look for signs of muscle weakness and weak or absent deep tendon reflexes.

Unfortunately, many other neurological conditions share similar symptoms to Guillain-Barre syndrome, so a healthcare provider will need to perform other tests to rule out other conditions. These tests can include:

  • Electromyography (EMG) and nerve conduction tests
  • A spinal tap
  • An imaging test

There is no cure for Guillain-Barre syndrome. However, two types of treatment can speed recovery and reduce symptoms. They include:

  • Plasma exchange
  • Immunoglobulin therapy

These treatments are equally effective. Mixing them or using one after the other is no more effective than using either method alone. You are also likely to be given medicine to:

  • Relieve severe pain
  • Prevent blood clots

People with Guillain-Barre syndrome need physical help and therapy before and during recovery. Care may include:

  • Movement of your arms and legs by caregivers before recovery helps keep muscles flexible and strong
  • Physical therapy during recovery helps you cope with fatigue and regain strength and proper movement
  • Training with adaptive devices, such as a wheelchair or braces, to give you mobility and self-care skills

You can receive pain management treatments, such as nerve blocks, at Jamaica Hospital Medical Center. To schedule an appointment with a pain specialist, please call (718) 206-7246.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

MS Awareness Month

March is observed as Multiple Sclerosis (MS) Awareness Month, a month that raises awareness about the disease.

Multiple sclerosis is a disease that causes the breakdown of the protective covering of nerves called myelin. Multiple sclerosis can cause numbness, weakness, trouble walking, vision changes, and other symptoms. This interrupts communication between the brain and the rest of the body. MS eventually causes permanent damage to the nerve fibers.

Launched in 2003, National MS Education and Awareness Month is a nationwide effort by MS Focus: The Multiple Sclerosis Foundation and affiliated groups to raise awareness of multiple sclerosis. The vital goals of this campaign are to promote an understanding of the scope of the disease and to assist those with MS in making educated decisions about their healthcare.

MS Awareness Month benefits those with MS, their families, and communities. It is also an opportunity for family and friends of people with MS to learn more about the disease.

There are several ways to get involved in MS Awareness Month, including:

  • Sign up for an MS walk
  • Attend educational events
  • Share your story
  • Make a donation
  • Wear orange
  • Spread the word on social media

MS affects everyone differently. MS Awareness Month brings awareness to the condition’s many forms.

Getting involved during MS Awareness Month can help raise awareness for this condition and lead to a cure.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Thyroid Awareness Month

January is Thyroid Awareness Month.

Thyroid disease is a medical condition that keeps your thyroid from making the right amount of hormones. The thyroid is a small, butterfly-shaped gland at the front of the neck under your skin. As a part of the body’s endocrine system, it controls many of your body’s important functions by producing and releasing thyroid hormones and controlling the speed of your metabolism.

There are two main types of thyroid disease, hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid). They each have several conditions that can cause them.

Conditions that can cause hypothyroidism include:

  • Hashimoto’s disease – this is a lifelong autoimmune condition that can cause hypothyroidism. It is the most common cause of hypothyroidism in countries with widely available iodized salt and other iodine-enriched foods.
  • Iodine deficiency – the thyroid needs iodine to make the thyroid hormone, so a lack of the mineral in your diet can lead to hypothyroidism. It is the most common cause of hypothyroidism in countries that don’t have iodized salt widely available. It often causes goiters also known as an enlarged thyroid.
  • Congenital hypothyroidism – sometimes, babies are born with a missing or underactive thyroid. “Congenital” means present from birth. About one in every 2,000 to 4,000 babies have congenital hypothyroidism.

Conditions that can cause hyperthyroidism include:

  • Graves’ disease – this is a chronic autoimmune condition that causes an overactive thyroid. It is the most common cause of hyperthyroidism.
  • Thyroid nodules – these are abnormal lumps on your thyroid gland. If the nodules are hyper-functioning, they can lead to hyperthyroidism.
  • Excessive iodine – when you have too much iodine in your body, your thyroid makes more thyroid hormones than you need. You may develop excessive iodine by taking certain medications.

Some conditions can cause both hypothyroidism and hyperthyroidism at different times, including:

  • Thyroiditis – which is the inflammation of the thyroid gland. It typically causes temporary hyperthyroidism at first and then temporary or chronic hypothyroidism.
  • Postpartum thyroiditis – this is a relatively rare condition that affects some birthing parents after pregnancy. An estimated 5% of people may experience this after giving birth. It typically causes hyperthyroidism first, followed by hypothyroidism. It is usually temporary.

There are a variety of thyroid disease symptoms. Unfortunately, symptoms of a thyroid condition are often similar to the signs of other medical conditions and stages of life, making it difficult to know if the symptoms are related to a thyroid issue or something else.

Symptoms of hypothyroidism include:

  • Slower-than-usual heart rate
  • Fatigue
  • Unexplained weight gain
  • Feeling sensitive to the cold
  • Dry skin and dry coarse hair
  • Depression
  • Heavy menstrual periods

Symptoms of hyperthyroidism include:

  • Faster-than-usual heart rate
  • Difficulty sleeping
  • Unexplained weight loss
  • Feeling sensitive to the heat
  • Clammy or sweaty skin
  • Feeling anxious, irritable, or nervous
  • Irregular menstrual cycles or lack of periods

Many factors can put you at a higher risk of developing a thyroid condition, including:

  • Being assigned female at birth (AFAB). People AFAB are five to eight times more likely to have a thyroid condition than people assigned male at birth (AMAB)
  • Have a family history of thyroid disease
  • Have Turner syndrome
  • Take a medication that is high in iodine
  • Live in a country or area that doesn’t have iodized table salt, which can lead to iodine deficiency
  • Are older than 60 years of age, especially if you are AFAB
  • Have received radiation therapy to your head and/or neck

Having an autoimmune disease also increases your risk, especially if you have:

  • Pernicious anemia
  • Type 1 diabetes
  • Celiac disease
  • Addison’s disease
  • Lupus
  • Rheumatoid arthritis
  • Sjögren’s syndrome

Thyroid disease can be diagnosed using blood and imaging tests after a healthcare provider performs a physical exam.

Treatment for thyroid disease depends on the type of condition and the cause. The goal is to return your thyroid hormone levels to a healthy range. Hyperthyroidism is treated with antithyroid drugs, radioiodine therapy, beta-blockers, and surgery. Hypothyroidism is treated with thyroid replacement therapy.

If you’re experiencing symptoms of any thyroid disease, you can call and make an appointment with Jamaica Hospital Medical Center’s endocrinology service, at 718-206-7001.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Lupus: Triggers and Warning Signs

Lupus is a chronic disease that occurs when the immune system attacks the body’s organs and tissues. The exact cause of lupus is unknown; however, it is believed that hormones, genetics, and environmental factors play a role.

Anyone can develop lupus, but some individuals may have a greater risk than others.  Those with a higher risk are:

  • Black people
  • Asian people
  • Hispanic people
  • People assigned female at birth
  • People with a family history of lupus

Symptoms of lupus range from mild to severe, and can include:

  • Joint pain
  • Butterfly rash
  • Mouth sores
  • Shortness of breath
  • Swollen glands
  • Inflammation in the brain
  • Blood clots
  • Hair loss

People living with lupus often experience periods when their symptoms worsen; this is known as a flare. Flares come and go and are often triggered by anything that causes stress to the body.  Common triggers may include:

  • Emotional stress
  • Pregnancy or giving birth
  • Infections
  • Surgery
  • Physical injuries
  • Viral illnesses
  • Severe exposure to ultraviolet rays
  • Exhaustion (being overworked or not getting enough rest)
  • Certain medications
  • Not taking lupus medications regularly

Lupus flares often have warning signs such as fever, swollen joints, fatigue, and other associated symptoms.  However, flares can also occur without symptoms. This is why individuals diagnosed with lupus must visit their doctor regularly to monitor their health.

The Lupus Center at Jamaica Hospital is staffed by highly trained rheumatologists. For more information about the Lupus Center or to make an appointment, please call (718) 206-9888.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Hashimoto’s Disease?

A doctor examining a woman's thyroid gland to check for signs of Hashimoto's disease.Hashimoto’s disease is an autoimmune condition that causes your thyroid gland to become enlarged (also known as goiter) and become underactive (also known as hypothyroidism). These symptoms may not appear at first, and in some people they may not develop at all, but they can occur gradually and lead to a variety of other issues, such as fatigue, weight gain, a slowed heart rate, difficulty concentrating, or a low mood.

Approximately 5% of people in the United States experience Hashimoto’s disease. It is one of the most common causes of hypothyroidism worldwide, aside from iodine deficiency. While it can affect people of any age, sex, or ethnic background, it is much more common among people assigned female at birth (AFAB) than people assigned male at birth (AMAB). It is also typically diagnosed between the ages of 30 and 50.

A person develops Hashimoto’s disease when their immune system creates antibodies to attack thyroid tissue. This causes thyroid inflammation and damage due to an accumulation of white blood cells in your thyroid. People with other autoimmune conditions, such as lupus, celiac disease, type 1 diabetes, or rheumatoid arthritis, are more likely to develop Hashimoto’s disease than people who do not experience these conditions.

Your doctor can diagnose Hashimoto’s disease through a physical examination, a review of your medical history, and blood tests. Specific tests that help with this diagnosis include a thyroid-stimulating hormone test (which is typically used to check for hypothyroidism) and an antithyroid antibody test (which looks for certain types of antibodies in your blood to determine whether Hashimoto’s disease is the cause of your hypothyroidism).

Hashimoto’s disease cannot be cured, but in cases where it causes hypothyroidism, it can often be managed through medication. The standard treatment is levothyroxine, which supplements the hormone thyroxine (T4) and ensures that your body has enough of it to function normally. While you would need to take this medication for the rest of your life, it is effective at managing the symptoms of this condition for most people.

If you are experiencing symptoms of Hashimoto’s disease and require a diagnosis or treatment, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Lupus Awareness Month

Lupus is an autoimmune disease that can cause inflammation in many different parts of the body, including (but not limited to) your joints, blood cells, brain, heart, and lungs, as well as other organs.

Lupus is often distinguished by a facial rash that spreads across both cheeks. However, it can still be difficult to diagnose, as it may present a wide variety of symptoms in different people that may resemble other conditions.

Most people with lupus experience mild symptoms broken up by periodic flare-ups, during which their symptoms temporarily worsen. Aside from inflammation, these symptoms may include fever, fatigue, cognitive difficulties, shortness of breath, and fingers and toes that turn white or blue in response to cold or stress.

People with lupus can also experience several complications. The leading cause of death among people with this condition is kidney failure due to damage caused by the disease. However, inflammation of the heart and lungs also increases the risk of additional medical problems, such as cardiovascular disease, pneumonia, seizures, and strokes.

The cause of lupus is unknown, but it is most common for women and people of Black, Hispanic, or Asian backgrounds. Although lupus is most often diagnosed between the ages of 15 and 45, it can affect people of any age. Lupus (as well as flare-ups of symptoms) can be triggered by sunlight, infections, and certain medications, such as antibiotics, blood pressure medication, and seizure medication.

Lupus is a life-long disease with no cure, but it can be managed with the help of a doctor. Several different types of drugs, including steroids, monoclonal antibodies, and chemotherapy drugs, may be used to help you cope with your symptoms, depending on your specific symptoms. You may also need to avoid certain vaccines, particularly those with live viruses such as the chickenpox or shingles vaccine, as well as make certain adjustments to your diet.

You can receive specialized medical treatment for lupus at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.