Table 2.
Summary of the WOMED clinical approach to thyroiditis concerning the 3 main findings described by Hashimoto (in the original German description). The clinical validity of diagnostic procedures including power Doppler sonography is explained for every stage.
| “Eigenthümliche Art von Chronischer Entzündung” | “Wucherung des Gefässendothels” | “Fällt Selbst dem Schwunde Anheim” | |
|---|---|---|---|
| Chronic Inflammation | Enlarged Endothel | Destruction | |
| TSH | no | no | Elevated in hypothyroidism |
| Thyroid-Abs | Partial correlation | no | no |
| Ferritin | no | no | no |
| Magnesium | yes | yes | Partly |
| Coenzyme Q10 | yes | yes—relates to the dynamics of perfusion | No |
| Selenium | yes | no | Yes in fibrosis |
| Sonography | yes | yes | yes |
| Power Doppler Images |
|
|
|
| Condition | Magnesium def. pattern | CoQ10 def. pattern | Chronic fibrosis |