The thyroid and parathyroid glands are major endocrine organs concerned with several key functions of the body. The thyroid controls the metabolic rate, and heart rate, and warms up the body temperature through the production of thyroid hormones. The parathyroid glands work differently: they regulate blood calcium and bone metabolism by endocrine production of parathyroid hormone.
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Although both are localised in the neck and endocrine glands, they exert different physiological functions. The thyroid affects almost all metabolic processes, whereas the parathyroid glands have roles in the maintenance of calcium homeostasis—an excellent example of the specificity in endocrine regulation.
Knowing the anatomy and position of the thyroid and parathyroid glands, one can explain their functions and associated diseases.
Butterfly-shaped gland with two lobes connected by an isthmus.
Approximately 4-6 cm in length, 1-2 cm in width.
Located below the Adam's apple and in front of the trachea.
Normally four small, oval-shaped glands
Size of each gland: A grain of rice size, 3-4 mm
Location with regards to the thyroid gland: Posterior surface of the thyroid gland, two on each side.
The functions of the thyroid and parathyroid glands are different and crucial to other homeostatic functions of the body.
Production of thyroid hormones T3 and T4
Regulation of:
Metabolism
Heart rate
Body temperature
Production of parathyroid hormone (PTH)
Regulation of calcium levels in the blood
Bone remodelling.
Analysing the hormonal control and feedback mechanisms for these glands gives an idea of how they participate in homeostasis.
Hypothalamus-pituitary-thyroid axis: Hypothalamus releases TRH, which stimulates the pituitary to release TSH.
This in turn stimulates the thyroid to produce T3 and T4.
Self-regulating feedback loop: High levels of T3 and T4 inhibit TRH and TSH production.
Blood calcium amount regulation: Decreased calcium levels induce PTH release.
PTH increases blood calcium by acting on bones, kidneys, and the gut.
Different pathologies can simultaneously alter thyroid and parathyroid glands, impairing their normal functioning.
Hyperthyroidism: Overproduction of thyroid hormones
Hypothyroidism: Underproduction of thyroid hormones
Thyroid nodules and cancer: Abnormal growths or malignancies in the thyroid.
Symptoms vary widely, treatments include medication, radioactive iodine, and surgery.
Hyperparathyroidism: Excessive PTH production.
Hypoparathyroidism: Inadequate PTH production.
Parathyroid tumours: Abnormal growths in the parathyroid glands.
Symptoms occur because of the disturbed calcium level; treatment is often surgical or supplement-based.
Treatment options will vary depending on the specific disorder occurring in either the thyroid or parathyroid glands.
Medications: Antithyroid drugs, hormone replacement therapy
Radioactive iodine therapy: Destroy overactive thyroid cells
Surgery: Thyroidectomy to remove a portion or all of the thyroid gland.
Medications: Calcium supplements, vitamin D
Surgery: Parathyroidectomy is performed to remove overactive or tumorous parathyroid glands.
Feature | Thyroid Gland | Parathyroid Gland |
Location | Front of the neck, below Adam’s apple | Behind the thyroid gland |
Structure | Butterfly-shaped with two lobes connected by an isthmus | Small, oval-shaped, usually four glands |
Size and Shape | 4-6 cm in length, 1-2 cm in width | 3-4 mm, about the size of a grain of rice |
Hormones Produced | T3 (triiodothyronine) and T4 (thyroxine) | PTH (Parathyroid Hormone) |
Primary Functions | Regulates metabolism, heart rate, and body temperature | Regulates blood calcium levels, bone remodelling |
Hormonal Control | Hypothalamus-pituitary-thyroid axis, negative feedback loop | Blood calcium levels, feedback mechanism involving PTH |
Common Disorders | Hyperthyroidism, hypothyroidism, thyroid nodules and cancer | Hyperparathyroidism, hypoparathyroidism, parathyroid tumors |
Conclusion
Knowing the differences between the thyroid and parathyroid glands is important for understanding their functions in overall health and the endocrine system. Maintaining awareness of the various activities and the myriad control mechanisms of these tissues allows one to make sense of and develop treatments for disorders associated with malfunction or pathology of the thyroid and parathyroid.
The thyroid regulates the metabolic basal rate; the parathyroid glands regulate blood levels of calcium.
Thyroid hormones increase the metabolic rate; they affect the body's use of energy and thereby affect heart rate and body temperature.
Weight loss, rapid heartbeat, anxiety; weight gain, fatigue, depression.
PTH elevates blood calcium via stimulation of bone resorption, enhanced intestinal calcium absorption, and reduced calcium excretion by the kidneys.
Thyroid: blood tests (TSH, T3, T4), ultrasound, biopsy; Parathyroid: blood tests (PTH, calcium), sestamibi scan, ultrasound.
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