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Difference Between Thyroid And Parathyroid: Symptoms & Causes

Difference Between Thyroid And Parathyroid: Symptoms & Causes

Edited By Irshad Anwar | Updated on Aug 25, 2024 06:14 PM IST

What Are Thyroid And Parathyroid Glands?

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.

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.

Anatomy And Location

Knowing the anatomy and position of the thyroid and parathyroid glands, one can explain their functions and associated diseases.

Anatomy Of Thyroid Gland

  • 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.

Anatomy Of Parathyroid Gland

  • 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.

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Functions

The functions of the thyroid and parathyroid glands are different and crucial to other homeostatic functions of the body.

Thyroid Gland Functions

  • Production of thyroid hormones T3 and T4

Regulation of:

  • Metabolism

  • Heart rate

  • Body temperature

Parathyroid Gland Functions

  • Production of parathyroid hormone (PTH)

  • Regulation of calcium levels in the blood

  • Bone remodelling.

Hormonal Control And Feedback Mechanisms

Analysing the hormonal control and feedback mechanisms for these glands gives an idea of how they participate in homeostasis.

Thyroid Gland Hormonal Control

  • 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.

Parathyroid Gland Hormonal Control

  • Blood calcium amount regulation: Decreased calcium levels induce PTH release.

  • PTH increases blood calcium by acting on bones, kidneys, and the gut.

Common Disorders And Diseases

Different pathologies can simultaneously alter thyroid and parathyroid glands, impairing their normal functioning.

Thyroid Disorders

  • 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.

Parathyroid Disorders

  • 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 and Management

Treatment options will vary depending on the specific disorder occurring in either the thyroid or parathyroid glands.

Treatment Options For Thyroid Disorders

  • 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.

Treatment Options For Parathyroid Disorders

  • Medications: Calcium supplements, vitamin D

  • Surgery: Parathyroidectomy is performed to remove overactive or tumorous parathyroid glands.

Table: Comparative Analysis Of Thyroid And Parathyroid

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.

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Frequently Asked Questions (FAQs)

1. What is the main difference between the thyroid and parathyroid glands?

The thyroid regulates the metabolic basal rate; the parathyroid glands regulate blood levels of calcium.

2. What is the effect of thyroid hormones on metabolism?

Thyroid hormones increase the metabolic rate; they affect the body's use of energy and thereby affect heart rate and body temperature.

3. What are the symptoms of hyperthyroidism and hypothyroidism?

Weight loss, rapid heartbeat, anxiety; weight gain, fatigue, depression.

4. Explain how parathyroid hormone (PTH) works to regulate the level of calcium.

PTH elevates blood calcium via stimulation of bone resorption, enhanced intestinal calcium absorption, and reduced calcium excretion by the kidneys.

5. What are common diagnostic tests for thyroid and parathyroid disorders?

Thyroid: blood tests (TSH, T3, T4), ultrasound, biopsy; Parathyroid: blood tests (PTH, calcium), sestamibi scan, ultrasound.

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