The spectrum of postpartum thyroid dysfunction: diagnosis, management, and long-term prognosis.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
N AminoY Hidaka

Abstract

To provide an overview of thyroid abnormalities that can occur after delivery. We review the diagnosis and management of various types of postpartum thyroid dysfunction. A common problem during the postpartum period, thyroid dysfunction is found in approximately 5% of new mothers in the general population. Such thyroid dysfunction can manifest in various forms (hyperthyroid or hypothyroid, transient or persistent), each of which necessitates different treatment. The most common type of thyroid dysfunction is destructive thyrotoxicosis, which is due to the aggravation of autoimmune thyroiditis. It occurs at 1 to 3 months after delivery as sudden thyrotoxicosis and lasts for 1 to 3 months, after which transient hypothyroidism may ensue in some cases. Simply symptomatic treatment may be sufficient for such transient thyroid dysfunctions. Postpartum Graves' disease is found in approximately 11% of the cases of postpartum thyroid dysfunction. Graves' hyperthyroidism usually occurs at 3 to 6 months after parturition. In the treatment of postpartum Graves' disease, one may choose radioactive iodine, antithyroid drugs, or surgical therapy; however, transient Graves' hyperthyroidism, which often occurs in patients with postpartum Graves...Continue Reading

References

Apr 1, 1992·Journal of Endocrinological Investigation·P G WalfishF R Papsin
May 1, 1992·Clinical Radiology·H AdamsC J Richards
Sep 1, 1991·Journal of Endocrinological Investigation·E RotiM Savi
Aug 1, 1990·The Journal of Clinical Endocrinology and Metabolism·D GlinoerB Lejeune
Feb 1, 1990·Acta Endocrinologica·R RajatanavinW Puapradit
May 1, 1990·Clinical Endocrinology·S OthmanJ H Lazarus
May 1, 1985·Clinics in Endocrinology and Metabolism·P G Walfish, J Y Chan
Jan 23, 1988·British Medical Journal·H Y FungA M McGregor
Mar 1, 1988·The Journal of Clinical Endocrinology and Metabolism·J TachiK Miyai
Jul 1, 1988·American Journal of Obstetrics and Gynecology·C C HayslipR C Smallridge
Jan 1, 1987·Acta Medica Scandinavica·H H LervangH P Ostergaard Kristensen
Apr 1, 1984·The Journal of Clinical Endocrinology and Metabolism·R JanssonG Nilsson
Apr 8, 1982·The New England Journal of Medicine·N AminoK Miyai
Jan 1, 1994·Thyroid : Official Journal of the American Thyroid Association·Y HidakaN Amino

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Citations

Oct 14, 2009·World Journal of Surgery·Yasuhiro ItoAkira Miyauchi
Jun 18, 1999·The Journal of Clinical Endocrinology and Metabolism·N AminoA Stagnaro-Green
Jan 11, 2020·Frontiers in Endocrinology·Laura CroceMario Rotondi
Jan 7, 2021·International Journal of Clinical Practice·Çiğdem Tura BahadırElif Kılıçkan

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