Postpartum thyroid dysfunction: Difference between revisions
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==Overview== | ==Overview== | ||
Postpartum thyroid dysfunction also known as postpartum thyroid dysfunction syndrome, is characterized by abnormal functioning of the [[thyroid gland]] after child birth. Postpartum thyroid dysfunction can either be a pre-existent [[thyroid disease]] that becomes clinically significant during [[postpartum]] duration or it may appear as a new dysfunction. Postpartum thyroid dysfunction may present as [[Grave's disease]], [[Hashimoto's thyroiditis]], [[postpartum thyroiditis]] or [[silent thyroiditis]]. | Postpartum thyroid dysfunction also known as postpartum thyroid dysfunction syndrome, is characterized by abnormal functioning of the [[thyroid gland]] after child birth. Postpartum thyroid dysfunction can either be a pre-existent [[thyroid disease]] that becomes clinically significant during [[postpartum]] duration or it may appear as a new dysfunction. Postpartum thyroid dysfunction may present as [[Grave's disease]], [[Hashimoto's thyroiditis]], [[postpartum thyroiditis]] or [[silent thyroiditis]]. Postpartum thyroid dysfunction most commonly presents as [[hyperthyroidism]] followed by [[hypothyroidism]]. The [[hyperthyroidism]] phase may be non symptomatic or patients may experience palpitations. The [[hypothyroidism]] phase is usually severe. Postpartum thyroid dysfunction may also present as exclusive [[hypothyroidism]] or [[hyperthyroidism]]. | ||
==Classification== | ==Classification== | ||
Revision as of 18:15, 27 September 2017
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Postpartum thyroid dysfunction |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Synonyms and keywords: Postpartum thyroid dysfunction syndrome
Overview
Postpartum thyroid dysfunction also known as postpartum thyroid dysfunction syndrome, is characterized by abnormal functioning of the thyroid gland after child birth. Postpartum thyroid dysfunction can either be a pre-existent thyroid disease that becomes clinically significant during postpartum duration or it may appear as a new dysfunction. Postpartum thyroid dysfunction may present as Grave's disease, Hashimoto's thyroiditis, postpartum thyroiditis or silent thyroiditis. Postpartum thyroid dysfunction most commonly presents as hyperthyroidism followed by hypothyroidism. The hyperthyroidism phase may be non symptomatic or patients may experience palpitations. The hypothyroidism phase is usually severe. Postpartum thyroid dysfunction may also present as exclusive hypothyroidism or hyperthyroidism.
Classification
Postpartum thyroid dysfunction can be classified on the base of thyroid disease entity, clinical course of the disease and biochemical features.[1][2][3]
Classification of postpartum thyroid dysfunction based on thyroid diseases:
| Postpartum Thyroid Dysfunction | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Grave's disease | Hashimoto's thyroiditis | Postpartum thyroiditis | Silent thyroiditis | Subacute infective thyroiditis | |||||||||||||||||||||||||||||||||||||||||||||||
Classification of postpartum thyroid dysfunction based on clinical course:
| Postpartum Thyroid Dysfunction | |||||||||||||||||||||||||||||||||||||||||
| Hyperthyroidism followed by hypothyroidism | Exclusive hyperthuroidism | Exclusive hypothyroidism | Hypothyroidism followed by hyperthyroidism | ||||||||||||||||||||||||||||||||||||||
- ↑ Goldman JM (1986). "Postpartum thyroid dysfunction". Arch Intern Med. 146 (7): 1296–9. PMID 3718125.
- ↑ Fung HY, Kologlu M, Collison K, John R, Richards CJ, Hall R; et al. (1988). "Postpartum thyroid dysfunction in Mid Glamorgan". Br Med J (Clin Res Ed). 296 (6617): 241–4. PMC 2544770. PMID 3124900.
- ↑ Lazarus JH (2011). "The continuing saga of postpartum thyroiditis". J Clin Endocrinol Metab. 96 (3): 614–6. doi:10.1210/jc.2011-0091. PMID 21378224.