Postpartum thyroiditis diagnostic criteria: Difference between revisions
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*Radio-iodine uptake: Decreased. | *Radio-iodine uptake: Decreased. | ||
*Hypothyroid phase: | *Hypothyroid phase: | ||
*TSH: >3.6 mU/L | *TSH: >3.6 mU/L | ||
*Anti-TPO antibodies: Postive | *Anti-TPO antibodies: Postive | ||
*Free T4: <8 pmol/l | *Free T4: <8 pmol/l | ||
Revision as of 02:51, 1 October 2017
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Postpartum thyroiditis Microchapters |
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Postpartum thyroiditis diagnostic criteria On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
OR
The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
OR
The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
OR
There are no established criteria for the diagnosis of [disease name].
Diagnostic Criteria
- There are no established criteria for the diagnosis of PPT but it can be diagnosed on basis of level of TSH, free T, free T3, radio-iodine, uptake presence of anit-TPO antibodies and absence of TSH receptor antibodies depending on the phase of disease[1].
- Hyperthyroid phase: Set of following laboratory values on one or more occasions
- TSH: low or suppresed
- Anti-TPO antibodies: Postive
- TSH-receptor antibodies: Negative
- Free T4: Typical raised but may be normal.
- Free T3: Raised or normal with or without raised FT4.
- Radio-iodine uptake: Decreased.
- Hypothyroid phase:
- TSH: >3.6 mU/L
- Anti-TPO antibodies: Postive
- Free T4: <8 pmol/l
- Free T3: <4.2 pmol/l
- Radio-iodine uptake: Decreased.
- Thyroid gland tenderness: Non-tender but may be tender sometime.[2]
- ESR: Normal[3]
References
- ↑ Stagnaro-Green A (2002). "Clinical review 152: Postpartum thyroiditis". J Clin Endocrinol Metab. 87 (9): 4042–7. doi:10.1210/jc.2002-020524. PMID 12213841.
- ↑ Stagnaro-Green A (2002). "Clinical review 152: Postpartum thyroiditis". J Clin Endocrinol Metab. 87 (9): 4042–7. doi:10.1210/jc.2002-020524. PMID 12213841.
- ↑ Stagnaro-Green A (2002). "Clinical review 152: Postpartum thyroiditis". J Clin Endocrinol Metab. 87 (9): 4042–7. doi:10.1210/jc.2002-020524. PMID 12213841.