Postpartum thyroiditis history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The majority of patients with Postpartum thyroiditis, PPT are asymptomatic. The hallmark of PPT is lassitude. A positive history of fatigue and depression is suggestive of PPT. The most common symptoms of PPT include depression, fatigue, and anxiety. | The majority of patients with [[Postpartum thyroiditis|Postpartum thyroiditis, PPT]] are asymptomatic. The hallmark of [[Postpartum thyroiditis|PPT]] is lassitude. A positive history of [[fatigue]] and [[depression]] is suggestive of PPT. The most common symptoms of PPT include depression, fatigue, and anxiety. | ||
==History and Symptoms== | ==History and Symptoms== | ||
History and symptoms include: <ref name="pmid22312089">{{cite journal| author=Stagnaro-Green A| title=Approach to the patient with postpartum thyroiditis. | journal=J Clin Endocrinol Metab | year= 2012 | volume= 97 | issue= 2 | pages= 334-42 | pmid=22312089 | doi=10.1210/jc.2011-2576 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22312089 }} </ref> | History and symptoms include: <ref name="pmid22312089">{{cite journal| author=Stagnaro-Green A| title=Approach to the patient with postpartum thyroiditis. | journal=J Clin Endocrinol Metab | year= 2012 | volume= 97 | issue= 2 | pages= 334-42 | pmid=22312089 | doi=10.1210/jc.2011-2576 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22312089 }} </ref><ref name="pmid15157842">{{cite journal| author=Stagnaro-Green A| title=Postpartum thyroiditis. | journal=Best Pract Res Clin Endocrinol Metab | year= 2004 | volume= 18 | issue= 2 | pages= 303-16 | pmid=15157842 | doi=10.1016/j.beem.2004.03.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15157842 }} </ref><ref name="pmid10874538">{{cite journal| author=Stagnaro-Green A| title=Recognizing, understanding, and treating postpartum thyroiditis. | journal=Endocrinol Metab Clin North Am | year= 2000 | volume= 29 | issue= 2 | pages= 417-30, ix | pmid=10874538 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10874538 }} </ref> | ||
<ref name="pmid15157842">{{cite journal| author=Stagnaro-Green A| title=Postpartum thyroiditis. | journal=Best Pract Res Clin Endocrinol Metab | year= 2004 | volume= 18 | issue= 2 | pages= 303-16 | pmid=15157842 | doi=10.1016/j.beem.2004.03.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15157842 }} </ref> | *The majority of patients with [[Postpartum thyroiditis|PPT]] are asymptomatic. | ||
<ref name="pmid10874538">{{cite journal| author=Stagnaro-Green A| title=Recognizing, understanding, and treating postpartum thyroiditis. | journal=Endocrinol Metab Clin North Am | year= 2000 | volume= 29 | issue= 2 | pages= 417-30, ix | pmid=10874538 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10874538 }} </ref> | *The hallmark of [[Postpartum thyroiditis|PPT]] is lassitude. A positive history of [[fatigue]] and [[depression]] is suggestive of [[Postpartum thyroiditis|PPT]]. The most common symptoms of [[Postpartum thyroiditis|PPT]] include [[depression]], [[fatigue]], and [[anxiety]]. | ||
*The majority of patients with PPT are asymptomatic. | *Symptoms of [[Postpartum thyroiditis|PPT]] may be observed after delivery of baby, abortion, or miscarriage. | ||
*The hallmark of PPT is lassitude. A positive history of fatigue and depression is suggestive of PPT. The most common symptoms of PPT include depression, fatigue, and anxiety. | *Symptoms of [[Postpartum thyroiditis|PPT]] depend on clinical stages of [[Postpartum thyroiditis|PPT]] | ||
*Symptoms of PPT may be observed after delivery of baby, abortion, or miscarriage. | *There are two possible clinical stages: | ||
*Symptoms of PPT depend on clinical stages of PPT | |||
*There are two possible clinical stages | |||
===== Transient Hyperthyroidism ===== | ===== Transient [[Hyperthyroidism]] ===== | ||
===History=== | ===History=== | ||
Patients with | Patients with transient [[hyperthyroidism]] stage of [[Postpartum thyroiditis|PPT]] are mostly under diagnosed and develops symptoms around one to four months median period 13th postpartum week and they stay for two to three months which may include a positive history of: | ||
*Lack of energy | *Lack of [[energy]] | ||
*Anxiety | *[[Anxiety]] | ||
*Tremors | *[[Tremor|Tremors]] | ||
*Palpitation | *[[Palpitation]] | ||
*Unexplained weight loss | *Unexplained [[weight loss]] | ||
*Insomnia | *[[Insomnia]] | ||
*Increased sensitivity to heat | *Increased sensitivity to [[heat]] | ||
*Loose stool | *[[Diarrhea|Loose stool]] | ||
==== Transient or permanent Hypothyroidism ==== | ==== Transient or permanent Hypothyroidism ==== | ||
=== History === | === History === | ||
Patients with | Patients with transient [[hypothyroidism]] stage of [[Postpartum thyroiditis|PPT]] develops profound symptoms compared to [[Hyperthyroidism|hyperthyroid]] symtoms around fourth postpartum month median period 19th week and they stay for sixth postpartum month which may include a positive history of: | ||
* Lack of energy | * Lack of [[energy]] | ||
* Increased sensitivity to cold | * Increased sensitivity to [[cold]] | ||
* Constipation | * [[Constipation]] | ||
* Dry skin | * [[Dry skin (patient information)|Dry skin]] | ||
* Difficulty concentrating | * [[Concentrate|Difficulty concentrating]] | ||
* Aches and pains | * [[Pain|Aches and pains]] | ||
* Carpel | * Carpel tunnel syndrome | ||
* Weight gain | * [[Weight gain]] | ||
* | * Changes in voice | ||
* Decreased milk production | * Decreased milk production | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of PPT include: | Common symptoms of PPT include: | ||
*Depression | *[[Depression]] | ||
* | *[[Anxiety]] | ||
*Fatigue | *[[Fatigue]] | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of PPT include | Less common symptoms of PPT include | ||
*Tremors | *[[Tremor|Tremors]] | ||
*Aches | *[[Pain|Aches]] | ||
*Poor concentration | *Poor [[concentration]] | ||
==References== | ==References== | ||
Revision as of 18:52, 13 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
The majority of patients with Postpartum thyroiditis, PPT are asymptomatic. The hallmark of PPT is lassitude. A positive history of fatigue and depression is suggestive of PPT. The most common symptoms of PPT include depression, fatigue, and anxiety.
History and Symptoms
History and symptoms include: [1][2][3]
- The majority of patients with PPT are asymptomatic.
- The hallmark of PPT is lassitude. A positive history of fatigue and depression is suggestive of PPT. The most common symptoms of PPT include depression, fatigue, and anxiety.
- Symptoms of PPT may be observed after delivery of baby, abortion, or miscarriage.
- Symptoms of PPT depend on clinical stages of PPT
- There are two possible clinical stages:
Transient Hyperthyroidism
History
Patients with transient hyperthyroidism stage of PPT are mostly under diagnosed and develops symptoms around one to four months median period 13th postpartum week and they stay for two to three months which may include a positive history of:
- Lack of energy
- Anxiety
- Tremors
- Palpitation
- Unexplained weight loss
- Insomnia
- Increased sensitivity to heat
- Loose stool
Transient or permanent Hypothyroidism
History
Patients with transient hypothyroidism stage of PPT develops profound symptoms compared to hyperthyroid symtoms around fourth postpartum month median period 19th week and they stay for sixth postpartum month which may include a positive history of:
- Lack of energy
- Increased sensitivity to cold
- Constipation
- Dry skin
- Difficulty concentrating
- Aches and pains
- Carpel tunnel syndrome
- Weight gain
- Changes in voice
- Decreased milk production
Common Symptoms
Common symptoms of PPT include:
Less Common Symptoms
Less common symptoms of PPT include
- Tremors
- Aches
- Poor concentration
References
- ↑ Stagnaro-Green A (2012). "Approach to the patient with postpartum thyroiditis". J Clin Endocrinol Metab. 97 (2): 334–42. doi:10.1210/jc.2011-2576. PMID 22312089.
- ↑ Stagnaro-Green A (2004). "Postpartum thyroiditis". Best Pract Res Clin Endocrinol Metab. 18 (2): 303–16. doi:10.1016/j.beem.2004.03.008. PMID 15157842.
- ↑ Stagnaro-Green A (2000). "Recognizing, understanding, and treating postpartum thyroiditis". Endocrinol Metab Clin North Am. 29 (2): 417–30, ix. PMID 10874538.