Postpartum thyroiditis screening: Difference between revisions
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==Overview== | ==Overview== | ||
There is insufficient evidence to recommend routine screening for PPT. According to the American Journal of Obstetrics and Gynecology screening for postpartum thyroiditis by measuring anti-TPO antibodies is recommended every pregnant women. According to the Endocrinology and Metabolism Clinics of North America screening for postpartum thyroiditis in first trimester by measuring anti-TPO antibodies should be limited to every high-risk pregnant women with type 1 DM, history of postpartum thyroiditis and any patient with high risk should be followed with TSH levels every 6th and 9th postpartum period. | There is insufficient evidence to recommend routine screening for [[Postpartum thyroiditis|postpartum thyroiditis"PPT"]]. According to the American Journal of Obstetrics and Gynecology screening for [[postpartum thyroiditis]] by measuring anti-TPO [[antibodies]] is recommended every pregnant women. According to the Endocrinology and Metabolism Clinics of North America screening for [[postpartum thyroiditis]] in first trimester by measuring anti-TPO [[antibodies]] should be limited to every high-risk pregnant women with [[Diabetes mellitus type 1|type 1 DM]], history of [[postpartum thyroiditis]] and any patient with high risk should be followed with [[Thyroid-stimulating hormone|TSH]] levels every 6th and 9th postpartum period. | ||
==Screening== | ==Screening== | ||
*There is insufficient evidence to recommend routine screening for PPT. | *There is insufficient evidence to recommend routine screening for [[Postpartum thyroiditis|PPT]]. | ||
*According to the American Journal of Obstetrics and Gynecology screening for [[postpartum thyroiditis]] by measuring anti-TPO antibodies is recommended every pregnant women.<ref name="pmid3394739">{{cite journal| author=Hayslip CC, Fein HG, O'Donnell VM, Friedman DS, Klein TA, Smallridge RC| title=The value of serum antimicrosomal antibody testing in screening for symptomatic postpartum thyroid dysfunction. | journal=Am J Obstet Gynecol | year= 1988 | volume= 159 | issue= 1 | pages= 203-9 | pmid=3394739 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3394739 }} </ref> | *According to the American Journal of Obstetrics and Gynecology screening for [[postpartum thyroiditis]] by measuring anti-TPO [[antibodies]] is recommended every pregnant women.<ref name="pmid3394739">{{cite journal| author=Hayslip CC, Fein HG, O'Donnell VM, Friedman DS, Klein TA, Smallridge RC| title=The value of serum antimicrosomal antibody testing in screening for symptomatic postpartum thyroid dysfunction. | journal=Am J Obstet Gynecol | year= 1988 | volume= 159 | issue= 1 | pages= 203-9 | pmid=3394739 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3394739 }} </ref> | ||
*According to the Endocrinology and Metabolism Clinics of North America screening for postpartum thyroiditis in first trimester by measuring anti-TPO antibodies should be limited to every high risk pregnant women with: <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> | *According to the Endocrinology and Metabolism Clinics of North America screening for [[postpartum thyroiditis]] in first trimester by measuring anti-TPO [[antibodies]] should be limited to every high risk pregnant women with: <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> | ||
**[[Type 1 DM]]. | **[[Type 1 diabetes|Type 1 DM]]. | ||
**History of [[postpartum thyroiditis]]. | **History of [[postpartum thyroiditis]]. | ||
**Any patient with high risk should be followed with TSH levels every 6th and 9th postpartum period.<ref name="pmid27579088">{{cite journal| author=Keely EJ| title=Postpartum thyroiditis: an autoimmune thyroid disorder which predicts future thyroid health. | journal=Obstet Med | year= 2011 | volume= 4 | issue= 1 | pages= 7-11 | pmid=27579088 | doi=10.1258/om.2010.100041 | pmc=4989649 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27579088 }}</ref> | **Any patient with high risk should be followed with [[Thyroid-stimulating hormone|TSH]] levels every 6th and 9th postpartum period.<ref name="pmid27579088">{{cite journal| author=Keely EJ| title=Postpartum thyroiditis: an autoimmune thyroid disorder which predicts future thyroid health. | journal=Obstet Med | year= 2011 | volume= 4 | issue= 1 | pages= 7-11 | pmid=27579088 | doi=10.1258/om.2010.100041 | pmc=4989649 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27579088 }}</ref> | ||
==References== | ==References== |
Revision as of 18:13, 13 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There is insufficient evidence to recommend routine screening for postpartum thyroiditis"PPT". According to the American Journal of Obstetrics and Gynecology screening for postpartum thyroiditis by measuring anti-TPO antibodies is recommended every pregnant women. According to the Endocrinology and Metabolism Clinics of North America screening for postpartum thyroiditis in first trimester by measuring anti-TPO antibodies should be limited to every high-risk pregnant women with type 1 DM, history of postpartum thyroiditis and any patient with high risk should be followed with TSH levels every 6th and 9th postpartum period.
Screening
- There is insufficient evidence to recommend routine screening for PPT.
- According to the American Journal of Obstetrics and Gynecology screening for postpartum thyroiditis by measuring anti-TPO antibodies is recommended every pregnant women.[1]
- According to the Endocrinology and Metabolism Clinics of North America screening for postpartum thyroiditis in first trimester by measuring anti-TPO antibodies should be limited to every high risk pregnant women with: [2]
- Type 1 DM.
- History of postpartum thyroiditis.
- Any patient with high risk should be followed with TSH levels every 6th and 9th postpartum period.[3]
References
- ↑ Hayslip CC, Fein HG, O'Donnell VM, Friedman DS, Klein TA, Smallridge RC (1988). "The value of serum antimicrosomal antibody testing in screening for symptomatic postpartum thyroid dysfunction". Am J Obstet Gynecol. 159 (1): 203–9. PMID 3394739.
- ↑ Stagnaro-Green A (2000). "Recognizing, understanding, and treating postpartum thyroiditis". Endocrinol Metab Clin North Am. 29 (2): 417–30, ix. PMID 10874538.
- ↑ Keely EJ (2011). "Postpartum thyroiditis: an autoimmune thyroid disorder which predicts future thyroid health". Obstet Med. 4 (1): 7–11. doi:10.1258/om.2010.100041. PMC 4989649. PMID 27579088.