Postpartum thyroiditis laboratory findings
Postpartum thyroiditis Microchapters |
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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
Laboratory Findings
- Laboratory findings consistent with the diagnosis of PPT depend on the phase of disease and include:
- Some patients with PPT may have elevated concentration of Serum Anti-TPO abs, which is usually suggestive of future hypothyroidism.
lab values | Hyperthyroid phase | Hypothyroid phase |
---|---|---|
Serum TSH | less than 3.5 micrograms/dl | more than 3.5 micrograms/dl |
Serum free T4 | elevated but may be normal | decreased |
Serum free T3 | elevated or normal | decreased |
Serum Anti-TPO anitbodies | postive | postive |
Serum TSH-receptor abs | negative or positive with coexisting Grave's disease | negative |
Serum ESR | normal | normal |
Serum thyroglobulin Tg | elevated in early phase of destruction of follicles | elevated in early phase of destruction of follicles |
Radio-iodine uptake | decreased | decreased |