Postpartum thyroiditis laboratory findings
|
Postpartum thyroiditis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Postpartum thyroiditis laboratory findings On the Web |
|
American Roentgen Ray Society Images of Postpartum thyroiditis laboratory findings |
|
Risk calculators and risk factors for Postpartum thyroiditis laboratory findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
Laboratory findings consistent with the diagnosis of PPT depend on the phase of disease and include screening of serum TSH, serum free T4, serum free T3, serum Anti-TPO anitbodies, serum TSH-receptor abs, serum ESR, serum thyroglobulin Tg and radio-iodine uptake. Some patients with PPT may have elevated concentration of Serum Anti-TPO abs, which is usually suggestive of future hypothyroidism.
Laboratory Findings
- Some patients with PPT may have elevated concentration of Serum Anti-TPO abs, which is usually suggestive of future hypothyroidism.
- Laboratory findings consistent with the diagnosis of PPT depend on the phase of disease and include:
| 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 |
References
- ↑ Muller AF, Drexhage HA, Berghout A (2001). "Postpartum thyroiditis and autoimmune thyroiditis in women of childbearing age: recent insights and consequences for antenatal and postnatal care". Endocr Rev. 22 (5): 605–30. doi:10.1210/edrv.22.5.0441. PMID 11588143.
- ↑ Argatska AB, Nonchev BI (2014). "Postpartum thyroiditis". Folia Med (Plovdiv). 56 (3): 145–51. PMID 25434070.
- ↑ 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.