Postpartum thyroiditis history and symptoms
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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 (lack of energy). 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 of postpartum thyroiditis include: [1][2][3]
- The majority of patients with PPT are asymptomatic.
- The hallmark of PPT is lassitude (lack of energy).
- A positive history of fatigue and depression is suggestive of PPT.
- The most common symptoms of PPT include:
- Symptoms of PPT may be observed after delivery of baby, abortion, or miscarriage.
History
Various findings in the history of patients with PPT depend on the clinical stage of PPT. Two possible clinical stages include:
Transient Hyperthyroidism
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
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
Symptoms
The symptoms of postpartum thyroiditis can be divided into common and less common symptoms.
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.