the occurrence of clinically overt postpartum thyroiditis
, postpartum thyroid dysfunction classically follows a biphasic course, (Thyrotoxic phase followed by hypothyroid phase).
So, if you were a betting person, you would bet that it's postpartum thyroiditis
is an autoimmune thyroid disorder, characterized by elevated levels of antithyroid antibodies, that may or may not cause symptoms.
In the differential diagnosis of recurrent thyrotoxicosis apart from silent thyroiditis, Hashimoto's thyroiditis, subacute thyroiditis, postpartum thyroiditis
(1,4), and factitious thyrotoxicosis should be included.
The most common symptoms with early postpartum thyroiditis
are fatigue and palpitations.
3], triiodothyronine; hCG, human chorionic gonadotropin; TBG, thyroid- binding globulin; TPO, thyroid peroxidase; TRAb, thyroid hormone receptor antibody; TSI or TSIG, thyroid-stimulating immunoglobulin; TGI, thyroid growth-stimulating immunoglobulin; GTD, gestational trophoblastic disease; and PPT, postpartum thyroiditis
A postpartum thyroiditis
screening program was begun at Walter Reed Army Medical Center in March 1985.
In the future, we are looking at babies and at mothers with postpartum thyroiditis
up to 48 months after pregnancy to assess thyroid function.
Those with current or past thyroid disease should be watched closely in the first year after parturition for signs of postpartum thyroiditis
, said Dr.