Postpartum thyroid dysfunction: Difference between revisions

Jump to navigation Jump to search
Line 9: Line 9:


==Classification==
==Classification==
Postpartum thyroid dysfunction can be classified on the base of thyroid disease entity, clinical course of the disease and biochemical features.<ref name="pmid3718125">{{cite journal| author=Goldman JM| title=Postpartum thyroid dysfunction. | journal=Arch Intern Med | year= 1986 | volume= 146 | issue= 7 | pages= 1296-9 | pmid=3718125 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3718125  }} </ref><ref name="pmid3124900">{{cite journal| author=Fung HY, Kologlu M, Collison K, John R, Richards CJ, Hall R et al.| title=Postpartum thyroid dysfunction in Mid Glamorgan. | journal=Br Med J (Clin Res Ed) | year= 1988 | volume= 296 | issue= 6617 | pages= 241-4 | pmid=3124900 | doi= | pmc=2544770 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3124900  }} </ref><ref name="pmid21378224">{{cite journal| author=Lazarus JH| title=The continuing saga of postpartum thyroiditis. | journal=J Clin Endocrinol Metab | year= 2011 | volume= 96 | issue= 3 | pages= 614-6 | pmid=21378224 | doi=10.1210/jc.2011-0091 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21378224  }} </ref><ref name="pmid8439115">{{cite journal| author=Gerstein HC| title=Incidence of postpartum thyroid dysfunction in patients with type I diabetes mellitus. | journal=Ann Intern Med | year= 1993 | volume= 118 | issue= 6 | pages= 419-23 | pmid=8439115 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8439115  }} </ref>
Postpartum thyroid dysfunction can be classified on the base of thyroid disease entity and the  clinical course of the disease.<ref name="pmid3718125">{{cite journal| author=Goldman JM| title=Postpartum thyroid dysfunction. | journal=Arch Intern Med | year= 1986 | volume= 146 | issue= 7 | pages= 1296-9 | pmid=3718125 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3718125  }} </ref><ref name="pmid3124900">{{cite journal| author=Fung HY, Kologlu M, Collison K, John R, Richards CJ, Hall R et al.| title=Postpartum thyroid dysfunction in Mid Glamorgan. | journal=Br Med J (Clin Res Ed) | year= 1988 | volume= 296 | issue= 6617 | pages= 241-4 | pmid=3124900 | doi= | pmc=2544770 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3124900  }} </ref><ref name="pmid21378224">{{cite journal| author=Lazarus JH| title=The continuing saga of postpartum thyroiditis. | journal=J Clin Endocrinol Metab | year= 2011 | volume= 96 | issue= 3 | pages= 614-6 | pmid=21378224 | doi=10.1210/jc.2011-0091 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21378224  }} </ref><ref name="pmid8439115">{{cite journal| author=Gerstein HC| title=Incidence of postpartum thyroid dysfunction in patients with type I diabetes mellitus. | journal=Ann Intern Med | year= 1993 | volume= 118 | issue= 6 | pages= 419-23 | pmid=8439115 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8439115  }} </ref>


'''Classification of postpartum thyroid dysfunction based on thyroid diseases:'''
'''Classification of postpartum thyroid dysfunction based on thyroid diseases:'''

Revision as of 18:22, 27 September 2017

Postpartum thyroid dysfunction

Overview

Classification

Graves disease
Hashimoto's thyroiditis
Postpartum thyroiditis
Silent thyroiditis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Synonyms and keywords: Postpartum thyroid dysfunction syndrome

Overview

Postpartum thyroid dysfunction also known as postpartum thyroid dysfunction syndrome, is characterized by abnormal functioning of the thyroid gland after child birth. Postpartum thyroid dysfunction can either be a pre-existent thyroid disease that becomes clinically significant during postpartum duration or it may appear as a new dysfunction. Postpartum thyroid dysfunction may present as Grave's disease, Hashimoto's thyroiditis, postpartum thyroiditis or silent thyroiditis. Postpartum thyroid dysfunction most commonly presents as hyperthyroidism followed by hypothyroidism. The hyperthyroidism phase may be non symptomatic or patients may experience palpitations. The hypothyroidism phase is usually severe. Postpartum thyroid dysfunction may also present as exclusive hypothyroidism or hyperthyroidism.

Classification

Postpartum thyroid dysfunction can be classified on the base of thyroid disease entity and the clinical course of the disease.[1][2][3][4]

Classification of postpartum thyroid dysfunction based on thyroid diseases:

 
 
 
 
 
 
 
 
 
Postpartum Thyroid Dysfunction
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Grave's disease
 
 
Hashimoto's thyroiditis
 
Postpartum thyroiditis
 
 
Silent thyroiditis
 
 
Subacute infective thyroiditis
 





Classification of postpartum thyroid dysfunction based on clinical course:



 
 
 
 
 
 
 
Postpartum Thyroid Dysfunction
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hyperthyroidism followed by hypothyroidism
 
 
Exclusive hyperthuroidism
 
Exclusive hypothyroidism
 
 
Hypothyroidism followed by hyperthyroidism
 
 
 
 




  1. Goldman JM (1986). "Postpartum thyroid dysfunction". Arch Intern Med. 146 (7): 1296–9. PMID 3718125.
  2. Fung HY, Kologlu M, Collison K, John R, Richards CJ, Hall R; et al. (1988). "Postpartum thyroid dysfunction in Mid Glamorgan". Br Med J (Clin Res Ed). 296 (6617): 241–4. PMC 2544770. PMID 3124900.
  3. Lazarus JH (2011). "The continuing saga of postpartum thyroiditis". J Clin Endocrinol Metab. 96 (3): 614–6. doi:10.1210/jc.2011-0091. PMID 21378224.
  4. Gerstein HC (1993). "Incidence of postpartum thyroid dysfunction in patients with type I diabetes mellitus". Ann Intern Med. 118 (6): 419–23. PMID 8439115.