Postpartum thyroiditis diagnostic criteria: Difference between revisions
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There are no established criteria for the diagnosis of [disease name]. | There are no established criteria for the diagnosis of [disease name]. | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
* | *There are no established criteria for the diagnosis of PPT but it can be diagnosed on basis of level of TSH, free T, free T3, radio-iodine, uptake presence of anit-TPO antibodies and absence of TSH receptor antibodies depending on the phase of disease<ref name="pmid12213841">{{cite journal| author=Stagnaro-Green A| title=Clinical review 152: Postpartum thyroiditis. | journal=J Clin Endocrinol Metab | year= 2002 | volume= 87 | issue= 9 | pages= 4042-7 | pmid=12213841 | doi=10.1210/jc.2002-020524 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12213841 }}</ref>. | ||
* | *Hyperthyroid phase: Set of following laboratory values on one or more occasions | ||
* | *TSH: low or suppresed | ||
* | *Anti-TPO antibodies: Postive | ||
* | *TSH-receptor antibodies: Negative | ||
* | *Free T4: Typical raised but may be normal. | ||
* | *Free T3: Raised or normal with or without raised FT4. | ||
* | *Radio-iodine uptake: Decreased. | ||
* | *Hypothyroid phase: | ||
* | *TSH: >3.6 mU/L | ||
* | *Anti-TPO antibodies: Postive | ||
* | *Free T4: <8 pmol/l | ||
** | *Free T3: <4.2 pmol/l | ||
*Radio-iodine uptake: Decreased. | |||
* | *Thyroid gland tenderness: Non-tender but may be tender sometime.<ref name="pmid122138413">{{cite journal| author=Stagnaro-Green A| title=Clinical review 152: Postpartum thyroiditis. | journal=J Clin Endocrinol Metab | year= 2002 | volume= 87 | issue= 9 | pages= 4042-7 | pmid=12213841 | doi=10.1210/jc.2002-020524 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12213841 }}</ref> | ||
*ESR: Normal<ref name="pmid122138412">{{cite journal| author=Stagnaro-Green A| title=Clinical review 152: Postpartum thyroiditis. | journal=J Clin Endocrinol Metab | year= 2002 | volume= 87 | issue= 9 | pages= 4042-7 | pmid=12213841 | doi=10.1210/jc.2002-020524 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12213841 }}</ref> | |||
==References== | ==References== |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
OR
The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
OR
The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
OR
There are no established criteria for the diagnosis of [disease name].
Diagnostic Criteria
- There are no established criteria for the diagnosis of PPT but it can be diagnosed on basis of level of TSH, free T, free T3, radio-iodine, uptake presence of anit-TPO antibodies and absence of TSH receptor antibodies depending on the phase of disease[1].
- Hyperthyroid phase: Set of following laboratory values on one or more occasions
- TSH: low or suppresed
- Anti-TPO antibodies: Postive
- TSH-receptor antibodies: Negative
- Free T4: Typical raised but may be normal.
- Free T3: Raised or normal with or without raised FT4.
- Radio-iodine uptake: Decreased.
- Hypothyroid phase:
- TSH: >3.6 mU/L
- Anti-TPO antibodies: Postive
- Free T4: <8 pmol/l
- Free T3: <4.2 pmol/l
- Radio-iodine uptake: Decreased.
- Thyroid gland tenderness: Non-tender but may be tender sometime.[2]
- ESR: Normal[3]
References
- ↑ Stagnaro-Green A (2002). "Clinical review 152: Postpartum thyroiditis". J Clin Endocrinol Metab. 87 (9): 4042–7. doi:10.1210/jc.2002-020524. PMID 12213841.
- ↑ Stagnaro-Green A (2002). "Clinical review 152: Postpartum thyroiditis". J Clin Endocrinol Metab. 87 (9): 4042–7. doi:10.1210/jc.2002-020524. PMID 12213841.
- ↑ Stagnaro-Green A (2002). "Clinical review 152: Postpartum thyroiditis". J Clin Endocrinol Metab. 87 (9): 4042–7. doi:10.1210/jc.2002-020524. PMID 12213841.