Postpartum thyroiditis diagnostic criteria: Difference between revisions

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*Radio-iodine uptake: Decreased.
*Radio-iodine uptake: Decreased.
*Hypothyroid phase:
*Hypothyroid phase:
*TSH: >3.6 mU/L
*TSH: >3.6 mU/L{{cite journal |vauthors=De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, Lazarus J |title= |journal= |volume= |issue= |pages= |year= |pmid=25905287 |doi= |url=}}
*Anti-TPO antibodies: Postive
*Anti-TPO antibodies: Postive
*Free T4: <8 pmol/l
*Free T4: <8 pmol/l

Revision as of 02:50, 1 October 2017

Postpartum thyroiditis Microchapters

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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/LDe Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, Lazarus J. PMID 25905287. Missing or empty |title= (help)
  • 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

  1. 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.
  2. 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.
  3. 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.

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