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postpartum thyroiditis
A variant of subacute lymphocytic thyroiditis.
Etiology:
- autoimmune etiology suggested
Epidemiology:
1) 5-7% of normal pregnancies
2) 25% of pregnant diabetics
Pathology:
Morphology:
1) foci of lymphocytic infiltration
2) increased interstitial fibrous tissue (occasional)
Clinical manifestations:
- occurs near term
Management:
1) anti-microsomal Ab positive postpartum thyroiditis generally resolves in 2-4 months
2) patients with postpartum thyroiditis should be monitored for development of hypothyroidism
3) thyroxine replacement therapy often necessary during hypothyroid phase [1]
Related
postpartum
General
subacute lymphocytic thyroiditis
complications of the puerperium
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 16.
American College of Physicians, Philadelphia 1998, 2012
- Lazarus JH.
The continuing saga of postpartum thyroiditis.
J Clin Endocrinol Metab. 2011 Mar;96(3):614-6
PMID: 21378224