Post-partum thyroiditis can be painful.
A patient with post-partum thyroiditis is described. She was a 22 year old with a negative family history of autoimmune thyroid disease who was noted to have a high titre of antithyroid microsomal antibody during pregnancy. She developed mild hyperthyroidism 8 weeks post-partum but at 12 weeks she had a mildly painful enlarged thyroid gland. At 20 weeks post-partum she had severe thyroidal pain with dysphagia. The thyroid was exquisitely tender to palpation. She was treated with L-thyroxine and the pain resolved within 4 weeks. This is the first report documenting pain in the thyroid as a feature of post-partum thyroiditis.
Othman
S
S
Department of Medicine, University Hospital of Wales, Cardiff.
Parkes
A B
AB
Richards
C J
CJ
Hall
R
R
Lazarus
J H
JH
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000209:etiology; D010146:Pain / Q000209:etiology*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000150:complications / Q000503:physiopathology*; D013966:Thyroiditis / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D013974:Thyroxine / Q000627:therapeutic use; D013997:Time Factors
D013974:Thyroxine