[Silent thyroiditis and postpartum thyroiditis].
OBJECTIVE
Six cases of silent thyroiditis are described. Clinical, analytical, therapeutical and prognostical features are reviewed.


METHODS
Descriptive and retrospective study.


METHODS
Outpatient endocrinological clinic of a General Hospital


METHODS
Six women (age 26-41 years) that fulfil clinical and analytical criteria of silent thyroiditis. In 4 patients thyroiditis was diagnosed in the postpartum period and in the remaining 2 there was no relationship with pregnancy.


RESULTS
Serum levels of thyroid hormones and thyroglobulin and thyroid peroxidase antibodies were measured in all patients. Follow-up period was between 12 and 41 months. The 2 patients with the sporadic form of silent thyroiditis showed clinical and analytical data of thyrotoxicosis that spontaneously resolved. The remaining 4 patients presented with hypothyroidism. In one of them the hypothyroidism spontaneously resolved, in 2 it became permanent and in a further one it developed to subclinical hypothyroidism.


CONCLUSIONS
Silent thyroiditis (sporadic or postpartum) is a frequent disorder, usually benign and transient. It can present in different clinic forms and evolve to resolution of permanent thyroid dysfunction.
Díez
J J
JJ
Servicio de Endocrinología, Hospital La Paz, Madrid.
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis; D007037:Hypothyroidism / Q000175:diagnosis; D011379:Prognosis; D011644:Puerperal Disorders / Q000175:diagnosis; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D013954:Thyroglobulin / Q000097:blood; D013961:Thyroid Gland / Q000000981:diagnostic imaging; D013963:Thyroid Hormones / Q000097:blood; D013966:Thyroiditis / Q000175:diagnosis; D013997:Time Factors
D013963:Thyroid Hormones; D013954:Thyroglobulin
Tiroiditis silente y tiroiditis posparto.