Recognizing, understanding, and treating postpartum thyroiditis.
Postpartum thyroiditis is the most common endocrinologic disorder, with an incidence that varies geographically from 5% to 10%. It has important clinical sequelae including symptoms of hyperthyroidism, hypothyroidism, and depression. Long-term follow-up of women who experience postpartum thyroiditis reveals a high recurrence rate in subsequent pregnancies. Postpartum thyroiditis is an autoimmune disorder, and thyroid antibody-positive women in the first trimester have a 33% to 50% chance of developing thyroiditis in the postpartum period. Whether or not to screen for postpartum thyroiditis remains controversial.
Stagnaro-Green
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Department of Medicine, Mount Sinai School of Medicine, New York, New York, USA.
D001327:Autoimmune Diseases; D019052:Depression, Postpartum / Q000209:etiology; D005260:Female; D006801:Humans; D006980:Hyperthyroidism; D007037:Hypothyroidism; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000628:therapy*; D013966:Thyroiditis / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D013967:Thyroiditis, Autoimmune; D014463:Ultrasonography