Postpartum thyroiditis Flashcards
Postpartum thyroiditis
Changes in thyroid function in pts with no previous thyroid problems, in 12 months postpartum
Do all pts with postpartum thyroiditis return to normal?
No, some remain hypothyroid long term
Postpartum Thyroditis pathophysiology
Immunosuppressive of pregnancy —> Revound hyper immune state —> Autoimmune thyroid disease
Typical pattern of postpartum thyroditis
1) causes hyperthyroidism for 3 months
2) causes hypothyroidism for next 3-6 months
3) resolves
Thyrotoxicosis management in postpartum thyroiditis
Symptomatically: Propanolol
Hypothyroidism management in postpartum thyroiditis
Levothyroxine
Monitoring of postpartum thyroiditis
Yearly thyroid function tests - even if the condition already resolved