- Kenneth D Burman, MD
Kenneth D Burman, MD
- Chief, Endocrine Section
- Medstar Washington Hospital Center, Washington, DC
- Professor, Department of Medicine
- Georgetown University Medical Center
Postpartum thyroiditis is a destructive thyroiditis induced by an autoimmune mechanism within one year after parturition. Postpartum thyroiditis can also occur after spontaneous or induced abortion . It usually presents in one of three ways (figure 1):
●Transient hyperthyroidism alone
●Transient hypothyroidism alone
●Transient hyperthyroidism followed by hypothyroidism and then recovery
The clinical manifestations, diagnosis, and treatment of postpartum thyroiditis are reviewed here. Other forms of thyroiditis and the diagnosis and management of thyroid dysfunction during pregnancy are discussed separately. (See "Overview of thyroiditis" and "Overview of thyroid disease in pregnancy" and "Hyperthyroidism during pregnancy: Treatment" and "Hypothyroidism during pregnancy: Clinical manifestations, diagnosis, and treatment".)
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- PREVALENCE AND NATURAL HISTORY
- CLINICAL FEATURES
- Clinical manifestations
- Laboratory findings
- Radioiodine uptake
- Thyroid function tests
- Additional evaluation
- DIFFERENTIAL DIAGNOSIS
- Hyperthyroid phase
- Hypothyroid phase
- Our approach
- Duration of thyroid hormone therapy
- Long-term follow-up
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS