Postpartum thyroiditis is a type of transient thyroiditis that affects 5 to 10% of women in the first year following delivery.

Predisposing factors

  • Diabetes type 1
  • History of postpartum thyroiditis
  • Underlying autoimmune disease
  • Elevated antithyroid peroxidase antibodies early in pregnancy

Clinical presentation

  • Symptoms of thyrotoxicosis are rare. However, thyrotoxic symptoms appearing in the first year after delivery are most likely due to postpartum thyroiditis

Diagnosis-

  1. Confirmed by a negligible radio isotope intake
  2. Raised titers of antithyroid peroxidase antibodies

Management

  • The clinical treatment is similar to that of subacute thyroiditis
  • It tends to recur after subsequent pregnancies
  • Some may progress to permanent hypothyroidism

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