بيماري هاي التهابي تيروييد پس از زايمان شايع اما ناشناخته

Postpartum thyroiditis: common but unrecognized

Postpartum autoimmune thyroid disease is a relatively common but unrecognized endocrinologic disorder. The incidence varies geographically but occurs in approximately 5% to 10% of women during the postpartum period. It is strongly associated with a positive titer of anti TPO antibodies, indicating an autoimmune process. Clinical manifestations can vary from extremely subtle to overt, and rang from thyrotoxicosis to hypothyroidism. Long term follow-up, reveals a high rate of recurrence and marked increased risk for permanent hypothyroidism. In this article the process of the disorder, treatment and follow-up will be discussed.