Ford H F, Spies A
Illinois College of Optometry, Chicago, 60616-3816, USA.
Optom Vis Sci. 2001 Feb;78(2):75-8. doi: 10.1097/00006324-200102000-00006.
Postpartum thyroid disease presents in two forms: postpartum thyroiditis (PPT) and postpartum Graves' disease (PPGD).
A case of postpartum thyroid dysfunction with ophthalmopathy is presented.
In women diagnosed with Graves' disease during the ages of 20 to 35 years, 66% have a postpartum onset; women with a previous history of Graves' disease frequently relapse in the postpartum period. Additionally, up to 25 to 30% of postpartum women can develop permanent hypothyroidism from postpartum thyroiditis. The signs and symptoms of PPT and PPGD may be indefinite after delivery and often go undiagnosed. Because complications can be significant and may become irreversible, proper diagnosis and timely treatment is important.
产后甲状腺疾病有两种形式：产后甲状腺炎（PPT）和产后格雷夫斯病（PPGD）。
报告一例伴有眼病的产后甲状腺功能障碍病例。
在20至35岁被诊断为格雷夫斯病的女性中，66%在产后发病；既往有格雷夫斯病病史的女性在产后经常复发。此外，高达25%至30%的产后女性可能因产后甲状腺炎而发展为永久性甲状腺功能减退。产后甲状腺炎和产后格雷夫斯病的体征和症状在分娩后可能不明确，常常未被诊断出来。由于并发症可能很严重且可能变得不可逆转，因此正确诊断和及时治疗很重要。
