产后甲状腺炎

Postpartum Thyroiditis.

作者信息

Nguyen Caroline T, Mestman Jorge H

机构信息

Departments of Medicine.

Medicine and Obstetrics and Gynecology, Division of Endocrinology, Diabetes & Metabolism, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

Clin Obstet Gynecol. 2019 Jun;62(2):359-364. doi: 10.1097/GRF.0000000000000430.

DOI:10.1097/GRF.0000000000000430

PMID:30844908

Abstract

Postpartum thyroiditis (PPT) is an autoimmune-mediated destructive thyroiditis that occurs in the first year postpartum with a prevalence of 5%. In order to appropriately counsel and treat the patient, physicians need to recognize the signs and symptoms of PPT and distinguish PPT from Graves hyperthyroidism. This review of PPT will discuss the etiology, clinical course, risk factors, prognosis, and treatment of PPT. Understanding PPT is important for all physicians taking care of women in the peripartum period as women who have had PPT are at an increased risk of subsequent episodes of PP and at risk of permanent hypothyroidism.

摘要

产后甲状腺炎（PPT）是一种自身免疫介导的破坏性甲状腺炎，发生在产后第一年，患病率为5%。为了对患者进行适当的咨询和治疗，医生需要识别PPT的体征和症状，并将PPT与格雷夫斯甲亢区分开来。这篇关于PPT的综述将讨论PPT的病因、临床病程、危险因素、预后和治疗。对于所有在围产期照顾女性的医生来说，了解PPT很重要，因为曾患PPT的女性后续发生产后甲状腺炎的风险增加，且有发生永久性甲状腺功能减退的风险。