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Revista Médica del Uruguay

On-line version ISSN 1688-0390

Abstract

BALAGUER TESKE, Erica et al. Tiroiditis posparto en uruguay. Rev. Méd. Urug. [online]. 2007, vol.23, n.1, pp.34-39. ISSN 1688-0390.

Summary Postpartum tiroiditis is a syndrome of thyroid dysfunction permanent or transitory that occurs after childbirth. There is no data on the prevalence of postpartum thyroidism in Uruguay. Objective: to asses prevalence of postpartum thyroi-dism in a cohort of women, users of Public Health Services. Methods: a descriptive observational study of 105 women who had given birth in the previous 9 months was performed. Women with already known thyroid disease were excluded. All women were treated with thyrotropine; at month three women with pathology received an extra dose o thyrotropine and antithyroperoxidase antibodies. Results: postpartum thyroidism was found in 5,7%, non-associated hypothyroidism with thyroidism in 6.7% (12,4% total). Pathologic associated symptoms rate was no significant (x2=0,431). The curve of TSH normal values was determinated considering postpartum months. Conclusions: the concept of postpartum thyroidism as a mild and temporal desorder is changing, it is currently recognized as an acute fase of a chronic autoimmune thyroiditis process with negative sequelae for both mother and child. Wideworld prevalence is 1,1% to 21%; our population showed 5,7% women with the disease and total pathologic findings in 12,4% women, non-associated with clinical symtomps. The prevalence of this affection may necessary to assess and design adequate screening tools.

Keywords : TIROIDITIS POSPARTO; TIROIDITIS AUTOINMUNE.

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