Postpartum thyroiditis: case report in Honduras

Abstract

Background: Autoimmune disease that appears in the first year after pregnancy, there is thyroid dysfunction whether hyperthyroidism, hypothyroidism or alternation of both, is diagnosed with alteration in TSH, thyroid hypoechogenicity and anti-posi­tive TPO.

The case: Female of 35 years, with 6 months of asthenia and adinamia, bipalpebral edema. Antecedent two years ago arte­rial hypertension, deeds 2, births 2, last 7 months ago, without complications during childbirth and pregnancy. Pycnic biotype physical exam, buttoned facie, bipalpebral edema, thick, cold skin. Studies: total cholesterol 596 mg / dl, TSH 150 U / l, Anti TPO greater than 600 IU / ml, reduced thyroid ultrasonography, hypoechoic, multimicronodular. Treatment with levothyroxine 125 mcg / day, bisoprolol 5mg / day, rosuvastatin 40 mg / day.

Conclusion: the patient is likely to remain hypothyroid due to high levels of autoantibodies, the prevalence of recurrence is up to 70% in the next delivery. TSH should be performed during pregnancy and puerperium in patients at risk for early detection.