Silent Thyroiditis & Postpartum thyroiditis
| A | Hyperthyroidism may be present in the first 3 months after delivery | |
| B |
Hypothyroidism may be present a few months after delivery |
|
| C |
Thyroid function may be normal after 1 year |
|
| D |
The risk of recurrence in subsequent pregnancy is < 10% |
All the following statements regarding postpartum thyroiditis are true, EXCEPT:
| A |
Hyperthyroidism may be present in the first 3 months after delivery |
|
| B |
Hypothyroidism may be present a few months after delivery |
|
| C |
Thyroid function may be normal after 1 year |
|
| D |
The risk of recurrence in subsequent pregnancy is < 10% |
Postpartum thyroiditis has an autoimmune aetiology.
It is associated with lymphocytic infiltration, follicular destruction and hyperplasia.
It has 3 phases.
Thyrotoxicosis occur in the first 1-3 months.
This may be followed by hypothyroidism from 3-8 months postpartum.
By one year the thyroid function may become normal. There is a 70% chance of recurrence in the next pregnancy.
Ref: Essential revision notes for MRCP by Philip A Kalra, Edition 3, Page – 305
The thyroiditis also known as “Painless Thyroiditis”‑
| A |
Subacute lymphocytic |
|
| B |
Dequervain’s |
|
| C |
Hashimoto |
|
| D |
Riedel |
Ans. is ‘a’ i.e., Subacute lymphocytic
