Silent thyroiditis

SILENT THYROIDITIS

• Painless thyroiditis or silent thyroiditis  occurs with underlying autoimmune thyroid disease (subacute thyroiditis).

Postpartum thyroiditis

• Occurs with subacute thyroiditis in women 3-6 months after pregnancy.
• The risk of of recurrence in subsequent pregnancy is 70%.
• Thyrotoxicosis lasting 2-4 weeks followed by hypothyroidism for 4-12 weeks.

INVESTIGATIONS-

• Radioisotope uptake.
• Thyroid function may be normal after 1 year.

TREATMENT-

• Propanolol
• Thyroxine replacement withdrawn after 6-9 months.

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