[Postpartum definitive hypothyroidism. 7 cases]

Presse Med. 1985 Feb 9;14(5):257-61.
[Article in French]

Abstract

Seven cases of hypothyroidism developed within 6 months of delivery are reported. Radioimmunoassays regularly showed very low thyroxin levels and high thyroid-stimulating hormone levels, thus confirming that the thyroid deficiency was of peripheral origin. A significant rise in antimicrosomal or antithyroglobulin antibodies was noted in 5 cases. One patient had HLA-B8 and 4 had HLA-DR3, which was not significantly different from the prevalence in the regional population. In contrast with the transient post-partum hypothyroidism reported mainly in Japan, the condition proved to be permanent in 6 patients followed up for more than two years. The increased frequency of HLA-DR3 and 5 recently described in thyroiditis with transient post-partum thyrotoxicosis was not found in our series. It would appear that pregnancy, which is a period of immune incompetence, may disclose a latent lymphocytic thyroiditis.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Autoantibodies / analysis
  • Autoimmune Diseases / diagnosis
  • Female
  • HLA Antigens / analysis
  • HLA-DR Antigens
  • Histocompatibility Antigens Class II / analysis
  • Humans
  • Hypothyroidism / etiology*
  • Hypothyroidism / immunology
  • Microsomes / immunology
  • Pregnancy
  • Puerperal Disorders / etiology*
  • Puerperal Disorders / immunology
  • Thyroglobulin / immunology
  • Thyroiditis / diagnosis
  • Thyroiditis, Autoimmune / diagnosis
  • Thyrotropin / blood
  • Time Factors

Substances

  • Autoantibodies
  • HLA Antigens
  • HLA-DR Antigens
  • Histocompatibility Antigens Class II
  • Thyrotropin
  • Thyroglobulin