Nares-Torices MÁ, Hernández-Pacheco JA, Altamirano AE, Flores-Cortés MI, González GOP, Becerra NNP

Language: Spanish
References: 19
Page: 220-225
PDF size: 216.06 Kb.

ABSTRACT

Thyroid problems are the most common endocrine disorder during pregnancy. The prevalence of hyperthyroidism and pregnancy is 0.1-0.2%. It is more common Graves disease. Thyrotoxicosis in pregnancy without treatment has adverse maternal outcomes; preeclampsia, preterm birth, and neonatal thyrotoxicosis low birth weight and increased perinatal mortality. Case report: This case is about a pregnant woman who presented preterm delivery, severe preeclampsia and in the immediate postpartum period thyroid storm with acute pulmonary edema. Conclusions: The diagnosis and proper treatment of thyroid dysfunction during pregnancy is important to prevent fetal and maternal complications. During pregnancy, the activity of thyroid hormones undergoes changes as a significant increase thyroglobulin, total T4, T3 and total renal iodide clearance increased, and thyroid stimulating by chorionic gonadotropin.

REFERENCES

1. Hyperthyroidism in pregnancy. Diagnosis and management. Archives of Perinatal Medicine. https://journals.indexcopernicus.com/search/article?articleId=1313868

2. Pillar N, Levy A, Holcberg G, Sheiner E. Pregnancy and perinataloutcome in women with hyperthyroidism. Int J Gynaecol Obstet. 2010;108:61-64.

3. Neale D, Burrow G. Thyroid disease in pregnancy. Obstet Gynecol Clin North Am. 2004;31(4):893-905.

4. Baskin HL, Cobin RH, Duicks DS, Gharib H, Guttler RB, Kaplan MM et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism. Endocr Pract. 2002;8(6):457-469.

5. Casey BM, Leveno KJ. Thyroid disease in pregnancy. Obstet Gynecol. 2006;108:1283-1292.

6. Inoue M, Arata N, Koren G, Ito S. Hyperthyroidism during pregnancy. Can Fam Physician. 2009;55(7):701-704.

7. Momotani N, Noh J, Oyanagi H, Ishikawa N, Ito K. Antithyroid drug therapy for Graves' disease during pregnancy. Optimal regimen for fetal thyroid status. N Engl J Med. 1986;315(1):24-28.

8. Abalovich M, Amino N, Barbour LA, Cobin RH, De Groot LJ, Glioner D, et al. Management of thyroid dysfuntion during pregnancy and postpartum: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2007;92(8 Suppl):S1-47.

9. Luton D, Le Gac I, Vuillard E, Castanet M, Guibourdenche J, Noel M, et al. Management of Graves' disease during pregnancy: the key role fetal thyroid gland monitoring. J Clin Endocrinol Metab. 2005;90(11):6093-6098.

10. Kalelioglu IH, Has R, Cigerli E, Ermis BH, Ibrahimoglu EL, Yildirim A. Heart failure caused by thyrotoxicosis in pregnancy – case report. Clin Exp Obstet Gynecol. 2007;34(2):117-119.

11. Kamath BR, Rao KJ, Mayadunne AAK. Thyrotoxicosis in pregnancy. A case report. J Sci Res Med Sci. 2001;3(2):113-115.

12. Krassas GE, Poppe K, Glinoer D. Thyroid function and human reproductive health. Endocr Rev. 2010;31(5):702-705.

13. Davis LE, Lucas MJ, Hankins GD, Roark ML, Cunningham FG. Thyrotoxicosis complicating pregnancy. Am J Obstet Gynecol. 1989;160(1):63-70.

14. Luewan S, Chakkabut P, Tongsong T. Outcomes of pregnancy complicated with hyperthyroidism: a cohort study. Arch Gynecol Obstet. 2011;283(2):243-247.

15. Tingi E, Syed AA, Kyriacou A, Mastorakos G, Kyriacou A. Benign thyroid disease in pregnancy: a state of the art review. J Clin Transl Endocrinol. 2016;6:37-49.

16. Sugiyama Y, Tanaka R, Yoshiyama Y, Ichino T, Hishinuma N, Shimizu S, et al. A case of sudden onset thyroid storm just before cesarean section manifesting congestive heart failure and pulmonary edema. JA Clin Rep. 2017;3(1):20.

17. Burch HB, Wartofsky L. Thyroid storm. Endocrinol Metab Clin North Am. 1993;22:266-277.

18. Sullivan S, Goodier C. Endocrine emergencies. Obstet Gynecol Clin North Am. 2013;40(1):121-135.

19. Jacobi J. Management of endocrine emergencies in the ICU. J Pharm Pract. 2019;32(3):314-326. https://doi.org/10.1177/0897190019834771