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2013, Number 2

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Ciencia UG 2013; 3 (2)

Two case report: Gestational hyperthyroidism

Gómez VE, Franco CKE
Full text How to cite this article

Language: Spanish
References: 6
Page: 12-14
PDF size: 155.18 Kb.


Key words:

Gestational Hyperthyroidism, gestational transient thyrotoxicosis, hyperthyroidism and pregnancy.

ABSTRACT

Gestational hyperthyroidism is a non - autoimmune disorder caused by the stimulation of the thyrotropin receptor through the chorionic gonadotropin hormone (CGH). It presents from 1 to 4% of all pregnancies when CGH levels are between 70, 000 and 80, 000 units. Most of the symptoms are nonspecific and may be confused with those of normal pregnancy, thus its diagnosis is not made. The most important feature is its transient nature, being limited to the first trimester. In a subgroup of patients the clinical manifestations are more severe, and are associated with gravidic hyperemesis, which makes early diagnosis to be suspected. Here are two cases of hyperthyroidism during pregnancy


REFERENCES

  1. 1.- Kopp P. Thyrotoxicosis of often etiologies [monografía en internet]. Thyroid Disease Manager; 2010 [acceso 25 de junio de 2013]. Disponible en: http://www.thyroidmanager.org/chapter/thyrotoxicosis -of-other-etiologies

  2. 2.- Goodwin TM, Montoro M, Mestman JH. Transient hyperthyroidism and hyperemesis gravidarum: clinical aspects. Am J Obstet Gynecol. 1992; 167: 648–52.

  3. 3.- Braverman LE ,Utinger RD. Introduction to thyrotoxicosis. En: Braverman LE, Utinger RD, Werner and Ingbar. The Thyroid: A Fundamental and Clinical Text. 9a ed. Lippincot Williams and Wilkins Philadelphia; 2005. p.435-55 .

  4. 4.- Patil-Sisodia K, Mestman JH. Graves Hyperthyroidism and Pregnancy: A Clinical Update. Endocr Pract. 2010; 16(1): 118-29.

  5. 5.- Gómez-Vargas E, Pérez-Hernández JU. Enfermedades tiroideas del adulto. En: Gómez-Vargas E, Franco- Cacique JJ, Pérez-Hernández JU, Vite-Ruiz G. Enfermedades del Tiroides. México: 2006. P. 264-310.

  6. 6.- Mestman JH. Hyperthyroidism in pregnancy. Best Pract Res Clin Endocrinol Metab. 2004; 18(2): 267-88.




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Ciencia UG. 2013;3