A 29-year-old woman presents 3 months postpartum with palpitations, anxiety, and tremor (HR 108/min, BP 138/82, RR 18, T 37.2°C). Several weeks later, she develops fatigue and cold intolerance despite normal appetite. Examination reveals a small, nondtender thyroid without nodules. TSH is 0.2 mIU/L with elevated free T4. Radioactive iodine uptake is low. She denies recent iodine supplementation or medication use. Which diagnosis best explains her clinical presentation?
- A)Postpartum thyroiditisGABARITO
- B)Medullary thyroid carcinoma
- C)Toxic adenoma
- D)Graves disease
- E)Subacute granulomatous thyroiditis
Explicação
Postpartum thyroiditis is autoimmune destructive thyroiditis causing a transient hyperthyroid phase followed by hypothyroidism within the first year after delivery. Ver explicação completa e trilha adaptativa →