A 32-year-old woman presents 3 months postpartum with fatigue, depression, and palpitations. Vital signs show HR 92 bpm, BP 128/82 mmHg, RR 16, temperature 37.2°C. TSH is elevated at 6.5 mIU/L, free T4 is low at 7.2 pg/dL, and TPO antibodies are positive. She denies recent weight gain or cold intolerance. She has no history of thyroid disease before pregnancy and takes no medications. Which of the following best explains her presentation?
- A)Graves disease triggered by pregnancy
- B)Iodine deficiency from lactation
- C)Acute bacterial thyroiditis
- D)Postpartum thyroiditis with permanent hypothyroidismGABARITO
- E)Exacerbation of preexisting Hashimoto thyroiditis
Explicação
Postpartum thyroiditis is an autoimmune condition that occurs in the postpartum period (typically within 3-12 months) in women with no prior thyroid disease but with positive TPO antibodies. It presents with hypothyroid symptoms, elevated TSH, low free T4, and... Ver explicação completa e trilha adaptativa →