Graves' Disease and the Post-partum Period: An Intriguing Relationship.
Graves' disease
antithyroid drugs
autoimmunity
iodine deficiency
lactation
post-partum
pregnancy
thyroid
Journal
Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782
Informations de publication
Date de publication:
2019
2019
Historique:
received:
01
10
2019
accepted:
21
11
2019
entrez:
11
1
2020
pubmed:
11
1
2020
medline:
11
1
2020
Statut:
epublish
Résumé
The post-partum period is an immunologically peculiar period in a woman's life. Indeed, most of the pregnancy-related immune changes gradually revert in the 12 months following delivery. Although the post-partum period has long been identified as a period of aggravation of autoimmune thyroid diseases, most of the currently available studies took into account the relationship between post-partum and autoimmune thyroiditis. More recently, the potential repercussions of the post-partum period on Graves' disease were also taken into account. The present mini review will briefly overview the most recent advances in our knowledge of the immunology of the post-partum period in relation with the potential repercussions on the clinical course of Graves' disease. Moreover, some peculiar aspects of post-partum Graves' disease in terms of clinical and biochemical presentation, diagnostic challenges, and specific therapeutic considerations also taking into account the recommendation of the latest clinical guidelines on the management of thyroid diseases in pregnancy will be overviewed.
Identifiants
pubmed: 31920967
doi: 10.3389/fendo.2019.00853
pmc: PMC6914725
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
853Informations de copyright
Copyright © 2019 Croce, Di Dalmazi, Orsolini, Virili, Brigante, Gianetti, Moleti, Napolitano, Tonacchera and Rotondi.
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