Hyperthyroidism in pregnancy, less common disorder of the thyroid gland complicating the pregnancy

Česká verzia

Authors: L. Prajka; T. Binder
Authors place of work: Gynelogicko-porodnická klinika FZS UJEP a KZ, a. s., Masarykovy nemocnice v Ústí nad Labem, o. z., přednosta doc. MUDr. T. Binder, CSc.
Published in the journal: Ceska Gynekol 2015; 80(6): 444-446

Summary

The case report focuses on the case of heavy Graves – Basedow thyreotoxicosis in 33 years old secundipara who was transferred to our departement from regional hospital for decompensation of gestational hypertension, oligohydramnios and the suspition on intrauterine growth restriction (IUGR). In our clinical praxis the problems of thyroid gland in terms of its reduced function in pregnant women are getting more frequent. The goal of this article is to describe the less often situation, the hyperthyroidism in the third trimestr of the pregnancy. Thyretoxicosis in pregnancy is associated with higher risk of preterm labour, preeclampsia, IUGR, heart failure and stillbirth. Some of these complications confirmes our case report.

Keywords:
pregnancy, thyreotoxicosis, hyperthyroidism

Zdroje

1. Kolařík, D., Halaška, M., Feyereisl, J. Repetitorium gynekologie, Praha: Maxdorf, 2008, s. 496.

2. Límanová, Z. Štítná žláza a těhotenství. Moderní Gynek Porod, 2010, 19(2), s. 205–206.

3. Ross, D., Post, T. (Ed.) UpToDate, Hyperthyroidism during pregnancy: Clinical manifestations, diagnosis, and causes., Waltham, MA: UpToDate, 2015.

4. Ross, D., Post, T. (Ed.) UpToDate, Hyperthyroidism during pregnancy: Treatment. Waltham, MA: UpToDate, 2015.

5. Stagnaro-Green, A., Abalovich, M., Alexander, E., et al. Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and Postpartum, Thyroid, 2011, 21(10), p. 1093–1094. doi:10.1089/thy.2011.0087.

6. Trávníčková R., Ptoszková Y. Neonatální hypertyreóza. Pediatr. praxi, 2013, 14(3), s. 187–188.