All the following statements regarding postpaum thyroiditis are true, EXCEPT:

A. Hypehyroidism may be present in the first 3 months after delivery

B. Hypothyroidism may be present a few months after delivery

C. Thyroid function may be normal after 1 year

D. The risk of recurrence in subsequent pregnancy is < 10%

Correct Answer: The risk of recurrence in subsequent pregnancy is < 10%

Description: Postpaum thyroiditis has an autoimmune aetiology. It is associated with lymphocytic infiltration, follicular destruction and hyperplasia. It has 3 phases. Thyrotoxicosis occur in the first 1-3 months. This may be followed by hypothyroidism from 3-8 months postpaum. By one year the thyroid function may become normal. There is a 70% chance of recurrence in the next pregnancy. Ref: Essential revision notes for MRCP by Philip A Kalra, Edition 3, Page - 305

Category: Gynaecology & Obstetrics

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