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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versão impressa ISSN 2448-8909
Resumo
NARES-TORICES, Miguel Ángel et al. Thyrotoxicosis in the puerperium. Review of literature and report of a case. Med. crít. (Col. Mex. Med. Crít.) [online]. 2021, vol.35, n.4, pp.220-225. Epub 16-Fev-2022. ISSN 2448-8909.
Thyroid problems are the most common endocrine disorder during pregnancy. The prevalence of hyperthyroidism and pregnancy is 0.1-0.2%. It is more common Graves disease. Thyrotoxicosis in pregnancy without treatment has adverse maternal outcomes; preeclampsia, preterm birth, and neonatal thyrotoxicosis low birth weight and increased perinatal mortality.
Case report:
This case is about a pregnant woman who presented preterm delivery, severe preeclampsia and in the immediate postpartum period thyroid storm with acute pulmonary edema.
Conclusions:
The diagnosis and proper treatment of thyroid dysfunction during pregnancy is important to prevent fetal and maternal complications. During pregnancy, the activity of thyroid hormones undergoes changes as a significant increase thyroglobulin, total T4, T3 and total renal iodide clearance increased, and thyroid stimulating by chorionic gonadotropin.
Palavras-chave : Thyrotoxicosis; thyroid storm; pregnancy; preeclampsia; acute lung edema.
