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Abstract
Thyroid dysfunction comprises different pathologies that are relatively common in the general population. These pathologies can also occur during pregnancy, and if they remain undiagnosed and untreated can complicate pregnancy and also cause fetal injury. The diagnosis of thyroid dysfunction during pregnancy is done measuring TSH levels in blood. Levothyroxine is the well-defined treatment for hypothyroidism while propylthiouracil and imidazole derivates are the recognized treatment for hyperthyroidism. The management of the subclinical patient is not well defined.
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References
Franco D, Córdoba D, González D, Ospina JJ, Olaya SX, Murillo DR. Hipertiroidismo en el embarazo. Rev Peru Ginecol Obstet [Internet]. 2018 [Consultado el 4 de abril de 2020]; 64 (4): 569-579. https://doi.org/10.31403/rpgo.v64i2125
Tingi E, Syed AA, Kyriacou A, Mastorakos G, Kyriacou A. Bening thyroid disease in pregnancy: A state of the art review. J Clin Transl Endocrinol [Internet]. 2016 [Consultado el 5 de abril de 2020]; 6: 37-49. https://doi.org/10.1016/j.jcte.2016.11.001
Springer D, Jiskra J, Limanova Z, Zima T, Potlukova E. Thyroid in pregnancy: From physiology to screening. Crit Rev Clin Lab Sci [Internet]. 2017[Cosultado el 4 de abril de 2020];54(2):102-116. https://doi.org/10.1080/10408363.2016.1269309
Korevaar T, Medici M, Visser TJ, Peeters RP. Thyroid disease in pregnancy: new insights in diagnosis and clinical management. Nat Rev Endocrinol [Internet]. 2017 [Consultado el 4 de abril de 2020 ]; 13 (10): 610-622. https://doi.org/10.1038/nrendo.2017.93
Vaidya B., Chan SY. Thyroid Physiology and Thyroid Diseases in Pregnancy. En: Vitti P., Hegedüs L. (eds) Thyroid Diseases [Internet]. Springer; 2018 [citado el 11 de abirl de 2020] Disponible en https://link.springer.com/referenceworkentry/10.1007%2F978-3-319-45013-1_25
Aynadis A, Betelihem T, Molla A, Belete B. Thyroid hormone dysfunction during pregnancy: A review. Int J Reprod Biomed (Yazd) [Internet]. 2016 [Consultado el 1 abril de 2020];14(11):677-686. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5153572/
Yim C. Update on the Management of Thyroid Disease during Pregnancy. Endocrinol Metab [Internet]. 2016 [Consultado el 3 abril de 2020];31(3):386. https://doi.org/10.3803/EnM.2016.31.3.386
Teasdale S, Morton A. Changes in biochemical tests in pregnancy and their clinical significance. Obstet Med [Internet]. 2018 [Consultado el 7 de abril de 2020 ]; 11(4): 160-170. https://doi.org/10.1177/1753495X18766170
Pearce EN. Thyroid disorders during pregnancy and postpartum. Best Practice & Research Clinical Obstetrics and Gynaecology [Internet]. 2015 [Consultado el 6 de abril de 2020 ]; 29: 700-706. https://doi.org/10.1016/j.bpobgyn.2015.04.007
Chaker, L., Bianco, A., Jonklaas, J. and Peeters, R. Hypothyroidism. The Lancet [Internet], 2017 [Consultado el 3 de abril de 2020].390 (10101), pp.1550-1562 https://doi.org/10.1016/S0140-6736(17)30703-1
Lage M, Vora J, Hepp Z, Espaillat R. Levothyroxine Treatment of Pregnant Women with Hypothyroidism: Retrospective Analysis of a US Claims Database. Advances in Therapy [Internet]. 2020 [Consultado el 3 abril de 2020];37(2):933-945. https://doi.org/10.1007/s12325-020-01223-2
Practice Bulletin No. 148. Obstetrics & Gynecology [Internet]. 2015 [Consultado el 5 abril de 2020];125 (4):996-1005. https://doi.org/10.1097/01.AOG.0000462945.27539.93
Nazarpour S, Ramezani Tehrani F, Simbar M, Azizi F. Thyroid dysfunction and pregnancy outcomes [Internet]. 2015 [Consultado el 5 de abril de 2020];13(7):387-396. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609317/
Taylor P, Zouras S, Min T, Nagarahaj K, Lazarus J, Okosieme O. Thyroid Screening in Early Pregnancy: Pros and Cons. Front Endocrinol [Internet]. 2018 [Consultado el 5 de abril de 2020];9. https://doi.org/10.3389/fendo.2018.00626
Alexander E, Pearce E, Brent G, Brown R, Chen H, Dosiou C et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid [Internet]. 2017 [Consultado el 5 de abril de 2020];27(3):315-389. https://doi.org/10.1089/thy.2016.0457
López-Muñoz E, Mateos-Sánchez L, Mejía-Terrazas G, Bedwell-Cordero S. Hypothyroidism and isolated hypothyroxinemia in pregnancy, from physiology to the clinic. Taiwanese Journal of Obstetrics and Gynecology [Internet]. 2019 [Consultado el 12 de abril de 2020]; 58 (6): 757-763.https://doi.org/10.1016/j.tjog.2019.09.005
Casey B, Thom E, Peaceman A, Varner M, Sorokin Y, Hirtz D et al. Treatment of Subclinical Hypothyroidism or Hypothyroxinemia in Pregnancy. N Eng J Med [Internet]. 2017 [Consultado el 5 de abril de 2020]; 376(9):815-825.https://doi.org/10.1056/NEJMoa1606205
Smith A, Eccles-Smith J, D'Emden M, Lust K. Thyroid disorders in pregnancy and postpartum. Aust Presc [Internet]. 2017 [Consultado el 5 de abril de 2020];40(6):214-219. https://doi.org/10.18773/austprescr.2017.075
Rotondi M, Chiovato L, Pacini F, Bartalena L, Vitti P. Management of Subclinical Hypothyroidism in Pregnancy: A Comment from the Italian Society of Endocrinology and the Italian Thyroid Association to the 2017 American Thyroid Association Guidelines-"The Italian Way". Thyroid [Internet]. 2018 [Consultado el 5 de abril de 2020];28(5):551-555. https://doi.org/10.1089/thy.2017.0424
Dhillon-Smith R, Middleton L, Sunner K, Cheed V, Baker K, Farrell-Carver S et al. Levothyroxine in Women with Thyroid Peroxidase Antibodies before Conception. N Eng J Med [Internet]. 2019 [Consultado el 6 de abril de 2020]; 380(14):1316-1325 https://doi.org/10.1056/NEJMoa1812537
Negro R. Levothyroxine before conception in women with thyroid antibodies: a step forward in the management of thyroid disease in pregnancy. Thyroid Res [Internet]. 2019 [Consultado el 5 de abril de 2020];12(1). https://doi.org/10.1186/s13044-019-0066-0
Calina D, Docea AO, Golokhvast KS, Sifakis S, Tsatsakis A, Makrigiannakis A. Management of Endocrinopathies in Pregnancy: A Review of Current Evidence. Int. J. Res. Public Healt [Internet]. 2019 [Consultado el 6 de abril de 2020]; 12 (781). https://doi.org/10.3390/ijerph16050781
Andersen SL, Laurber P. Managing hyperthyroidism in pregnancy: current perspectives. Int J Womens Health [Internet]. 2016 [Consultado el 5 de abril de 2020]; 8: 497-504. https://doi.org/10.2147/IJWH.S100987
Alemu A, Terefe B, Abebe M, Biadgo B. Thyroid hormone dysfunction during pregnancy: A review. Int J Reprod BioMed [Internet]. 2016 [Consultado el 7 de abril de 2020]; 14 (11): 677-686.https://doi.org/10.29252/ijrm.14.11.677
Nguyen C, Sasso EB, Barton L, Mestman JH. Graves' hyperthyroidism in pregnancy: a clinical review. Clin Diabetes Endocrinol [Internet]. 2018 [Consultado el 6 abril de 2020]; 4 (4). https://doi.org/10.1186/s40842-018-0054-7
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