Thyroid dysfunction and autoantibodies during pregnancy as predictive factors of pregnancy complications and maternal morbidity in later life. Recovery of prolactin function following spontaneous pregnancy in a woman with Sheehan's syndrome. In addition to hypertension, headaches, sweating, palpitations, nervousness, tremor, weakness, abdominal pain, and warm flashes are not uncommon. Pregnancy-associated osteoporosis with seven vertebral compression fractures, a case treated with strontium ranelate. Endocrinology and Metabolism Clinics of North America.
If thyroid deficiency is present, the amount of levothyroxine needed for replacement is usually 0. FAQs about iodine nutrition [December 16, ]. When Graves' disease is properly treated, the outcome for mother and fetus is good; however, untreated or poorly controlled disease may be catastrophic for both the woman and the neonate. We report on a previously healthy year-old Hispanic female with insulinoma who presented with a There may be associated risks of maternal and perinatal morbidity and mortality associated with hyperthyroidism in pregnancy, including fetal loss and preterm birth. The focus of this article is childhood-onset hypopituitarism.
International Journal of Pediatric Endocrinology | Articles
The third form of the disease, nonclassical CAH, is mild and may not be detected until childhood or adulthood. The treatment of tetany in pregnancy. Visual and neurologic abnormalities may represent important features associated with hypopituitarism. Serum calcium should be checked regularly. To prevent an acute adrenal crisis in patients with significant symptoms of adrenal insufficiency, dexamethasone, 0. Management of CAH during pregnancy: Lymphocytic hypophysitis can be another cause of pituitary dysfunction, 17 and in pregnant women, usually presents close to delivery or in the immediate postpartum period.
Hence, in pregnancy, the determination of free cortisol concentrations from a hour urine specimen is the best screening test to rule out Cushing's syndrome. In others the initial episode of hyperthyroidism is followed by a return to normal thyroid function. Long-term follow-up of prenatally treated children at risk for congenital adrenal hyperplasia: Lymphoid adenohypophysitis presenting as a pituitary tumor. Other rarer causes include haemorrhage e. Parathyroid hormone-related protein and hypercalcemia secondary to massive mammary hyperplasia. Therefore, a few thyroid tests, if properly ordered and interpreted, allow the physician to assess thyroid function in pregnancy.