2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum
Erik K. Alexander,Elizabeth N. Pearce,Gregory A. Brent,Rosalind S. Brown,Herbert Chen,Chrysoula Dosiou,William A. Grobman,Peter Laurberg,John Lazarus,Susan J. Mandel,Robin P. Peeters,Scott Sullivan +11 more
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TLDR
The revised guidelines for the management of thyroid disease in pregnancy include recommendations regarding the interpretation of thyroid function tests in pregnancy, iodine nutrition, thyroid autoantibodies and pregnancy complications, thyroid considerations in infertile women, hypothyroidism in pregnancy and thyrotoxicosis in pregnancy.Abstract:
Background: Thyroid disease in pregnancy is a common clinical problem. Since the guidelines for the management of these disorders by the American Thyroid Association (ATA) were first published in 2...read more
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Clinical Practice Guidelines for Hypothyroidism in Adults: Cosponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association
Jeffrey R. Garber,Jeffrey R. Garber,Rhoda H. Cobin,Hossein Gharib,James V. Hennessey,Irwin Klein,Jeffrey I. Mechanick,Rachel Pessah-Pollack,Peter Singer,Kenneth A. Woeber +9 more
TL;DR: Fifty-two evidence-based recommendations and subrecommendations were developed to aid in the care of patients with hypothyroidism and to share what the authors believe is current, rational, and optimal medical practice for the diagnosis and care of hyp Timothyroidism.
Journal ArticleDOI
Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement
Jacqueline Jonklaas,Antonio C. Bianco,Andrew J. Bauer,Kenneth D. Burman,Anne R. Cappola,Francesco S. Celi,David S. Cooper,Brian W. Kim,Robin P. Peeters,M. Sara Rosenthal,Anna M. Sawka +10 more
TL;DR: It is concluded that levothyroxine should remain the standard of care for treating hypothyroidism and no consistently strong evidence for the superiority of alternative preparations is found.
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Guidelines for the management of thyroid cancer
Petros Perros,Kristien Boelaert,Steve Colley,Carol Evans,Rhordi M Evans,Georgina Gerrard Ba,Jackie Gilbert,Barney Harrison,Sarah J. Johnson,T. Giles,Laura Moss,Val Lewington,Kate Newbold,Judith Taylor,Rajesh V. Thakker,John Watkinson,Graham R. Williams +16 more
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Subclinical thyroid disease
TL;DR: The definition, epidemiology, differential diagnoses, risks of progression to overt thyroid disease, potential effects on various health outcomes, and management of subclinical hyperthyroidism and subclinical hypothyroidism are discussed.
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Effect of inadequate iodine status in UK pregnant women on cognitive outcomes in their children: results from the Avon Longitudinal Study of Parents and Children (ALSPAC)
TL;DR: The results show the importance of adequate iodine status during early gestation and emphasise the risk that iodine deficiency can pose to the developing infant, even in a country classified as only mildly iodine deficient.
References
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Thyrotoxicosis and heart failure that complicate pregnancy
TL;DR: Normal pregnancy mimics and amplifies some of the hyperdynamic cardiovascular changes that are caused by thyrotoxicosis, although in some women, however, common pregnancy complications that include hemorrhage with associated anemia, sepsis, and severe preeclampsia-eClampsia will precipitate heart failure.
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Thyroid size and thyroid function during pregnancy: an analysis.
A Berghout,Wilmar M. Wiersinga +1 more
TL;DR: It is revealed that thyroid size increases in pregnancy in areas of iodine deficiency but not in those with sufficient iodine, and that, during pregnancy, thyroid volume and thyroid function adapt in a physiological way to meet the increased demands for iodine and energy.
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Microsomal antibodies during gestation in relation to postpartum thyroid dysfunction and depression
TL;DR: Women with elevated microsomal antibody titres during gestation are particularly at risk for postpartum thyroid dysfunction, but only have a slightly increased risk forPostpartum depression.
Journal Article
Screening for hypothyroidism in infertile women.
TL;DR: The prevalence of elevated TSH in 704 women with at least one year of infertility was 2.3% and the majority of women diagnosed with hypothyroidism had ovulatory dysfunction, and successful pregnancies resulted in 7 of 11 (64%) of patients.
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Mild iodine deficiency in pregnancy in Europe and its consequences for cognitive and psychomotor development of children: A review
Caroline Trumpff,Jean De Schepper,Jean Tafforeau,Herman Van Oyen,Johan Vanderfaeillie,Stefanie Vandevijvere +5 more
TL;DR: It is difficult to establish a direct link between maternal iodine deficiency and maternal hypothyroxinaemia, but some studies suggest that iodine supplementation from the first trimester until the end of pregnancy may decrease the risk of cognitive and psychomotor developmental delay in the offspring.