PAUL G. WALFISH, M.D., F.R.C.P.(C), F.A.C.P.; JODY GINSBERG, M.D.
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To the editor: We read with interest in your journal (Ann Intern Med 87:155-159, 1977) the most recent report, by Amino and associates (1), describing a postpartum syndrome with transient hypothyroidism compatible with autoimmune thyroiditis as its cause. Mentioned in their discussion are two cases with increased circulating levels of thyroid hormone and one unpublished case with a low 24-h 131I thyroid uptake in the early postpartum period. Such cases have been attributed to "silent thyroiditis" (2), "painless thyroiditis" (3), or "chronic lymphocytic thyroiditis" (4).
We also have observed transient postpartum hypothyroidism similar to that described by Amino and coworkers
WALFISH PG, GINSBERG J. Postpartum Thyroid Disease. Ann Intern Med. 1978;88:128. doi: 10.7326/0003-4819-88-1-128_1
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Published: Ann Intern Med. 1978;88(1):128.
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