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Home > West Medicine > Internal Medicine > Endocrinology
百科

Hyperthyroidism in pregnancy

内分泌科

Common symptoms

甲状腺功能低下、颤抖、脱发、气短、角膜溃疡、心动过速、消瘦、心慌、心悸、体重增加

The pathology of disease

Hyperthyroidism in pregnancy is thyrotoxicosis; first trimester uses propylthiouracil (PTU); later methimazole; monitor free T4; thyroid storm risk; post-partum.

Symptoms

Palpitations; weight loss; heat intolerance; tremor; pregnancy; goiter; history of Graves

Causes

Graves disease; hCG-mediated transient; toxic nodule; pregnancy.

Treatment

PTU in 1st trimester; methimazole later; lowest effective dose; monitor free T4; avoid surgery in 2nd trimester only if needed; thyroid storm manage urgently

Dept

Endocrinology / obstetrics.

Warm reminder: Health education reference only; seek care at regular hospital.