산후갑상선염에 동반된 그레이브스병 2예
Two Cases of Postpartum Thyroiditis Followed by Graves’ Disease
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The most common thyroid dysfunctions that occur after delivery are postpartum thyroiditis (PPT) and Graves' disease (GD). PPT is more likely to occur among patients who had a history of PPT or GD. For that reason, it is possible to assume that both PPT and GD occur concomitantly after delivery. Here we report two cases of atypical postpartum thyroid dysfunctions presenting the simultaneous occurrence of PPT and GD. A 31-year-old woman with history of PPT had thyrotoxicosis and hypothyroidism of PPT followed by GD with mild symptoms. The patient recovered quickly afterwards. In the second case, a 28-year-old woman with a history of GD presented with thyrotoxicosis of PPT followed by severe GD. The patient required long-term antithyroid treatment.
Abstract
The most common thyroid dysfunctions that occur after delivery are postpartum thyroiditis (PPT) and Graves' disease (GD). PPT is more likely to occur among patients who had a history of PPT or GD. For that reason, it is possible to assume that both PPT and GD occur concomitantly after delivery. Here we report two cases of atypical postpartum thyroid dysfunctions presenting the simultaneous occurrence of PPT and GD. A 31-year-old woman with history of PPT had thyrotoxicosis and hypothyroidism of PPT followed by GD with mild symptoms. The patient recovered quickly afterwards. In the second case, a 28-year-old woman with a history of GD presented with thyrotoxicosis of PPT followed by severe GD. The patient required long-term antithyroid treatment.
참고문헌 (41)
- Vasileiadis I, "Papillary thyroid microcarcinoma: clinicopathological characteristics and implications for treatment in 276 patients", Eur J Clin Invest, 42(6), pp.657~664 (2012)
- 이남섭, "갑상선 미세유두상암에서 림프절 전이의 위험인자", 대한외과학회지, 78(2), pp.82~86 (2010), 대한외과학회
- Sobin LH, "International Union Against Cancer. TNM classification of malignant tumours" (2010), Wiley-Blackwell
- Davies L, "Increasing incidence of thyroid cancer in the United States, 1973-2002", JAMA, 295(18), pp.2164~2167 (2006)
- Lo CY, "Papillary microcarcinoma: is there any difference between clinically overt and occult tumors?", World J Surg, 30(5), pp.759~766 (2006)
- Ito Y, "An observation trial without surgical treatment in patients with papillary microcarcinoma of the thyroid", Thyroid, 13(4), pp.381~387 (2003)
- Chow SM, "Papillary microcarcinoma of the thyroid-Prognostic significance of lymph node metastasis and multifocality", Cancer, 98(1), pp.31~40 (2003)
- Yi KH, "Revised Korean Thyroid Association Management Guidelines for patients with thyroid nodules and thyroid cancer", Korean J Otorhinolaryngol-Head Neck Surg, 54(1), pp.8~36 (2011)
- Gilliland FD, "Prognostic factors for thyroid carcinoma. A population-based study of 15,698 cases from the Surveillance, Epidemiology and End Results (SEER) program 1973-1991", Cancer, 79(3), pp.564~573 (1997)
- Cappelli C, "Aggressiveness and outcome of papillary thyroid carcinoma (PTC) versus microcarcinoma (PMC): a mono- institutional experience", J Surg Oncol, 95(7), pp.555~560 (2007)
- Liou MJ, "Renal metastasis from papillary thyroid microcarcinoma", Acta Otolaryngol, 125(4), pp.438~442 (2005)
- Ito Y, "Clinical significance of metastasis to the central compartment from papillary microcarcinoma of the thyroid", World J Surg, 30(1), pp.91~99 (2006)
- Sipos JA, "Thyroid cancer epidemiology and prognostic variables", Clin Oncol (R Coll Radiol), 22(6), pp.395~404 (2010)
- Ito Y, "Relationship between prognosis of papillary thyroid carcinoma patient and age: a retrospective single-institution study", Endocr J, 59(5), pp.399~405 (2012)
- Cady B, "An expanded view of risk-group definition in differentiated thyroid carcinoma", Surgery, 104(6), pp.947~953 (1988)
- Sugitani I, "A novel classification system for patients with PTC: addition of the new variables of large (3 cm or greater) nodal metastases and reclassification during the follow-up period", Surgery, 135(2), pp.139~148 (2004)
- Jin-Kyu Cho, "Clinical features and prognostic factors in papillary thyroid microcarcinoma depends on age", 대한외과학회지, 82(5), pp.281~287 (2012), 대한외과학회
- 김보연, "Impact of Clinicopathologic Factors on Subclinical Central Lymph Node Metastasis in Papillary Thyroid Microcarcinoma", Yonsei Medical Journal, 53(5), pp.924~930 (2012), 연세대학교의과대학
- Roh JL, "Lateral cervical lymph node metastases from papillary thyroid carcinoma: pattern of nodal metastases and optimal strategy for neck dissection", Ann Surg Oncol, 15(4), pp.1177~1182 (2008)
- So YK, "Subclinical lymph node metastasis in papillary thyroid microcarcinoma: a study of 551 resections", Surgery, 148(3), pp.526~531 (2010)
- Kim SS, "Coexistence of Hashimoto's thyroiditis with papillary thyroid carcinoma: the influence of lymph node metastasis", Head Neck, 33(9), pp.1272~1277 (2011)
- Schaffler A, "Coexistent thyroiditis is associated with lower tumour stage in thyroid carcinoma", Eur J Clin Invest, 28(10), pp.838~844 (1998)
- Cooper DS, "Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer", Thyroid, 19(11), pp.1167~1214 (2009)
- Loh KC, "Influence of lymphocytic thyroiditis on the prognostic outcome of patients with papillary thyroid carcinoma", J Clin Endocrinol Metab, 84(2), pp.458~463 (1999)
- Singh B, "Coexistent Hashimoto's thyroiditis with papillary thyroid carcinoma: impact on presentation, management, and outcome", Surgery, 126(6), pp.1070~1076 (1999)
- Shattuck TM, "Independent clonal origins of distinct tumor foci in multifocal papillary thyroid carcinoma", N Engl J Med, 352(23), pp.2406~2412 (2005)
- Ito Y, "Papillary microcarcinoma of the thyroid: how should it be treated?", World J Surg, 28(11), pp.1115~1121 (2004)
- Ringel MD, "Controversies in the follow-up and management of well-differentiated thyroid cancer", Endocr Relat Cancer, 11(1), pp.97~116 (2004)
- Lee X, "Analysis of differential BRAF(V600E) mutational status in high aggressive papillary thyroid microcarcinoma", Ann Surg Oncol, 16(2), pp.240~245 (2009)
- Pelizzo MR, "Papillary thyroid microcarcinoma (PTMC): prognostic factors, management and outcome in 403 patients", Eur J Surg Oncol, 32(10), pp.1144~1148 (2006)
- Stagnaro-Green A, "Clinical review 152: Postpartum thyroiditis", J Clin Endocrinol Metab, 87(9), pp.4042~4047 (2002)
- Amino N, "Postpartum autoimmune thyroid syndrome: a model of aggravation of autoimmune disease", Thyroid, 9(7), pp.705~713 (1999)
- Benhaim Rochester D, "Increased risk of Graves' disease after pregnancy", Thyroid, 15(11), pp.1287~1290 (2005)
- 임창훈, "출산에 따른 그레이브스병의 재발 및 관련인자", Endocrinology and Metabolism, 17(2), pp.189~196 (2002), 대한내분비학회
- Tagami T, "The incidence of gestational hyperthyroidism and postpartum thyroiditis in treated patients with Graves' disease", Thyroid, 17(8), pp.767~772 (2007)
- Shigemasa C, "Three patients who spontaneously developed persistent hypothyroidism during or following treatment with antithyroid drugs for Graves' hyperthyroidism", Arch Intern Med, 150(5), pp.1105~1109 (1990)
- Nakamura S, "Transient hypothyroidism in a case of untreated Graves' disease", Endocr J, 42(1), pp.77~81 (1995)
- Iitaka M, "A case of Graves' disease with false hyperthyrotropinemia who developed silent thyroiditis", Endocrinol Jpn, 38(6), pp.667~671 (1991)
- Momotani N, "Relationship between silent thyroiditis and recurrent Graves' disease in the postpartum period", J Clin Endocrinol Metab, 79(1), pp.285~289 (1994)
- Iitaka M, "Stimulation of thyroid-stimulating hormone (TSH) receptor antibody production following painless thyroiditis", Clin Endocrinol (Oxf), 60(1), pp.49~53 (2004)
- Nagai Y, "Occurrence and spontaneous remission of Graves' hyperthyroidism preceded by painless thyroiditis", Endocr J, 44(6), pp.881~885 (1997)
