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March 14, 1977

Medical News

JAMA. 1977;237(11):1065-1070. doi:10.1001/jama.1977.03270380009001

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Painless thyroiditis is often missed as postpartum depression cause  Postpartum depression and irritability may have an organic cause—painless thyroiditis—and this should be suspected even in apparently mild cases of postpartum depression, say investigators from the University of Toronto Faculty of Medicine and Mount Sinai Hospital.The condition can be distinguished from Graves disease only because patients suffering from thyroiditis have low radioactive iodine uptake. Treatment should be conservative and symptomatic and does not require corticosteroids.Five patients (aged 21 to 35 years) with postpartum painless thyroiditis were described during the Toronto meeting of the Royal College of Physicians and Surgeons of Canada. The researchers were Jody Ginsberg, MD, a postgraduate research fellow, and Paul G. Walfish, MD, associate professor of endocrinology and director of thyroid research.According to the investigators, patients with this condition seem to pass through several phases of abnormal thyroid function. The first phase may occur