keyword
https://read.qxmd.com/read/38666684/levothyroxine-treatment-in-pregnant-women-with-thyroid-stimulating-hormone-levels-ranging-between-2-5-and-10-miu-l-a-propensity-score-matched-analysis
#1
JOURNAL ARTICLE
Shen Gao, Xueran Wang, Rong Zhao, Yuchen Cui, Shaofei Su, Enjie Zhang, Jianhui Liu, Shuanghua Xie, Yue Zhang, Yuxi Yang, Kaikun Huang, Minhui Hu, Wentao Yue, Ruixia Liu, Chenghong Yin
OBJECTIVE: To clarify the association between levothyroxine (LT-4) treatment and various adverse pregnancy outcomes in pregnant women with thyroid stimulating hormone (TSH) levels ranging between 2.5 to 10.0 mIU/L in the first trimester, stratified according to thyroid peroxidase antibody (TPOAb) positivity and TSH level. METHODS: This retrospective analysis of retrospectively and prospectively collected cohort data included Chinese pregnant women with TSH levels of 2...
April 26, 2024: Thyroid: Official Journal of the American Thyroid Association
https://read.qxmd.com/read/38664841/endocrine-disrupting-chemicals-gestational-diabetes-and-beyond
#2
REVIEW
Tridip Mitra, Richa Gulati, Krithika Ramachandran, Rohan Rajiv, Elizabeth Ann L Enninga, Chris K Pierret, Sajeetha Kumari R, Rajiv Janardhanan
Gestational Diabetes Mellitus (GDM) has been on the rise for the last two decades along with the growing incidence of obesity. The ubiquitous use of Endocrine-Disrupting Chemicals (EDCs) worldwide has been associated with this increase in GDM incidence. Epigenetic modifications such as DNA methylation, histone acetylation, and methylation have been associated with prenatal exposure to EDCs. EDC exposure can also drive a sustained disruption of the hypothalamus-pituitary-thyroid axis and various other signaling pathways such as thyroid signaling, PPARγ signaling, PI3K-AKT signaling...
April 26, 2024: Diabetology & Metabolic Syndrome
https://read.qxmd.com/read/38662611/a-novel-useful-marker-in-the-early-discrimination-of-transient-hyperthyrotropinemia-hypothyroxinemia-and-congenital-hypothyroidism-in-preterm-infants-thyroid-stimulating-hormone-free-thyroxine-ratio
#3
JOURNAL ARTICLE
Ufuk Cakir, Cuneyt Tayman
OBJECTIVES: Transient hyperthyrotropinemia/transient hypothyroxinaemia and congenital hypothyroidism (CH) have completely different treatment and clinical outcomes. However, a powerful, highly sensitive and cost-effective marker for the differentiation of these clinical entities in the early postnatal period is not available. Therefore, we aimed to test the potential, early predictive, diagnostic power of the thyroid-stimulating hormone (TSH)/free thyroxine (fT4) ratio for differentiation of the two clinical entities in the early period of life...
April 26, 2024: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/38630936/agreement-between-routinely-used-immunoassays-for-thyroid-function-testing-in-non-pregnant-and-pregnant-adults
#4
JOURNAL ARTICLE
Ida Marie Nørum Wigh, Lærke Andersen, Maja Hjelm Lundgaard, Nanna Maria Uldall Torp, Jesper Karmisholt, Stig Andersen, Stine Linding Andersen
OBJECTIVE: Thyroid function tests are common biochemical analyses, and agreement between the routinely used immunoassays is important for diagnosis and monitoring of thyroid disease. Efforts are continuously made to align the biochemical assays, and we aimed to evaluate the agreement between immunoassays used in a clinical laboratory setting among non-pregnant and pregnant adults. DESIGN: Cross-sectional study. PARTICIPANTS: Serum samples were obtained from 192 blood donors (non-pregnant adults) and from 86 pregnant women in the North Denmark Region with no known thyroid disease...
April 17, 2024: Clinical Endocrinology
https://read.qxmd.com/read/38623533/maternal-graves-disease-postthyroidectomy-with-fetal-thyrotoxicosis-and-goiter
#5
David Fennell, Jennifer Walsh, Barbara Cathcart, Colm P F O'Donnell, Mensud Hatunic
Fetal thyrotoxicosis is a rare condition with high morbidity and mortality. It may complicate pregnancies in women with a history of Graves disease (GD) when transplacental passage of maternal TSH receptor antibodies stimulate the fetal thyroid gland and cause hyperthyroidism. We report the case of a 34-year-old woman with a history of GD and prior thyroidectomy, where fetal thyrotoxicosis at 21 weeks of gestation was suspected due to prenatal ultrasound findings of cardiac failure and fetal goiter. She was treated with high-dose carbimazole and followed closely by a multidisciplinary team...
April 2024: JCEM Case Rep
https://read.qxmd.com/read/38600581/evaluation-of-the-therapeutic-efficacy-of-different-doses-of-lt4-in-pregnant-women-with-high-normal-tsh-levels-and-tpoab-positivity-in-the-first-half-of-pregnancy
#6
JOURNAL ARTICLE
Xin Tian, Yajuan Xu, Yanjie Ban, Jingjing Li, Lin Hu, Dong Liu, Lulu Hu, Zongzong Sun, Miao Zhang, Chenchen Zhang, Yixin Wang, Pengkun Lin
BACKGROUND: The objective was to investigate the efficacy of different doses of levothyroxine therapy among pregnant women exhibiting high-normal thyroid stimulating hormone levels and positive thyroid peroxidase antibodies throughout the first half of pregnancy. METHODS: Pregnant women exhibiting high-normal thyroid stimulating hormone levels and thyroid peroxidase antibodies positivity throughout the initial half of pregnancy were selected from January 2021 to September 2023...
April 10, 2024: Lipids in Health and Disease
https://read.qxmd.com/read/38596686/emerging-research-themes-in-maternal-hypothyroidism-a-bibliometric-exploration
#7
REVIEW
Ailing Chen, Zouqing Luo, Jinqiu Zhang, Xiaohui Cao
BACKGROUND: Hypothyroidism, a prevalent endocrine disorder, carries significant implications for maternal and infant health, especially in the context of maternal hypothyroidism. Despite a gradual surge in recent research, achieving a comprehensive understanding of the current state, focal points, and developmental trends in this field remains challenging. Clarifying these aspects and advancing research could notably enhance maternal-infant health outcomes. Therefore, this study employs bibliometric methods to systematically scrutinize maternal hypothyroidism research, serving as a reference for further investigations...
2024: Frontiers in Immunology
https://read.qxmd.com/read/38585386/olfactory-function-in-diabetes-mellitus
#8
REVIEW
Beata Sienkiewicz-Oleszkiewicz, Thomas Hummel
Diabetes mellitus (DM) is an increasingly common disease in both children and adults. In addition to neuronal and/or vascular disorders, it can cause chemosensory abnormalities including olfactory deterioration. The purpose of this article is to summarize current knowledge on olfactory function in DM, highlighting the impact of co-morbidities, especially obesity, thyroid dysfunction, chronic kidney disease and COVID-19 on olfactory outcomes. Research to date mostly shows that olfactory impairment is more common in people with diabetes than in the general population...
June 2024: Journal of Clinical & Translational Endocrinology
https://read.qxmd.com/read/38564142/reference-intervals-for-thyroid-function-from-the-fifth-to-seventh-day-of-life-in-twin-pregnancy-preterm-neonates-an-8-year-retrospective-study
#9
JOURNAL ARTICLE
Xin-Ting Zheng, Xin Lin, Mei Ma, Shu-Hua Lai, Chang-Yi Yang
PURPOSE: The immature and developing hypothalamic-pituitary-thyroid axis leads to different levels of thyroid function in twin neonates, including free thyroxine (FT4), free triiodothyronine (FT3), and thyroid stimulating hormone (TSH) levels. No reference intervals for twins have been established until now. To compensate for this lack, we collected data and established this standard across different gestational ages (GAs) and sexes. METHODS: A total of 273 pairs of neonates admitted to the NICU in Southeast China from 2015 to 2022 were included...
April 2, 2024: Hormones: International Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38546971/risk-factors-for-thyroid-dysfunction-in-pregnancy-an-individual-participant-data-meta-analysis
#10
JOURNAL ARTICLE
Joris A J Osinga, Yindi Liu, Tuija Männistö, Marina Vafeiadi, Fang-Biao Tao, Bijay Vaidya, Tanja G M Vrijkotte, Lorena Mosso, Judit Bassols, Abel López-Bermejo, Laura Boucai, Ashraf Aminorroaya, Ulla Feldt-Rasmussen, Aya Hisada, Jun Yoshinaga, Maarten A C Broeren, Sachiko Itoh, Reiko Kishi, Ghalia Ashoor, Liangmiao Chen, Flora Veltri, Xuemian Lu, Peter N Taylor, Suzanne J Brown, Leda Chatzi, Polina V Popova, Elena N Grineva, Farkhanda Ghafoor, Amna Pirzada, Maryam Kianpour, Emily Oken, Eila Suvanto, Andrew Hattersley, Marisa Rebagliato, Isolina Riaño-Galán, Amaia Irizar, Martine Vrijheid, Juana Maria Delgado-Saborit, Ana Fernández-Somoano, Loreto Santa-Marina, Kristien Boelaert, Gabriela Brenta, Rima Dhillon-Smith, Chrysoula Dosiou, Jennifer L Eaton, Haixia Guan, Sun Y Lee, Spyridoula Maraka, Lilah F Morris-Wiseman, Caroline T Nguyen, Zhongyan Shan, Mònica Guxens, Victor J M Pop, John P Walsh, Kypros H Nicolaides, Mary E D'Alton, W Edward Visser, David M Carty, Christian Delles, Scott M Nelson, Erik K Alexander, Layal Chaker, Glenn E Palomaki, Robin P Peeters, Sofie Bliddal, Kun Huang, Kris G Poppe, Elizabeth N Pearce, Arash Derakhshan, Tim I M Korevaar
Background: International guidelines recommend targeted screening to identify gestational thyroid dysfunction. However, currently used risk factors have questionable discriminative ability. We quantified the risk for thyroid function test abnormalities for a subset of risk factors currently used in international guidelines. Methods: We included prospective cohort studies with data on gestational maternal thyroid function and potential risk factors (maternal age, body mass index [BMI], parity, smoking status, pregnancy through in vitro fertilization, twin pregnancy, gestational age, maternal education, and thyroid peroxidase antibody [TPOAb] or thyroglobulin antibody [TgAb] positivity)...
March 28, 2024: Thyroid: Official Journal of the American Thyroid Association
https://read.qxmd.com/read/38533284/utility-of-colour-flow-doppler-ultrasonography-to-differentiate-gestational-transient-thyrotoxicosis-and-graves-disease-in-pregnancy
#11
JOURNAL ARTICLE
Vijay Sheker Reddy Danda, Piyush Lodha, Srinivas Rao Paidipally, Sandeep Reddy Devireddy
INTRODUCTION: Accurate diagnosis of the etiology of thyrotoxicosis in pregnancy is important to guide appropriate treatment. The role of thyroid blood flow velocities by color Doppler to differentiate between Graves' disease (GD) in pregnancy and gestational transient thyrotoxicosis (GTT) is not well explored. This study evaluated inferior thyroid artery (ITA)-peak systolic velocity (PSV) as a marker for differential diagnosis of thyrotoxicosis in pregnancy. METHODS: Fifty-six pregnant patients with thyrotoxicosis (30 with GTT and 26 with GD) along with 30 age-matched healthy euthyroid pregnant subjects were enrolled...
2024: Indian Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38522950/influence-of-cancer-in-pregnancy-on-obstetric-and-neonatal-outcomes-an-observational-retrospective-cohort-study
#12
JOURNAL ARTICLE
Xuan Huang, Chen Zhang, Jialei Zhu, Yueyan Li, Jing Tang
OBJECTIVE: The study aimed to review the oncological characteristics and treatment of pregnancy-associated cancers and analyze the obstetric and neonatal outcomes to provide evidence-based recommendations for reproductive function preservation, oncological treatment, and obstetric management. METHODS: We conducted an observational retrospective cohort study among pregnant patients with cancer in 7 Chinese tertiary A hospitals from 2003 to 2021. We conducted multiple logistic regression to determine the influence of various factors on preterm birth and small-for-gestational-age infants, log-binomial regression to analyze temporal changes, and χ² tests to explore the effects of cancer type/treatment...
March 11, 2024: Journal of Gynecologic Oncology
https://read.qxmd.com/read/38476634/a-case-of-metastatic-choriocarcinoma-related-paraneoplastic-thyroid-storm
#13
Nidhi Gupta, Lauren Graham, Matthew Carpenter, Gunjan Y Gandhi
Thyroid storm due to gestational trophoblastic disease (GTD) with metastatic choriocarcinoma is a rare but potentially life-threatening endocrine emergency. We report on a woman with molar pregnancy and metastatic choriocarcinoma who presented with thyroid storm (Burch-Wartofsky point scale of 45) a few weeks after the evacuation of GTD. She was initially managed with intravenous hydrocortisone, oral propylthiouracil (PTU), and esmolol infusion. After stabilization in the intensive care unit, 10 cycles of chemotherapy with etoposide, methotrexate, leucovorin, dactinomycin, and cyclophosphamide (EMA-CO) were initiated for stage 4 choriocarcinoma with brain and lung metastases...
March 2024: JCEM Case Rep
https://read.qxmd.com/read/38463451/neonatal-graves-disease-with-persistent-hypoglycemia-a-case-report
#14
Samantha Fine, Michael Gottschalk, Krishelle Marc-Aurele
Neonatal Graves disease is the most common cause of hyperthyroidism during the newborn period. Maternal Graves disease increases the risk of intrauterine growth restriction, small for gestational age, and neonatal Graves disease. Intrauterine growth restriction and small for gestational age are associated with hypoglycemia and transient neonatal hyperinsulinism. Neonatal Graves disease with severe persistent hypoglycemia has not been well described. We present the case of a female patient born at 34 weeks and 3 days with a birth weight of 1...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38461278/case-report-glycaemic-management-and-pregnancy-outcomes-in-a-woman-with-an-insulin-receptor-mutation-p-met1180lys
#15
JOURNAL ARTICLE
Mairéad T Crowley, Eirena Goulden, Begona Sanchez-Lechuga, Aileen Fleming, Maria Kennelly, Ciara McDonnell, Maria M Byrne
BACKGROUND: Heterozygous insulin receptor mutations (INSR) are associated with insulin resistance, hyperglycaemia and hyperinsulinaemic hypoglycaemia in addition to hyperandrogenism and oligomenorrhoea in women. Numerous autosomal dominant heterozygous mutations involving the INSR β-subunit tyrosine kinase domain resulting in type A insulin resistance have been previously described. We describe the phenotype, obstetric management and neonatal outcomes in a woman with type A insulin resistance caused by a mutation in the β-subunit of the INSR...
March 10, 2024: Clinical Diabetes and Endocrinology
https://read.qxmd.com/read/38440585/papillary-thyroid-carcinoma-within-a-thyroglossal-cyst-a-rare-case-report-with-review-of-literature
#16
JOURNAL ARTICLE
Priyanka Sangappa Murgod, Janice Jaison, Sayli Dhande, Smita Bhide
Thyroglossal cyst (TGC) is the most common congenital anomaly of the thyroid gland and is found in approximately 7% of general population. It represents cystic degeneration of a remnant of the thyroglossal duct that failed to involute during gestation. Malignancy occurring in TGC is rare entity, accounting only for 1% of all thyroglossal cysts. We are presenting such a rare case of papillary thyroid carcinoma arising in a thyroglossal cyst. 30-year-old female presented with a painless, gradually progressive swelling below the chin extending to left side...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38424617/prevalence-and-determinants-of-gestational-diabetes-mellitus-among-pregnant-women-in-india-an-analysis-of-national-family-health-survey-data
#17
JOURNAL ARTICLE
Aditi Chakraborty, Suryakant Yadav
BACKGROUND: Gestational diabetes mellitus (GDM) is a type of diabetes with its first recognition during pregnancy. GDM is a high-risk maternal and neonatal condition which increases the risk of Type 2 diabetes in mothers and their infants. It is essential to detect and treat GDM since its inception when mothers suffer from Type 1 diabetes while carrying the foetus during the gestational period. METHODS: The study analysed individual data from the National Family Health Survey (NFHS) surveyed in 2015-2016 (4th round) and 2019-2021 (5th round) covering a total of approximately 6 lakhs and 7 lakhs women, respectively...
February 29, 2024: BMC Women's Health
https://read.qxmd.com/read/38399522/preconceptional-counseling-in-women-with-hyperthyroidism
#18
REVIEW
Luminita Nicoleta Cima, Mihaela Tarna, Carmen Sorina Martin, Anca Elena Sirbu, Iulia Soare, Anca Maria Panaitescu, Nicolae Gica, Carmen Gabriela Barbu, Simona Fica
Preconception evaluation of couples wishing to conceive is an important step toward a healthy pregnancy and it is especially important in people with a chronic condition or at genetic risk. The most common endocrine disorders in women at reproductive age are those involving the thyroid gland and it is well recognized that hyperthyroidism (HT), over-function of the thyroid gland, is associated with risks of maternal, fetal, and neonatal complications. The aim of this paper is to review the latest evidence regarding the components of preconception counseling in women with HT that contemplate a pregnancy...
January 29, 2024: Medicina
https://read.qxmd.com/read/38371120/prevalence-of-adverse-pregnancy-outcomes-in-women-with-and-without-gestational-diabetes-mellitus-in-al-baha-region-saudi-arabia
#19
JOURNAL ARTICLE
Tajelsir Osman, Eman A Keshk, Meshari A Alghamdi, Faisal A Alzahrani, Abdulhakim Abdulrazaq M Alghamdi, Ayman G Alzahrani, Yahya Alzahrani, Mohammed Ahmed A Alghamdi, Adnan Saleh I Alghamdi, Abdulelah Abdulrazaq M Alghamdi
BACKGROUND: Gestational diabetes mellitus (GDM) is a condition characterized by glucose intolerance that develops during pregnancy. It is associated with adverse maternal and fetal outcomes and has long-term health implications for both the mother and the child. This study aimed to estimate the prevalence of adverse pregnancy outcomes in women with and without GDM in the Al-Baha region, Saudi Arabia. METHODS: A cross-sectional study was conducted in the Al-Baha region from April 2023 to November 2023...
January 2024: Curēus
https://read.qxmd.com/read/38330593/hypothyroxinaemia-during-gestation-is-associated-with-low-ferritin-and-increased-levels-of-inflammatory-markers
#20
JOURNAL ARTICLE
Victor J M Pop, Johannes G Krabbe, Maarten Broeren, Wilmar Wiersinga, Margaret P Rayman
OBJECTIVE: Pregnancy is a state of physiological inflammation facilitating implantation. Early isolated hypothyroxinaemia (IH) and increased inflammation (including obesity) have been associated with severe obstetric complications. The current study evaluated the association between IH, low ferritin and inflammation parameters (interleukin 6 (IL-6), C-reactive protein (CRP), human chorionic gonadotrophin (hCG) and obesity. Moreover, the course of these parameters throughout pregnancy was evaluated in relation to IH...
April 1, 2024: European Thyroid Journal
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