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Vol. 46. Issue 7.
Pages 311-314 (January 2003)
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Vol. 46. Issue 7.
Pages 311-314 (January 2003)
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Hipertiroidismo neonatal en gestante previamente tiroidectomizada por enfermedad de Graves-Basedow
Neonatal hyperthyroidism in a pregnant woman with prior thyroidectomy due to Graves-Basedow disease
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I. Pombo
Corresponding author
ipombo@unav.es

Correspondencia: Departamento de Obstetricia y Ginecología. Clínica Universitaria de Navarra. Facultad de Medicina. Universidad de Navarra. Avda. Pío XII, 36. 31008 Pamplona. España
, C. Ceamanos, M. García-Manero, J.L. Alcázar
Departamento de Obstetricia y Ginecología. Clínica Universitaria de Navarra. Facultad de Medicina. Universidad de Navarra. Pamplona. Navarra. España
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Resumen

Se presenta un caso de hipertiroidismo neonatal en una gestante previamente tiroidectomizada por enfermedad de Graves-Basedow. La paciente estaba asintomática y eutiroidea, con tratamiento sustitutivo. Los valores elevados de autoanticuerpos tiroideos en sangre materna y la taquicardia fetal (>160 lat/min) después de la semana 22 deben hacer sospechar un posible hipertiroidismo fetal, por el paso transplacentario de autoanticuerpos estimuladores del tiroides

Palabras clave:
Hipertiroidismo
Gestación
Taquicardia fetal
Summary

We present a case of neonatal hyperthyroidism in a pregnant woman who previously underwent thyroidectomy for Graves-Basedow disease. The patient was asymptomatic and euthyroidal with replacement therapy. High levels of thyroid stimulating immunoglobulin in maternal blood and fetal tachycardia (>160 beats/min) after week 22 prompted us to suspect possible fetal hyperthyroidism due to transplacental passage of thyroid-stimulating autoantibodies

keywords:
Hyperthyroidism
Pregnancy
Fetal tachycardia
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Copyright © 2003. Sociedad Española de Ginecología y Obstetricia
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