Recommendations for the diagnosis and followup of the foetus and newborn child born to mothers with autoimmune thyroid disease

The objective of this document is to review the current recommendations in the management of the foetus and the newborn child born to mothers with autoimmune thyroid disease. In 2017, the American Thyroid Association published guidelines for the diagnosis and management of thyroid disease during pre...

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Published in:Anales de Pediatría 2018-10, Vol.89 (4), p.254.e1-254.e7
Main Authors: Susana Ares Segura, Carmen Temboury Molina, María Jesús Chueca Guindulain, Gema Grau Bolado, María Jesus Alija Merillas, María Caimari Jaume, Paula Casano Sancho, José Carlos Moreno Navarro, José Manuel Rial Rodríguez, Amparo Rodríguez Sánchez
Format: Article
Language:Spanish
Subjects:
Anticuerpos antitiroideos en el embarazo
Enfermedad de Graves
Patología tiroidea autoinmune gestacional
Recién nacido
Tiroiditis de Hashimoto
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Summary:The objective of this document is to review the current recommendations in the management of the foetus and the newborn child born to mothers with autoimmune thyroid disease. In 2017, the American Thyroid Association published guidelines for the diagnosis and management of thyroid disease during pregnancy and post-partum. In this guide, 97 recommendations were made, and an algorithm for the diagnosis and treatment of gestational hypothyroidism was proposed. Also, in the last year, a wide review was published on the foetal and neonatal approach of the child of a mother with Graves’ disease. The importance of the determination of maternal antibodies against thyrotropin receptor in the second half of pregnancy is stressed, in order to adequately stratify the risk in the neonate. Resumen: El objetivo de este documento es revisar las recomendaciones actuales en el manejo del hijo de madre con patología autoinmune tiroidea. En este 2017 se ha publicado la guía de la Asociación Americana de Tiroides para el diagnóstico y manejo de la enfermedad tiroidea durante el embarazo y el posparto. En dicha guía se establecen 97 recomendaciones y se propone un algoritmo de diagnóstico y tratamiento del hipotiroidismo gestacional. También en este último año se ha publicado una amplia revisión sobre el abordaje foetal y neonatal del hijo de madre con enfermedad de Graves. Se insiste en la trascendencia de la determinación de anticuerpos maternos frente al receptor de TSH en la segunda mitad del embarazo para estratificar adecuadamente el riesgo en el neonato.
ISSN:2341-2879
2341-2879