Author(s): DOMINIKA STETTNER, KRZYSZTOF RYTLEWSKI, HUBERT HURAS, ANNA WĂ“JTOWICZ,ALFRED RERO?
Graves’ disease is the most common cause of hyperthyroidism in pregnant women. Initial diagnosis of the disease during a pregnancy is difficult, because of adaptive changes occurring in gravida’s organism. Uncontrolled it may lead to some serious complications, both in the mother and foetus. The paper presents current views on diagnostics, therapeutic options and complications of Graves’ disease, considering clinical trials and recent recommendations. Diseases constituting a direct life threat, including gestational thyrotoxicosis, postpartum thyroiditis, thyroid crisis, and also possible complications occurring in neonates born by mothers with Graves’ disease are presented. A necessity for analysis of thyroid hormones test results according to reference ranges for pregnant women, different for various trimesters of pregnancy is underlined.