Recurrent Postpartum Thyroiditis in a Patient With Chronic Autoimmune Thyroiditis: A Case Report
Bibliographic record
Abstract
Postpartum thyroiditis is a destructive thyroiditis induced by an autoimmune mechanism that begins within the first few months after delivery. Postpartum thyroiditis can also occur after spontaneous abortion, here we report three documented episodes of recurrent postpartum thyroiditis, one of which developed after pregnancy loss. Our patient is a 33-year-old woman who complained of discomfort with palpitations two months after her first delivery. Laboratory examination of thyroid function tests (TFT) revealed transient hyperthyroidism followed by hypothyroidism and then recovery (a classic triphasic pattern). Two years later, the patient suffered a spontaneous abortion of her second pregnancy at 16 weeks gestation. Three months after the loss of this second pregnancy, TFT showed the classic triphasic pattern again. Two years following the spontaneous abortion, the patient gave birth to her second child, and three months after delivery, the patient complained of heat intolerance and irritability. Laboratory tests during this time showed an elevated FT4 and a low TSH. Tc-99m scintigraphy showed nonvisualization of both thyroid lobes, and 24-hour radioactive iodine uptake was 0.2%. This patient in this case presented with the classic triphasic pattern in all three episodes. doi: http://dx.doi.org/10.4021/jmc1060w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".