Development of postpartum Graves’ disease and type 1 diabetes after delivery in a patient with gestational diabetes
| Autor: | Isao Kobayashi, Peter Proks, Masami Murakami, Mayumi Negishi, Kenju Shimomura, Yohnosuke Shimomura, Rieko Nakahara |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Pregnancy Type 1 diabetes Pediatrics endocrine system diseases business.industry Endocrinology Diabetes and Metabolism Graves' disease nutritional and metabolic diseases General Medicine Disease medicine.disease Gestational diabetes Endocrinology Diabetes mellitus Internal medicine Internal Medicine medicine Postpartum thyroiditis business Postpartum period |
| Zdroj: | Journal of Diabetes Investigation. 2:328-330 |
| ISSN: | 2040-1116 2040-1124 |
| DOI: | 10.1111/j.2040-1124.2010.00089.x |
| Popis: | Pregnancy and the postpartum period are associated with changes of the immune system. These changes might eventually result in autoimmune diseases, such as Graves’ disease and type 1 diabetes mellitus, in the postpartum period. We describe a case of a patient with gestational diabetes who developed both Graves’ disease and type 1 diabetes mellitus in the postpartum period. The pathology of gestational diabetes (GDM) is close to that of type 2 diabetes mellitus. However, the present case emphasizes the importance of screening and monitoring high-risk GDM patients for all available autoimmune antibodies throughout pregnancy and the postpartum period, as GDM has a risk of developing into type 1 diabetes and multiple autoimmune diseases. In addition, only Graves’ disease was transient, whereas type 1 diabetes mellitus remained permanent in the present case. Thus, the present case shows etiological differences between these two autoimmune diseases. (J Diabetes Invest, doi: 10.1111/j.2040-1124.2010.00089.x,2011) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text