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Thyroxine Abuse: An Unusual Case of Thyrotoxicosis in Pregnancy
Author(s) -
Wark H.,
Wallace E.M.,
Wigg S.,
Tippett C.
Publication year - 1998
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1998.tb03008.x
Subject(s) - pregnancy , denial , medicine , eating disorders , psychiatry , substance abuse , thyroid function , thyroid , pediatrics , psychology , endocrinology , psychotherapist , genetics , biology
Summary: Eating disorders and the associated behavioural problems and drug abuse are uncommon in pregnancy. When they do occur they are often unrecognized because of denial but when significant may pose a risk to both the mother and her fetus. This case illustrates a number of problems that may be encountered in women with eating disorders in pregnancy, including prolonged and recurrent metabolic disturbances and diuretic abuse. In particular it illustrates the derangements of thyroid function seen in pregnant women with eating disorders and reminds us that when a cause for thyrotoxicosis remains obscure, thyroxine abuse should be considered and explored.