Open AccessTransient Thyrotoxicosis in Molar Pregnancy
Author(s) -
Samarth Virmani,
Sujatha Bagepalli Srinivas,
Rama Bhat,
Raghavendra Rao,
Ranjini Kudva
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/28561.10133
Subject(s) - vagina , molar pregnancy , medicine , hormone , pregnancy , gestational trophoblastic disease , amenorrhea , thyroid , vaginal bleeding , pathological , thyroid disease , gynecology , obstetrics , physiology , gestation , endocrinology , surgery , biology , genetics
Molar pregnancy is one of the components of a broader spectrum of diseases known as Gestational Trophoblastic Disease (GTD), presenting with amenorrhoea and irregular bleeding which may be rarely associated with passage of vesicles per vagina. However, it can rarely be associated with hyperthyroidism, which may be associated with clinical features of hyperthyroidism. The following is a report of a 20-year-old woman who presented with amenorrhea followed by irregular bleeding per vagina, thyromegaly and abnormal levels of thyroid hormones. Transvaginal ultrasound revealed features consistent with molar pregnancy. A suction evacuation was done following which serum levels of β-hCG reduced and the levels of thyroid hormones also reduced. On follow up, six weeks later, β-hCG and thyroid hormones were within normal limits. The case and relevant literature are presented here.