امرأة عمرها ٣١ سنة بعد الولادة بثلاثة أشهر صار عندها خفقان وأرق ونقص وزن، ثم بعد شهرين صارت تعبانة وتحس بالبرد وزاد وزنها. الغدة غير مؤلمة. ما الأرجح؟

A 31-year-old woman three months after delivery develops palpitations, insomnia and weight loss, then two months later becomes tired, cold-intolerant and gains weight. The thyroid is painless. What is most likely?

1. Postpartum thyroiditis
2. Postpartum depression only
3. Unchanged chronic Graves’ disease
4. A pituitary tumour

Answer: A) Postpartum thyroiditis. Postpartum thyroiditis often starts with transient hyperthyroidism then hypothyroidism; many recover within a year, with follow-up as some become permanently hypothyroid.