Post-Thyroiditis

Discharge Criteria

1. Thyroiditis has resolved and the patient does not require levothyroxine

OR

2. Thyroiditis has resolved and the patient is euthyroid on a stable dose of levothyroxine

AND

3. Patient is not pregnant or planning a pregnancy within 12 months

Resources:

• Letter to primary care provider
• Letter to patient

Primary Care review: Dr Curtis Handford, DFCM, St Michael's Hospital 

Plain language review: Katrina Grieve, St Michael's Hospital 

References:  

1. Martinez Quintero B, Yazbeck C, Sweeney LB. Thyroiditis: Evaluation and Treatment. Am Fam Physician. 2021 Dec 1;104(6):609-617. PMID: 34913664. 

2. Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, Grobman WA, Laurberg P, Lazarus JH, Mandel SJ, Peeters RP, Sullivan S. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017 Mar;27(3):315-389. doi: 10.1089/thy.2016.0457. Erratum in: Thyroid. 2017 Sep;27(9):1212. PMID: 28056690. 

3. Vahab Fatourechi, Jaroslaw P. Aniszewski, Guiti Z. Eghbali Fatourechi, Elizabeth J. Atkinson, Steven J. Jacobsen, Clinical Features and Outcome of Subacute Thyroiditis in an Incidence Cohort: Olmsted County, Minnesota, Study, The Journal of Clinical Endocrinology & Metabolism, Volume 88, Issue 5, 1 May 2003, Pages 2100–2105, https://doi.org/10.1210/jc.2002-021799 

4. Lucas, A., Pizarro, E., Granada, M. L., Salinas, I., Roca, J., & Sanmartíí, A. (2005). Postpartum Thyroiditis: Long-Term Follow-Up. Thyroid (New York, N.Y.), 15(10), 1177–1181. https://doi.org/10.1089/thy.2005.15.1177