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Subclinical hypothyroidism causing hypertension in pregnancy

Rishi Ramtahal1, Andrew Dhanoo2

  • 1SCE Endocrinology & Diabetes (UK), Consultant Endocrinology Department AHPF, Cunupia, Trinidad & Tobago.

Journal of the American Society of Hypertension : JASH
|August 11, 2016
PubMed

This is a case of a 25-year-old primigravida who was referred to the hypertension specialist for elevated blood pressures. The patient had an elevated thyroid-stimulating hormone with normal free thyroxine (T4) levels and was positive for thyroid peroxidase antibodies resulting in a diagnosis of subclinical hypothyroidism. The patient was successfully treated with levothyroxine which normalized the blood pressure without the need for antihypertensive treatment. This case illustrates a cause of secondary hypertension that is not always considered in the differential diagnosis of a patient with hypertension in pregnancy.

Keywords:
Hypertensionpregnancysubclinical hypothyroidism

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