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OCR: ue to Postpartum hyperthyroidism is usually ne five per postpartum thyroiditis, which affects so regnancy, cent of all women during the year after particularly those with high titres of TP cally thyroid antibodies. Postpartum thyroiditis is typ biphasic (Fig. 17.59) with an initial hype nths after state that occurs approximately three m al and delivery. This is usually brief, biochemi thyroid asymptomatic, and is followed by a hyp which may phase four to five months postpartum, nent. The be symptomatic and is sometimes perm differential diagnosis of postpartum hyperthyroidism is shown in Fig. 17.60.