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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Risks Of Autoimmune Hypothyroidism During Pregnancy?

Hi, I m very worried about my future. I m a 30 year old woman, currently pregnant. Before I got pregnant, I was diagnosed with mild autoimmune hypothyroidism and reynaud s. I ve had reynaud s for about 4-6 years, on and off. Sometimes it seems quite bad. Others, I don t suffer from it. I ve also had high ANA for as long as I can remember. In high school it was 1:160. Now, at 30, it is 1:320 (before I got pregnant). The pattern is nucleolar. I have strange symptoms like puffy hands, tendon pain from time to time, random burning in my hands and feet, skin itching, GERD, and fibromylagia type symptoms. I have a couple broken blood vessels here and there. But I m not on any meds except for synthroid. My mother has reynaud s (so does my aunt) and RA antibodies. She has mild symptoms like me, but nothing was ever diagnosed. What I m worried about is developing scleroderma because of my nucleolar pattern ANA. I feel like it s a given, and that things are just a ticking time bomb for me. And how will I raise my child with this disease. Please help. Thanks.
Wed, 22 Jul 2015
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OBGYN 's  Response
Autoimmune diseases, like RA, autoimmune hypothyroidism and related diseases like Scleroderma need to be followed regularly by a specialist called a rheumatologist. If you are currently pregnant, your OB should be following you along with a rheumatologist or a high-risk (Maternal-Fetal medicine) specialist. Having one type of an autoimmune disease does not mean you are at risk specifically for another, but a rheumatologist would be able to assess your antibody levels and give you a more specific prognosis. As you know, antibody levels do not necessarily reflect the degree of symptoms anyone has with these type of diseases. Good luck with your pregnancy and I hope this was helpful
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What Are The Risks Of Autoimmune Hypothyroidism During Pregnancy?

Autoimmune diseases, like RA, autoimmune hypothyroidism and related diseases like Scleroderma need to be followed regularly by a specialist called a rheumatologist. If you are currently pregnant, your OB should be following you along with a rheumatologist or a high-risk (Maternal-Fetal medicine) specialist. Having one type of an autoimmune disease does not mean you are at risk specifically for another, but a rheumatologist would be able to assess your antibody levels and give you a more specific prognosis. As you know, antibody levels do not necessarily reflect the degree of symptoms anyone has with these type of diseases. Good luck with your pregnancy and I hope this was helpful