In reply —Mona Lisa and Postpartum Hypothyroidism

The interest by Ponzetto and colleagues in our work defining the medical diagnosis of the iconic Mona Lisa painting is appreciated.1 The authors agree with the diagnosis presented, but offer another pathophysiological hypothesis, that of autoimmune implications of Helicobacter pylori infection, and argue that this could account for provoking autoimmune thyroiditis during pregnancy. They also go on to contest that nutritional deficiency of iodine was less central in elucidating the uncanny findings recorded in the painting by Leonardo da Vinci.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Letter to the editor Source Type: research