Pilot Neonatal Screening Program for Central Congenital Hypothyroidism: Evidence of Significant Detection

Autor: Rachel Reynaud, Maria Virginia Méndez, Debora Braslavsky, Nicolas Jullien, Ana Chiesa, Ana Keselman, Thierry Brue, Laura Gruñeiro-Papendieck, Laura Prieto, Alexandru Savenau, Rosa Enacan, Ignacio Bergadá
Rok vydání: 2017
Předmět:
Male
NEONATAL SCREENING PROGRAM
endocrine system
Pediatrics
medicine.medical_specialty
Pathology
CIENCIAS MÉDICAS Y DE LA SALUD
Dried blood specimen
Endocrinology
Diabetes and Metabolism

Thyrotropin
Pilot Projects
030209 endocrinology & metabolism
Medicina Clínica
Thyroid Function Tests
Thyroid function tests
03 medical and health sciences
Neonatal Screening
0302 clinical medicine
Endocrinology
DRIED BLOOD SPECIMEN
purl.org/becyt/ford/3.2 [https]
Congenital Hypothyroidism
CONGENITAL HYPOPITUITARISM
medicine
Central hypothyroidism
Humans
Prospective Studies
030212 general & internal medicine
Prospective cohort study
Triiodothyronine
medicine.diagnostic_test
business.industry
Infant
Newborn

Congenital hypopituitarism
medicine.disease
Infant newborn
CONGENITAL HYPOTHYROIDISM
Congenital hypothyroidism
Thyroxine
Pediatrics
Perinatology and Child Health

purl.org/becyt/ford/3 [https]
Female
Medicina Critica y de Emergencia
CENTRAL HYPOTHYROIDISM
business
Zdroj: CONICET Digital (CONICET)
Consejo Nacional de Investigaciones Científicas y Técnicas
instacron:CONICET
ISSN: 1663-2826
1663-2818
DOI: 10.1159/000480293
Popis: Background/Aim: Congenital hypothyroidism (CH) is a heterogeneous entity. Neonatal screening programs based on thyrotropin (TSH) determination allow primary CH diagnosis but miss central CH (CCH). CCH causes morbidity, alerts to other pituitary deficiencies, and is more prevalent than previously thought. We aimed at developing a pilot neonatal screening program for CCH detection. Patients and Methods: A prospective 2-year pilot neonatal screening study based on simultaneous dried blood specimen TSH and thyroxine (T4) measurements was implemented in term newborns aged 2-7 days. Those with T4 ≤4.5 μg/dL (-2.3 SDS) and TSH
Databáze: OpenAIRE