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Prevalence of transient congenital hypothyroidism among neonates

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TLDR
In this article, the prevalence of transient congenital hypothyroidism among neonates in (XXX) was determined by a cross-sectional study, where neonates aged 3-5 days who were referred to their center for checkup were screened for thyroid stimulating hormone.
Abstract
Objective Persistence of low levels of thyroid hormone from the time of birth is one of the significant causes of the mental retardation. The aim of this study was to determine the prevalence of transient congenital hypothyroidism among neonates in (XXX). Methods This cross-sectional study, neonates aged 3–5 days who were referred to our center for checkup were screened for thyroid stimulating hormone. Those with TSH Results Of 3600 neonates screened, 126 were presented with had TSH above 5 mIU/l, of which 7 had high TSH and low T4 and were diagnosed with transient hypothyroidism (5.3%). The mean weight of the neonates with hypothyroidism of significantly lower, p = 0.001. However, the type of delivery was not associated with the prevalence of hypothyroidism, p = 0.999. The relationship between maternal hypothyroidism, preterm birth and intake of antithyroid drugs and transient hypothyroidism was statistically significant, p  Conclusions The incidence of congenital hypothyroidism was 1 in 514 births and was significantly associated with preterm birth, mean weight, maternal hypothyroidism and intake of antithyroid drugs. Routine screening in high prevalence regions are therefore importance, considering the associated factors.

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Update of Newborn Screening and Therapy for Congenital Hypothyroidism

Susan R. Rose, +1 more
- 01 Jun 2006 - 
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A novel loss-of-function mutation in TTF-2 is associated with congenital hypothyroidism, thyroid agenesis and cleft palate.

TL;DR: The observations support the role of TTF-2 in both thyroid and palate development but suggest phenotypic heterogeneity of this syndromic form of CH, which may account for the absence of choanal atresia and bifid epiglottis in patients.
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Screening for Congenital Hypothyroidism: The Significance of Threshold Limit in False-Negative Results

TL;DR: A significant number of cases with permanent CH are missed when a TSH threshold of 20 mU/liter is applied and the increase in recall rate constitutes a serious drawback and should be balanced against the possible consequences of thyroid dysfunction at this important developmental stage.