Screening for congenital hypothyroidism in France

Zeitschrift für Kinderheilkunde - Tập 149 - Trang 605-607 - 1990
J. Leger1
1Centre National de Prévention Prénatale Hôtel Dieu, Association Française pour le Dépistage et la Prévention des Maladies Métaboliques et des Handicaps de l'Enfant, Lyon, France

Tóm tắt

Misdiagnosed cases of congenital-hypothyroidism (CH) during the first 9 years of the French screening program were analysed. A total of 50 cases were missed (3% of total diagnosed) which represents a severe failure of the system. Failures were caused by technical errors of sample collection or TSH assay (n=27) or due to normal TSH (n=22) or T4 (n=1) concentrations in the newborn blood specimens. We conclude that screening methods should be improved and that physicians should remain alert to clinical signs of hypothyroidism.

Tài liệu tham khảo

Bickel H, Schonberg D, Klett M (1984) Neonatal thyroid screening. Eur J Pediatr 143:6 Fisher DA (1987) Effectiveness of newborn screening programs for congenital hypothyroidism: prevalence of Missed Cases. Pediatr Clin North Am 34:881–890 Grant GA, Carson DJ, Reid M McC, Hutchinson JM (1986) Congenital hypothyroidism missed on screening. Arch Dis Child 61:189–197 Holtzman C, Slazy WE, Cordero JF, Hannon WH (1986) Descriptive epidemiology of missed cases of phenylketonuria and congenital hypothyroidism. Pediatrics 78:553–558 Lafranchi SH, Hanna CE, Krainz PL, Skeels MR, Miyahira RS, Sesser de (1985) Screening for congenital hypothyroidism with specimen collection at two time periods: results of the Northwest Regional screening program. Pediatrics 76:734–740 Pomarede R, Czernichow P, Farriaux JP (1986) Analyse des échecs du dépistage de l'hypothyroidie congénitale par dosage de la TSH sur sang capillaire. Arch Fr Pediatr 43:15–18 Report of the New England Regional screening program and the New England congenital hypothyroidism collaborative. Pitfalls in screening for neonatal hypothyroidism. 1982. Pediatrics 70:16–20