Abstract
To detect congenital hypothyroidism (CH) during the 1st month of life prior to the development of overt clinical symptoms, we initiated a pilot study in April 1972 to determine the normal values for thyrotropin (TSH) in serum at birth and at ages 3 days and 6 weeks of life (Abuid et al. 1974). We selected the measurement of TSH in cord serum initially since TSH is the most sensitive test for primary hypothyroidism and since cord serum is the earliest specimen that is easily available from the infant. Since the onset of our cord TSH screening program in August 1973, we have reported that primary screening by the determination of TSH will successfully identify affected infants with a high index of discrimination and a low false positive recall rate (Foley et al. 1975, 1978; Klein and Foley 1975; Klein et al. 1974, 1975, 1976).
Supported in part by US Public Health Service research grant MC-R-420385, training grant HD 00227, general research support grant RR-05507, general clinical research grant 2MOI-RR-00084 and by Health Research Services Grant R-46, the Renziehausen Fund and the Press Old Newsboys Fund.
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References
Abuid J, Klein AH, Foley TP, Jr, Larsen PR (1974) Total and free triiodothyronine and thyroxine in early infancy. J Clin Endocrinol Metab 39:263
Buist NRM, Murphey WH, Brandon GR, Foley TP, Penn RL (1975) Neonatal screening for hypothyroidism. Lancet 2:872–873
Chopra IJ, Solomon DH, Chopra U, Wu SY, Fisher DA, Nakamura Y (1978) Pathways of Metabolism of Thyroid Hormones. Recent Prog Horm Res 34:521
Delange F, Camus M, Winkler M, Dodion J, Ermans AM (1977a) Serum thyrotropin determination on day 5 as a screening procedure for congenital hypothyroidism. Arch Dis Child 52:89
Delange F, Camus M, Winkler M, Dodion J, Ermans AM (1977b) Clinical aspects and systematic screening for congenital hypothyroidism in the newborn. Acta Paediatr Belg 30:37
Delange F, Dodion J, Wolter R, Bourdoux P, Dalhem A, Glinoer D, Ermans AM (1978) Transient hypothyroidism in the newborn infant. J Pediatr 92:974
Foley TP, Klein AH, Agustin AV, Hopwood NJ (1975) Screening for congenital hypothyroidism by the determination of thyrotropin levels. In: Fisher DA, Burrow GN (eds) Perinatal thyroid physiology and disease. Raven Press, New York, pp 255–261
Foley TP, Klein AH, Agustin AV (1977) Adaptation of TSH filter paper method for regionalized screening for congenital hypothyroidism. J Lab Clin Med 90:11
Foley TP, Foley B, Klein AH (1978) Four-year experience with cord thyrotropin screening for congenital hypothyroidism. J Pediatr 93:310
Illig R, de Vera Roda CR (1977) Möglichkeit einer TSH-Screening-Methode zur Entdeckung der Hypothyreose bei Neugeborenen. Paediatr Paedol 5:129–134
Illig R, Torresani T, Sobradillo B, Scherz R (1977) Early detection of neonatal hypothyroidism by serial TSH determination in dried blood. Helv Paediatr Acta 32:289
Irie M, Enomoto K (1975) Measurement of thyroid-stimulating hormone in dried blood spot. Lancet 2:1233
Kenny FM, Klein AH, Agustin AV, Foley TP (1975) “Sporadic Cretinism” In: Fisher DA, Burrow GN (eds) Perinatal thyroid physiology and disease, Raven Press, New York, pp 133–143
Klein AH, Foley TP (1975) Screening for hypothyroidism. J Pediatr 87:667
Klein AH, Agustin AV, Foley TP (1974) Successful laboratory screening for congenital hypothyroidism. Lancet 2:77–79
Klein AH, Agustin AV, Hopwood NJ, Perricelli A, Johnson L, Foley TP (1975) Thyrotropin (TSH) screening for congenital hypothyroidism. Pediatr Res 9:291
Klein AH, Foley TP, Larsen PR, Agustin AV, Hopwood NJ (1976) Neonatal thyroid function in congenital hypothyroidism. J Pediatr 89:545
Klein AH, Stinson D, Foley B, Larsen PR, Foley TP (1977) Thyroid function studies in preterm infants recovering from the idiopathic respiratory distress syndrome. J Pediatr 91:261
Klein AH, Foley TP, Bernard B, Ho RS, Fisher, DA (1978) Cord blood reverse T3 in congenital hypothyroidism. J Clin Endocrinol Metab 46:336
LaFranchi SH, Buist NRM, Murphey WH, Larsen PR, Foley TP (1977) Transient neonatal hypothyroidism detected by newborn screening program. Pediatr 60:538
LaFranchi SH, Murphey WH, Foley TP, Larsen PR, Buist NRM (1979) Neonatal hypothyroidism detected by the Northwest Regional Screening Program. Pediatr 63:180
Larsen PR, Meiker A, Parlow AF (1976) Immunoassay of human TSH using dried blood samples. J Clin Endocrinol Metab 42:987
Pritchard JA, MacDonald PC (1976) Williams Obstetrics, 15th edn. Appleton Century Crofts, New York, p 328
Vollman JH, Chen IW, Catz I, Tsang RC (1976) Perinatal factors in relation to cord blood TSH and T4. Pediatr Res 10:344
Walfish PG (1976) Evaluation of three thyroid-function screening tests for detecting neonatal hypothyroidism. Lancet 1:1208
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Foley, T.P. et al. (1980). Experience with Primary Thyrotropin (TSH) Screening for Congenital Hypothyroidism in Pittsburgh, Pa.. In: Bickel, H., Guthrie, R., Hammersen, G. (eds) Neonatal Screening for Inborn Errors of Metabolism. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67488-4_17
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DOI: https://doi.org/10.1007/978-3-642-67488-4_17
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