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Estimation of the false-negative rate in newborn screening for congenital adrenal hyperplasia
Author(s) -
Felix Votava,
Dóra Török,
József Kovács,
Dorothea Möslinger,
Sabina BaumgartnerParzer,
J. Sólyom,
Zuzana Pribilincová,
Tadej Battelino,
Jan Lebl,
H Frisch,
Franz Waldhauser
Publication year - 2005
Publication title -
european journal of endocrinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.897
H-Index - 148
eISSN - 1479-683X
pISSN - 0804-4643
DOI - 10.1530/eje.1.01929
Subject(s) - congenital adrenal hyperplasia , newborn screening , medicine , dried blood , androgen excess , endocrinology , androgen , congenital hypothyroidism , pediatrics , hormone , polycystic ovary , obesity , insulin resistance , chemistry , chromatography , thyroid
Newborn screening based on measurement of 17alpha-hydroxyprogesterone (17-OHP) in a dried blood spot on filter paper is an effective tool for early diagnosis of congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. Its most important rationale is prevention of a life-threatening salt-wasting (SW) crisis; in moderate forms of CAH, early diagnosis and treatment may prevent permanent negative effects of androgen overproduction. Our target was to analyse if all CAH patients who had been identified clinically before puberty would have been detected by the newborn screening.

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