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Congenital Hypothyroidism with Neurological and Respiratory Alterations: A Case Detected Using a Variable Diagnostic Threshold for Tsh
Author(s) -
Bianca Raquel Teixeira Jesus,
J.R. Alonso Fernández,
Castro-Feijoo Lidia,
Cristóbal Colón,
Paloma Cabanas,
Claudia Heredia,
Luís Castaño,
Carmen GómezLado,
María L. Couce,
Manuel Pombo
Publication year - 2011
Publication title -
journal of clinical research in pediatric endocrinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.566
H-Index - 35
eISSN - 1308-5735
pISSN - 1308-5727
DOI - 10.4274/jcrpe.448
Subject(s) - medicine , congenital hypothyroidism , respiratory system , pediatrics , hormone , thyroid stimulating hormone , endocrinology , thyroid
We report a case of congenital hypothyroidism (CH) with neurological and respiratory alterations due to a heterozygotic c.374-1G > A mutation of TITF1/NKX2-1. The hypothyroidism was detected using a neonatal screening protocol in which the thyroid stimulating hormone (TSH) threshold is re-set each day on the basis of within-day variability and between-day variation. In this case, the threshold on the day of the initial analysis was 8.2 mIU/L, and the measured TSH level in heel-prick blood was 8.3 mIU/L.

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