Twelve sick neonates, ten of whom were prematures, were found to have transient primary hypothyroidism. Two months after cessation of treatment all those followed were found to be clinically and biochemically euthyroid. The possible etiologic factors in the pathogenesis of transient hypothyroidism of the sick prematures are discussed. Iodine deficiency is probably an important precipitating cause.
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References
1.
Delange F., Dodion J., Wolter R., et al. Transient hypothyroidism in the newborn infant. J Pediatr1978;92:974-6.
2.
La Franchi SH , Buist NR, Murphey WH, et al. Transient neonatal hypothyroidism detected by newborn screening program. Pediatrics1977;60:538-41.
3.
Gerard P., Bachy A., Battist O.Transient thyroid insufficiency in sick neonates. Acta Paediatr Belg1979;32:139.
4.
Delange F., Bourdoux P., Ketelbant-Balasse P., et al. Transient primary hypothyroidism in the newborn. In: Dussault JH, Walker P, eds. Congenital hypothyroidism. New York: Marcel Dekker; 1980;275-301.
5.
Delange F., Beckers C., Hofer R., et al. Progress report on neonatal screening for congenital hypothyroidism in Europe. In: Burrow GN, Dussault JH, eds. Neonatal thyroid screening . New York: Raven Press, 1980;107—31.
6.
Delange F., Vigneri R., Trimarchi F., et al. Etiologic factors of endemic goiter in north-eastern Sicily . J Endocrinol Invest1978;2:137-42.
7.
Sava L., Delange F., Belfoire A., et al. Transient impairment of thyroid function in newborns from an area of endemic goiter. J Clin Endocrinol Metab1983;59—65.
8.
Schonberger W., Grimm W., Gempp W., Dinkel E.Transient hypothyroidism associated with prematurity, sepsis, and respiratory distress. Eur J Pediatr1979;132:85-92.
9.
Dussault JH, Mitchell ML, La Franchi S, Murphey WHRegional Screening for congenital hypothyroidism: results of screening of one million North American infants with filter paper spot T4-TSH. In: Burrow GN, Dussault JH, eds. Neonatal thyroid screening. New York: Raven Press, 1980;155-6.
10.
Fisher DA, Dussault JH, Foley TP Jr, et al. Screening for congenital hypothyroidism. Results of screening on one million North American infants. J Pediatr1979;94:700.
11.
Takasu N., Mori T., Koizumi Y, Takenchi, Yamada T. Transient neonatal hypothyroidism due to maternal immunoglobulins that inhibit thyrotropin-binding and post-receptor process. J Clin Endocrinol Metab1984;59:142-6.
12.
Matsuura N. , Yamada Y., Nohara Y., et al. Familial neonatal transient hypothyroidism due to maternal TSH-binding inhibitor immunoglobulins. N Engl J Med1980;303:738-41.
13.
Chaoiki F., Delange F., Maoui R., et al. Neonatal hypothyroidism in endemic goiter in Algeria. Pediatr Res1985;19:614.
14.
Etling N.Concentration of thyroglobulin, iodine contents of thyroglobulin and of iodoaminoacids on human neonates thyroid glands. Acta Paediatr Scand1977;66:97-102.
15.
Delange F., Bourdoux P., Stenterre J.Evidence of a high requirement of iodine in preterm infants. Pediatr Res1984;18:106.
16.
Gregerman RI , Soloman N.Acceleration of thyroxine and triiodothyronine turnover during bacterial pulmonary infections and fever: implications for the functional state of the thryoid during stress and in senescence. J Clin Endocrinol Metab1967;27:93-105.
17.
Interdepartmental Committee on Nutrition for National Defense.Nutrition Survey in Lebanon. ICNND. Washington, D.C.1962.
18.
Najjar S., Woodruff C.Some observations on goitre in Lebanon. Am J Clin Nutr1963;13:646.
19.
Cowan J., Najjar S.Further observation on goitre in Lebanon. Am J Clin Nutr1965; 17:164.