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CONGENITAL HYPOTHYROIDISM

Jump to a test by clicking a link below.

Decreased T4, with TSH results in the normal range

Most infants with this combination of results have normal thyroid function and subsequently demonstrate normal T4 levels. However, a small percentage do in fact have thyroid abnormalities; clinical judgment is thus required in determining the timing and extent of follow-up.

Recommend reading the letter sent from the health department regarding conditions to consider in your assessment of child and determining follow-up.

For more information:

  • Refer to the health department (ADH) letter that was faxed to you.
  • Call 501-364-4050 to speak with the Newborn Screening Coordinator or page at 501-364-1100.

Borderline elevation of TSH.

This infant may have congenital hypothyroidism.

1 - Contact parent/guardian to check on the health of the infant.

  • Affected newborns may appear normal up to three months of age.
  • Signs/Symptoms of hypothryoidism: Delayed passing of stools, jaundice, feeding problems, excessive sleep, hypotonia, pallor, dry cool skin, umbilical hernia, swelling of the tongue, periorbital edema, delayed closure of fontanels
  • IF symptomatic, Consult with Pediatric Endocrinologist.

2 - Do these tests:

  • Obtain serum free T4 and TSH
  • Consult with pediatric endocrinologist if serum results abnormal

For more information:

  • Refer to the health department (ADH) letter that was faxed to you and information at the ADH website. Download the letter.
  • Call 501-364-4050 to speak with the Newborn Screening Coordinator or page at 501-364-1100.

Highly elevated thyroid stimulating hormone (TSH).

This infant may have congenital hypothyroidism.

1 - Contact parent/guardian TODAY to check on the health of the infant.

  • Affected newborns may appear normal up to three months of age.
  • Signs/Symptoms of hypothryoidism: Delayed passing of stools, jaundice, feeding problems, excessive sleep, hypotonia, pallor, dry cool skin, umbilical hernia, swelling of the tongue, periorbital edema, delayed closure of fontanels.

2 - If symptomatic: Promptly do serum free T4 and TSH testing AND Consult with pediatric endocrinologist.

3 - Do these tests:

  • Serum free T4
  • Serum TSH

For questions about clinical evaluation, testing and follow up, please call 501-364-4050 to speak with the Newborn Screening Coordinator or page at 501-364-1100.

For more information

  • Refer to the health department (ADH) letter that was faxed to you and information at the ADH website. Download the letter.
  • Call 501-364-4050 to speak with the Newborn Screening Coordinator
  • Page at 501-364-1100.

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