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Related Experiment Videos

Screening for congenital hypothyroidism in Turkey

N Yordam1, A S Calikoğlu, S Hatun

  • 1Hacettepe University, Department of Paediatric Endocrinology, Ankara, Turkey.

European Journal of Pediatrics
|August 1, 1995
PubMed
Summary

Congenital hypothyroidism (CH) incidence in Turkey is high at 1:2736. This pilot study highlights the need for a nationwide newborn screening program to detect CH early and initiate timely treatment.

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Area of Science:

  • Endocrinology
  • Pediatrics
  • Public Health

Background:

  • Congenital hypothyroidism (CH) is a common endocrine disorder in newborns.
  • Early detection and treatment are crucial to prevent irreversible intellectual disability.
  • The incidence of CH varies globally, necessitating regional data collection.

Purpose of the Study:

  • To determine the incidence of CH in Turkey.
  • To establish a model for a nationwide CH screening program.
  • To assess the feasibility of integrating CH screening with existing newborn screening initiatives.

Main Methods:

  • A pilot study screened 30,097 newborns in Turkey between December 1991 and December 1992.
  • Thyroid-stimulating hormone (TSH) levels were measured in capillary blood on days 3-5 of life.

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  • Screening was conducted in collaboration with the national phenylketonuria screening program.
  • Main Results:

    • Eleven cases of primary CH were identified, yielding an incidence of 1:2736.
    • The recall rate for further testing was 2.3%.
    • Replacement therapy with L-thyroxine was initiated, with a median age of 23 days.

    Conclusions:

    • The incidence of CH in Turkey is significantly higher than in many other countries.
    • Potential contributing factors include iodine deficiency and/or dyshormonogenesis.
    • The findings strongly support the implementation of a nationwide CH screening program in Turkey.