Pediatric endocrinology

Delayed Thyrotropin Rise in Preterm Newborns: Value of Multiple Screening Samples and of a Detailed Clinical Characterization

ThyroidPublished Retrospective cohort study

Authors' conclusion

Permanent CH appears to be rarer than transient CH among preterm newborns (1/1789 vs. 1/596).

Study context

Population
Preterm newborns (<37 weeks of gestation) screened at the Newborn Screening Center of Université Libre de Bruxelles, January 2014–December 2023
Participants
3,578 newborns
Outcome
Incidence of transient and permanent CH and delayed TSH rise in preterm newborns
Methodological detailssingle-centre, with literature review, Literature review performed to identify cases of permanent congenital hypothyroidism (CH) with delayed TSH rise in preterm cohorts
  • Single-centre
  • With literature review
  • Literature review performed to identify cases of permanent CH with delayed TSH rise in preterm cohorts

Main finding

As reported in the abstract

Incidence of CH in preterm newborns
Diagnosed with CH
10 (0.3%)
Transient CH
6 out of 10
Permanent CH
2; 1 in 1789 (0.05%)
Detected at first dry blood spot (DBS)
6
Detected at subsequent DBS
4
Permanent CH with delayed TSH rise
1 of 2

Observational data: associations, not effects.

Further findings

Genetic testing helped establish diagnosis of permanent CH with gland in situ

Original publication

Delayed Thyrotropin Rise in Preterm Newborns: Value of Multiple Screening Samples and of a Detailed Clinical Characterization. Thyroid. Published 11 June 2025. doi:10.1089/thy.2025.0051

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