Missed congenital hypothyroidism in an identical twin

Newborn screening for congenital hypothyroidism has been remarkably effective, although rare cases of false negative screening have been reported in same sex twins, presumptively due to fetal blood exchange. We report a case in which the diagnosis of congenital hypothyroidism due to thyroid ectopia...

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Veröffentlicht in:Journal of paediatrics and child health 2012-10, Vol.48 (10), p.936-938
Hauptverfasser: Azam, Anita, Cutfield, Wayne, Mouat, Fran, Hofman, Paul L, Jefferies, Craig, Webster, Dianne, Gunn, Alistair Jan
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Sprache:eng
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Zusammenfassung:Newborn screening for congenital hypothyroidism has been remarkably effective, although rare cases of false negative screening have been reported in same sex twins, presumptively due to fetal blood exchange. We report a case in which the diagnosis of congenital hypothyroidism due to thyroid ectopia in a monozygotic twin was delayed by 8 months, with a normal newborn screening TSH level of 11 mIU/L blood (normal 
ISSN:1034-4810
1440-1754
DOI:10.1111/j.1440-1754.2012.02554.x