Screening of congenital hyperthyroidism in Morocco: a pilot study
In Morocco we have no reliable information on the incidence of congenital hypothyroidism (HC). The aim of our study was to explore the feasibility of a neonatal screening program for this disease in Morocco. We conducted a screening campaign in the HC 15 615 newborns in the wilaya of Fez in north-ce...
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Veröffentlicht in: | Eastern Mediterranean health journal 2019-01, Vol.24 (11), p.1066-1073 |
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Sprache: | eng |
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Zusammenfassung: | In Morocco we have no reliable information on the incidence of congenital hypothyroidism (HC).
The aim of our study was to explore the feasibility of a neonatal screening program for this disease in Morocco.
We conducted a screening campaign in the HC 15 615 newborns in the wilaya of Fez in north-central Morocco. Positive cases have been followed up during seven years. Over the same period, we conducted a retrospective qualitative study among parents of newly screened positive newborns and health professionals.
Twelve cases of hypothyroidism have been confirmed, a frequency 1p1301 births. When excluding 4 cases of hypothyroidism transients, the frequency of HC becomes 1p1952 births, athyreosis represents 25% of cases, partial agenesis 25% of cases and 50 % of cases had normal thyroid glands in place; 67% are female and 33% male. The average age of testing was 17.1 ± 6.6 days and the start of treatment was 43.4 ± 8.7 days. Tracking cases brought under replacement therapy showed a good evolution of anthropometric parameters and psychomotor. The qualitative study found that parents are monitoring their babies very seriously despite the very low socio-economic class of the vast majority of them.
The results of our study support the need for the establishment of a neonatal screening programme for congenital hypothyroidism in Morocco. |
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ISSN: | 1020-3397 1687-1634 |
DOI: | 10.26719/2018.24.11.1066 |