Random variability in congenital hypothyroidism from thyroid dysgenesis over 16 years in québec

Research on the etiology of congenital hypothyroidism from thyroid dysgenesis (CHTD) (comprising mostly ectopy and agenesis) over the past decade has focused on genetic mechanisms. However, the possibility that environmental factors might be involved has been raised by studies showing a seasonal var...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2007-08, Vol.92 (8), p.3158-3161
Hauptverfasser: DELADOËY, Johnny, BELANGER, Nicole, VAN VLIET, Guy
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creator DELADOËY, Johnny
BELANGER, Nicole
VAN VLIET, Guy
description Research on the etiology of congenital hypothyroidism from thyroid dysgenesis (CHTD) (comprising mostly ectopy and agenesis) over the past decade has focused on genetic mechanisms. However, the possibility that environmental factors might be involved has been raised by studies showing a seasonal variability of the incidence of CHTD. The objective of this study was to assess the variability in incidence of CHTD in the province of Québec, Canada. The Québec provincial newborn screening database was analyzed from January 1990 to December 2005. Only cases of permanent congenital hypothyroidism with thyroid ectopy or agenesis on scintigraphy were analyzed. During the study period, 1,303,341 children were screened, and 424 cases of permanent congenital hypothyroidism were diagnosed, giving an overall incidence of 1:3074. Of these, 306 had CHTD (overall incidence 1:4259) from either ectopy (n = 231) or agenesis (n = 75). Over the 16 yr of the study, this incidence remained stable (P = 0.57), and no significant variability in monthly incidence was found (P = 0.87). The incidence of CHTD did not vary over the observation period, and its monthly variation was random. Therefore, environmental factors do not appear to play a significant role in the etiology of CHTD.
doi_str_mv 10.1210/jc.2007-0527
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source MEDLINE; Oxford University Press Journals Current; EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Biological and medical sciences
Choristoma - epidemiology
Congenital Hypothyroidism - epidemiology
Databases, Factual
Endocrinopathies
Environment
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Humans
Infant, Newborn
Male
Medical sciences
Neonatal Screening
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Quebec - epidemiology
Seasons
Thyroid Dysgenesis - epidemiology
Thyroid. Thyroid axis (diseases)
Thyrotropin - blood
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
title Random variability in congenital hypothyroidism from thyroid dysgenesis over 16 years in québec
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