Tyfield L A, Abusrewil S S, Jones S R, Savage D C
Neonatal Screening Laboratory, Southmead Hospital, Bristol, UK.
Eur J Pediatr. 1991 Mar;150(5):308-9. doi: 10.1007/BF01955927.
We describe three children, now aged between 5 and 6 years, with a persistent mild hyperthyrotropinaemia since the neonatal period and normal levels of thyroid hormones. The increased thyroid stimulating hormone concentration is not artefactual and is not caused by antibody interferences. Their growth and development is normal and none has received thyroid hormone replacement. We believe that they have compensated hypothyroidism, and that before the advent of screening for congenital hypothyroidism these children would have presented in mid-childhood with juvenile hypothyroidism.
我们描述了三名儿童,目前年龄在5至6岁之间,自新生儿期以来一直存在持续性轻度促甲状腺激素血症,甲状腺激素水平正常。促甲状腺激素浓度升高并非人为因素所致,也不是由抗体干扰引起的。他们的生长发育正常,均未接受过甲状腺激素替代治疗。我们认为他们患有代偿性甲状腺功能减退症,在先天性甲状腺功能减退症筛查出现之前,这些儿童在童年中期会表现为青少年甲状腺功能减退症。