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采用微滤纸法进行17-α-羟孕酮放射免疫测定对先天性肾上腺皮质增生症进行新生儿筛查。对22233例病例研究获得的经验。

Neonatal screening for congenital adrenal hyperplasia using a microfilter paper method for 17-alpha-hydroxyprogesterone radioimmunoassay. Experience gained from the study of 22,233 cases.

作者信息

Cacciari E, Balsamo A, Cassio A, Piazzi S, Bernardi F, Salardi S, Cicognani A, Pirazzoli P, Zappulla F, Capelli M, Paolini M

出版信息

Horm Res. 1982;16(1):4-9. doi: 10.1159/000179479.

DOI:10.1159/000179479
PMID:7068111
Abstract

We examined 22,233 infants born in Emilia-Romagna (Italy). Capillary blood samples for 17-OH-progesterone assay were collected on the 3rd, 4th, 5th, 6th or 7th day of life on filter paper of the same type used for the screening of aminoacidopathy and hypothyroidism. 17-OH-progesterone values were determined using a micromethod modified from that of Pang and co-workers. 20 pg/disk was considered as a threshold value and called for a second assay, which was performed in 0.18% of the cases. Pathologic values of 17-OH-progesterone were confirmed in the serum of 4 neonates. In our population the incidence of 21-hydroxylase deficiency was found to be 1 out of 5,558 cases.

摘要

我们对在意大利艾米利亚 - 罗马涅出生的22233名婴儿进行了检查。在出生后第3、4、5、6或7天,采集用于检测17 - 羟基孕酮的毛细血管血样,血样采集于用于筛查氨基酸病和甲状腺功能减退症的同类型滤纸上。使用从庞及其同事的方法改良而来的微量法测定17 - 羟基孕酮值。20 pg/盘被视为阈值,当达到该阈值时需进行第二次检测,在0.18%的病例中进行了第二次检测。在4名新生儿的血清中证实了17 - 羟基孕酮的病理值。在我们的研究人群中,发现21 - 羟化酶缺乏症的发病率为每5558例中有1例。

相似文献

1
Neonatal screening for congenital adrenal hyperplasia using a microfilter paper method for 17-alpha-hydroxyprogesterone radioimmunoassay. Experience gained from the study of 22,233 cases.采用微滤纸法进行17-α-羟孕酮放射免疫测定对先天性肾上腺皮质增生症进行新生儿筛查。对22233例病例研究获得的经验。
Horm Res. 1982;16(1):4-9. doi: 10.1159/000179479.
2
Neonatal screening for congenital adrenal hyperplasia.先天性肾上腺皮质增生症的新生儿筛查。
Arch Dis Child. 1983 Oct;58(10):803-6. doi: 10.1136/adc.58.10.803.
3
Neonatal screening for congenital adrenal hyperplasia using 17-hydroxyprogesterone assay in filter paper blood spots.使用滤纸血斑中的17-羟孕酮检测法对先天性肾上腺皮质增生症进行新生儿筛查。
Horm Res. 1988;30(6):235-40. doi: 10.1159/000181069.
4
Neonatal screening for 21-hydroxylase deficiency: a microfilter paper method for 17-alpha-hydroxyprogesterone assay.
J Endocrinol Invest. 1982 Mar-Apr;5(2):87-90. doi: 10.1007/BF03350496.
5
Congenital adrenal hyperplasia: neonatal mass screening compared with clinical diagnosis only in the Emilia-Romagna region of Italy, 1980-1995.先天性肾上腺增生症:1980 - 1995年意大利艾米利亚 - 罗马涅地区新生儿群体筛查与仅临床诊断的比较
Pediatrics. 1996 Sep;98(3 Pt 1):362-7.
6
[Neonatal mass-screening for congenital adrenal hyperplasia due to 21-hydroxylase deficiency. I. Microfilter paper methods for radioimmunoassay of 17 alpha-hydroxyprogesterone].[新生儿21-羟化酶缺乏所致先天性肾上腺皮质增生症的群体筛查。I. 17α-羟孕酮放射免疫测定的微量滤纸法]
Nihon Naibunpi Gakkai Zasshi. 1983 Dec 20;59(12):1845-9. doi: 10.1507/endocrine1927.59.12_1845.
7
[Neonatal screening for congenital hypothyroidism. Experience at a Regional Center].[先天性甲状腺功能减退症的新生儿筛查。某地区中心的经验]
Pediatr Med Chir. 1983 Nov-Dec;5(6):457-63.
8
Enzyme immunoassay of 17-hydroxyprogesterone in plasma, microfilter paper blood and saliva of newborns, children and patients with congenital adrenal hyperplasia.
Endokrinologie. 1982 Jun;79(2):165-72.
9
Screening for congenital adrenal hyperplasia: the Delfia Screening Test overestimates serum 17-hydroxyprogesterone in preterm infants.先天性肾上腺皮质增生症的筛查:德尔菲亚筛查试验高估了早产儿血清17-羟孕酮水平。
Pediatrics. 1996 Jan;97(1):100-2.
10
"Dot-17 alpha-hydroxyprogesterone" radioimmunoassay for identification of congenital adrenal hyperplasia in young infants.
Acta Paediatr Scand. 1981 Nov;70(6):913-7. doi: 10.1111/j.1651-2227.1981.tb06250.x.

引用本文的文献

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Effect of gender, birth weight and gestational age on serum 17-hydroxyprogesterone concentration and distribution among neonates in Saudi Arabia.性别、出生体重和胎龄对沙特阿拉伯新生儿血清17-羟孕酮浓度及分布的影响。
Indian J Pediatr. 1995 Sep-Oct;62(5):605-9. doi: 10.1007/BF02761890.
2
Neonatal screening for congenital adrenal hyperplasia.先天性肾上腺皮质增生症的新生儿筛查。
Arch Dis Child. 1983 Oct;58(10):803-6. doi: 10.1136/adc.58.10.803.
3
Neonatal screening for congenital adrenal hyperplasia: a pilot study in France.法国先天性肾上腺皮质增生症的新生儿筛查:一项试点研究
J Inherit Metab Dis. 1986;9 Suppl 1:147-51. doi: 10.1007/BF01800869.
4
Neonatal screening programme for congenital adrenal hyperplasia in a homogeneous Caucasian population.在同质化白种人群中开展的先天性肾上腺皮质增生症新生儿筛查项目。
J Inherit Metab Dis. 1986;9 Suppl 1:142-6. doi: 10.1007/BF01800868.