Hypothyroidism in neonates and very young infants is usuallycaused by thyroid dysgenesis associated with an absent, ectopic,or hypoplastic gland1. It can be detected by neonatal screening,even if it is not clinically evident at that time. Althoughthis condition is usually permanent, it can be transient, asit is, for example, in infants of mothers with chronic autoimmunethyroiditis2,3. In these infants transplacental passage of maternalthyrotropin-receptor antibodies inhibits the action of thyrotropinon the infant's thyroid gland until the antibodies are metabolizedby the infant during the first several weeks of life2,3,4.
From the Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh (T.P.F.); the Department of Pediatrics, Georgetown University Medical Center, Washington, D.C. (V.A.); the Department of Pediatrics, University of Vermont College of Medicine, Burlington (K.C.C.); and the Department of Pediatrics, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo (M.B.D.).
Address reprint requests to Dr. Foley at Children's Hospital of Pittsburgh, 3705 Fifth Ave., Pittsburgh, PA 15213-2583.
References
This article has been cited by other articles:
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