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Editorial
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Volume 334:857-858 March 28, 1996 Number 13
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Prematurity-Associated Neurologic and Developmental Abnormalities and Neonatal Thyroid Function

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The first complete description of transient hypothyroxinemia in low-birth-weight infants dates from 1981,1 and there has since been much speculation about the causes of the phenomenon. The hypothyroxinemia may be caused by a special type of nonthyroidal illness, although an association with the severity of prenatal or postnatal illness has never been demonstrated, by a metabolic adaptation of the preterm infant to extrauterine life, especially to the impaired oxygenation caused by the respiratory distress syndrome, or by incomplete maturation of the hypothalamic–pituitary–thyroid axis. This transient hypothyroxinemia is seldom called hypothyroidism, because most authors believe that thyroxine therapy is not justified. . . . [Full Text of this Article]

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