ENDO-DIABETOLOGY

Medical Student

IUGR child was born to a hypothyroid women at 37 weeks. The mother had TSH 20mIU/L at 32 weeks, anti TPO &gt;1300, started on 100mcg LT4. Neonatal screening for congenital hypothyroidism was not performed. However, at 2 weeks after delivery, detailed evaluation of newborn was done. His TSH 13 at 18 days.

What would be the appropriate next step?

A.Start LT4 immediately

B.Start LT4 immediately and send samples for fT4, fT3

C.Repeat TSH after 2 weeks

D.Reassure and remeasure TSH at 3 years age.

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To participate in World Thyroid Day quiz, type your answers in the comments.

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Dr. Sarita Bajaj

Indian Thyroid Society

A delayed diagnosis of congenital hypothyroidism causes trouble. Can you solve it?