Congenital hypothyroidism

• April 26, 2024

Primary congenital hypothyroidism is a condition endocrine that occurs from birth, as a consequence of the absolute or relative deficiency of thyroid hormones during the intrauterine stage or at the time of birth .

In the document "Neonatal screen, detection and timely and comprehensive treatment of hypothyroidism. Technical guidelines ", edited by the National Center for Gender Equity and Reproductive Health and the Ministry of Health in 2007, classify congenital hypothyroidism according to its origin in:

1. Primary congenital hypothyroidism (HCP), which is characterized by insufficiency for the synthesis of thyroid hormones by primary alteration of the thyroid gland, with an integral hypothalamic-pituitary axis and constitutes the majority of HC cases. 2. Secondary congenital hypothyroidism (deficiency at the hypophyseal level).

3. Tertiary hypothyroidism. (deficiency of stimulation by TSH, by problem at hypothalamic level, with a structural and functionally intact thyroid gland).

The detection of cases of congenital hypothyroidism (CH) must be carried out during the first 12 days of the newborn's life, so that the confirmation of the diagnosis and the beginning of the treatment happens before 15 days of life.

For prevention, the neonatal screening is recommended, since it is an effective preventive measure and of accessible cost that helps the detection of children affected by HC.

Video Medicine: Hypothyroidism in Children (April 2024).