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What Causes Congenital Hypothyroidism?

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Posted on Mon, 14 Apr 2014
Question: Hi, We are blessed with a baby girl on 23 Feb 2014. After her birth hospital did some lab tests of her blood. I am just going through those reports. The ultra TsH report dated 24 Feb 2014(taken a day after her birth) gives result 9.87 uiu/ml. This number is not lying in that normal range given in report. Is it normal? Please advice.
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Answered by Dr. Venkata Subrahmanaym Mukkavilli (48 minutes later)
Brief Answer: The TSH report obtained on 23-2-2014 is normal. Detailed Answer: Hi, Thanks and welcome to healthcare magic. About 1: 4000 infants suffer from congenital hypothyroidism. 4% of infants born to mothers bolnging to endemic iodine deficient belt in India have biochemical evidence of hyperthyroidism . Examination of blood ( cord blood or baby's blood ) is done after 3-4 postnatal days. TSH levels more than 50 uiU/ml in cord blood are diagnostic of neonatal hypothyroidism . The present levels seem to be normal. Better repeat the test again . Hope this answer serves your purpose. Please feel free to ask further queries if required. Take care. Dr.M.V.Subrahmanyam.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Venkata Subrahmanaym Mukkavilli (18 hours later)
Hello Doctor, Thanks for your response. Just another question - Baby's mother is already having the Thyroid problem and she takes a Thyonorm 25 tab daily. Is Thyroid problem is hereditary? What are the chances that thyroid problem will be there with Baby also? Is their any defined age when thyroid problem occurs in general?
doctor
Answered by Dr. Venkata Subrahmanaym Mukkavilli (7 hours later)
Brief Answer: No genetic association has been observed. Detailed Answer: Hi, Thaks and welcome to HCM with your follow up question. Primary hypothyroidism occurs due to Iodine deficiency, Thyroid dysgenesis(75%), ,defects in the synthesis of thyroid hormone, Autoimmune thyroiditis(acquired) and central due to defects in hypothalamic - pituitary axis. Hypothroidism can occur at any age including adults No genetic association has been observed. Hope this reply serves your purpose . Please feel free to ask further queries if required. Dr.M.V.Subrahmanyam.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Venkata Subrahmanaym Mukkavilli

Pediatrician

Practicing since :1967

Answered : 2341 Questions

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What Causes Congenital Hypothyroidism?

Brief Answer: The TSH report obtained on 23-2-2014 is normal. Detailed Answer: Hi, Thanks and welcome to healthcare magic. About 1: 4000 infants suffer from congenital hypothyroidism. 4% of infants born to mothers bolnging to endemic iodine deficient belt in India have biochemical evidence of hyperthyroidism . Examination of blood ( cord blood or baby's blood ) is done after 3-4 postnatal days. TSH levels more than 50 uiU/ml in cord blood are diagnostic of neonatal hypothyroidism . The present levels seem to be normal. Better repeat the test again . Hope this answer serves your purpose. Please feel free to ask further queries if required. Take care. Dr.M.V.Subrahmanyam.