Biochemical investigation of foetal and neonatal thyroid function using the ACS-180SE analyser: clinical application.

Abstract:

:Despite sonographic detection of foetal goitre, uncertainty persists in the initial diagnosis of thyrotoxicosis and hypothyroidism. The aim of this study was to establish foetal and neonatal iodothyronine and thyrotrophin reference values for the ACS-180SE analyser. From 22 to 36 weeks of gestation, median foetal serum free thyroxine (FT4) levels increased from 6.0 pmol/L to 143 pmol/L, while free tri-iodothyronine (FT3) levels increased from 0.7 pmol/L to 1.9 pmol/L and mean thyrotrophin (TSH) levels remained stable (10.2 +/- 3.8mU/L; n = 33). At birth, concentrations were independent of gender and gestational age. Among the 10 cases of sonographically detected foetal goitre, serum TSH and FT4 were measured in five, showing hypothyroidism (3/5) or hyperthyroidism (2/5). Cord blood TSH levels reflected the efficacy of prenatal therapy. Measurement of foetal FT4 and TSH can be used to confirm foetal thyroid dysfunction, whereas treatment efficacy can be assessed sonographically and confirmed by measurement of TSH assay at birth.

journal_name

Ann Clin Biochem

authors

Guibourdenche J,Noël M,Chevenne D,Vuillard E,Voluménie JL,Polak M,Boissinot C,Porquet D,Luton D

doi

10.1177/000456320103800509

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

520-6

issue

Pt 5

eissn

0004-5632

issn

1758-1001

journal_volume

38

pub_type

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