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In France, the incidence of congenital hypothyroidism has increased significantly since the newborn screening program was introduced in 1978. The largest increase is seen in children with eutopic thyroid gland. More than one-third of children with eutopic gland have transient hypothyroidism. Clinical practice guidelines recommend to re-evaluate thyroid function in children with eutopic gland around the age of 3 years to determine whether hypothyroidism is transient or permanent. Up until today it is still difficult to determine early on whether hypothyroidism is transient or permanent in children with eutopic gland. Our aim is to identify one or more predictive factors for transient congenital hypothyroidism in children with eutopic gland or thyroid hemiagenesis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transient congenital hypothyroidism | - children with congenital hypothyroidism who are no longer treated with Levothyroxine at an age of 3 years and 6 months | ||
| Permanent congenital hypothyroidism | - children with congenital hypothyroidism who are still treated with Levothyroxine at an age of 3 years and 6 months |
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| Measure | Description | Time Frame |
|---|---|---|
| Identify one or more predictive factors for transient congenital hypothyroidism in children with eutopic gland or thyroid hemiagenesis. | 42 months |
| Measure | Description | Time Frame |
|---|---|---|
| Compare the dose of Levothyroxine between children with transient and permanent congenital hypothyroidism at 6 months, 1 year, 2 years and 3 years follow-up. | 6 months, 1 year, 2 years, 3 years | |
| Assess the percentage of children with psychomotor impairment at the age of 3,5 years in both groups. |
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Inclusion Criteria:
Exclusion Criteria:
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Children with congenital hypothyroidism either detected by newborn screening or by a blood test done because of clinical suspicion of hypothyroidism, in Lorraine, between 1996 and 2017. All the patients with confirmed hypothyroidism underwent thyroid imaging. The children with eutopic gland and hemiagenesis are included in this study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emeline Renard, MD | Contact | +33 3 83 15 45 00 | e.renard@chru-nancy.fr |
| Name | Affiliation | Role |
|---|---|---|
| Emeline Renard, MD | CHRU Nancy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU Nancy | Recruiting | Nancy | 54000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36798001 | Derived | Bontemps SH, Legagneur C, Gueant-Rodriguez RM, Remen T, Luc A, Renard E. Congenital hypothyroidism in children with eutopic gland or thyroid hemiagenesis: prognostic factors for transient vs. permanent hypothyroidism. J Pediatr Endocrinol Metab. 2023 Feb 20;36(4):353-363. doi: 10.1515/jpem-2022-0101. Print 2023 Apr 25. |
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| ID | Term |
|---|---|
| D003409 | Congenital Hypothyroidism |
| ID | Term |
|---|---|
| D004392 | Dwarfism |
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| 42 months |
| Assess how many children have had a hearing evaluation in both groups (excluding the newborn hearing screening). | 42 months |
| D001849 |
| Bone Diseases, Endocrine |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D004700 | Endocrine System Diseases |
| D007037 | Hypothyroidism |
| D013959 | Thyroid Diseases |