Measurement of urinary iodine excretion to reveal iodine excess in neonatal transient hypothyroidism

G. Bona, E. Chiorboli, A. Rapa, G. Weber, M. C. Vigone, G. Chiumello

Research output: Contribution to journalArticlepeer-review

Abstract

This study was undertaken to confirm the importance of iodine excess in neonatal transient hypothyroidism. In 30 transient hypothyroid newborns at screening we measured urinary iodine excretion and TSH. They were divided into two groups: group A consisted of 21 newborns who had been exposed to iodine; group B of 9 non-exposed newborns. The two groups were significantly different only for median urinary iodine excretion (p=0.001). In 61.5% of newborns of group A, iodine exposure caused iodine excess (urinary iodine excretion higher than 185 μg/l); this correlated with a higher prevalence of prematurity and a lower mean gestational age. Clinical records should reveal iodine exposure, but only urinary iodine excretion shows iodine excess. We suggest that evaluation at birth of urinary iodine excretion in every newborn with high TSH could help in predicting a good prognosis, since hypothyroidism due to the Wolff-Chaikoff effect is always spontaneously reversible, even if treatment may be suggested.

Original languageEnglish
Pages (from-to)739-743
Number of pages5
JournalJournal of Pediatric Endocrinology and Metabolism
Volume11
Issue number6
Publication statusPublished - 1998

ASJC Scopus subject areas

  • Endocrinology
  • Pediatrics, Perinatology, and Child Health

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