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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
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- 학술저널
- 저자정보
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- 대한소아내분비학회 Annals of Pediatirc Endocrinology & Metabolism Annals of Pediatirc Endocrinology & Metabolism 제24권 제1호
- 발행연도
- 2019.1
- 수록면
- 15 - 21 (7page)
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초록· 키워드
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Preterm infants can suffer various thyroid dysfunctions associated with developmental immaturity of the hypothalamic-pituitary-thyroid axis, postnatal illness, medications, or iodine supply. The incidence of thyroid dysfunction among preterm infants is higher than that among term infants and has been increasing with improvement in the survival of preterm infants. Hypothyroxinemia is frequently observed during the first week of life in extreme preterm neonates, and the incidence of delayed thyrotropin elevation is high at the age of 2–6 weeks. Although the necessity of routine rescreening remains controversial, recent guidelines on screening for congenital hypothyroidism have recommended rescreening of all preterm neonates. Thyroid hormone replacement is recommended for persistent thyrotropin elevation with or without hypothyroxinemia. Hypothyroxinemia without thyrotropin elevation does not require treatment, and some potential risks of levothyroxine supplementation have been reported. Although most thyroid dysfunctions are transient, careful follow-up after discontinuation of levothyroxine is considered so as to avoid missing persistent hypothyroidism.
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참고문헌 (60)
참고문헌 신청
Dussault JH / 1975 / Preliminary report on a mass screening program for neonatal hypothyroidism / J Pediatr 86:670~674
이동환 / 2008 / 한국 소아 내분비 및 대사질환의 역학 / Clinical and Experimental Pediatrics 51(6):559~563
Mitchell ML / 2016 / Unresolved issues in the wake of newborn screening for congenital hypothyroidism / J Pediatr 173:228~231.e1
American Academy of Pediatrics / 2006 / Update of newborn screening and therapy for congenital hypothyroidism / Pediatrics 117:2290~2303
Léger J / 2014 / European Society for Paediatric Endocrinology consensus guidelines on screening, diagnosis, and management of congenital hypothyroidism / Horm Res Paediatr 81:80~103
이동환 / 2008 / 한국 소아 내분비 및 대사질환의 역학 / Clinical and Experimental Pediatrics 51(6):559~563
Mitchell ML / 2016 / Unresolved issues in the wake of newborn screening for congenital hypothyroidism / J Pediatr 173:228~231.e1
American Academy of Pediatrics / 2006 / Update of newborn screening and therapy for congenital hypothyroidism / Pediatrics 117:2290~2303
Léger J / 2014 / European Society for Paediatric Endocrinology consensus guidelines on screening, diagnosis, and management of congenital hypothyroidism / Horm Res Paediatr 81:80~103
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