Evidence map›Paper›PMID 40678318›Full record

ArticleFrontiers in endocrinology2025

Single-center prospective study on thyroid function outcomes and neurological prognoses at 3 years of age in children with mild neonatal hyperthyrotropinemia.

Guoyu Sun, Rui Zhang, Jianing Zhang, Yanxia Zhou, Zezhong Tang, Lili Liu, Xinlin Hou

Abstract read
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Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Guoyu SunDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Rui ZhangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Jianing ZhangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Yanxia ZhouDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Zezhong TangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Lili LiuDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Xinlin HouDepartment of Pediatrics, Peking University First Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore early management strategies for full-term neonates with TSH 5-10 mU/L and normal FT4. Methods: In this single-center longitudinal prospective study, 88 neonates diagnosed at 7-14 days were followed to age three. Results: 94.3% (83/88) had transient TSH elevation; 77 normalized within two months without treatment, while six received levothyroxine (3-5µg/kg/day). Five neonates (5.7%) exhibited persistent hyperthyrotropinemia and had significantly higher initial TSH. No hyperthyroidism was observed. Following up to 3 years old, only one child (1/81, 1.2%) exhibited development delay in personal-social development. Neonates with transient hyperthyrotropinaemia scored higher in problem-solving and personal-social domains than those with persistent hyperthyrotropinaemia. Neonatal FT4 at 7-14 days, timing of TSH normalization, and maternal early-pregnancy FT4 influenced the neurodevelopment of neonates. Infants of mothers with gestational diabetes scored lower in the personal-social domain. Conclusions: Persistent hyperthyrotropinemia occurs in 5.7% of mild cases and is associated with higher initial TSH. Levothyroxine at 3-5 µg/kg/day is both adequate and safe. The majority of neonates got a normal neurodevelopment by age 3, and the subtle difference between transient and persistent hyperthyrotropinemia was impacted by both maternal and neonatal factors.

Indexed as

HyperthyroidismThyroid GlandThyrotropinThyroxineChild, PreschoolFemaleFollow-Up StudiesHumansInfantInfant, NewbornLongitudinal StudiesMalePrognosisProspective StudiesThyroid Function TestsThyrotropinThyroxinehyperthyrotropinaemiahypothyroidismlevothyroxineneonatesneurological prognoses

Identifiers

PMID40678318
PMCPMC12267032

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.