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Journal of Tropical Pediatrics 1989 35(6):312-314; doi:10.1093/tropej/35.6.312
© 1989 by Oxford University Press
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Congenital Hypothyroidism in Kuwait

A. S. Daoud*,, M. Zaki*, Q. A. Al-Saleh*, A. S. Teebi** and S. A. Al-Awadi**

*Pediatric Department, Farwania Hospital Kuwait
**Kuwait Medical Genetics Centre, Maternity Hospital Kuwait

Correspondence: Dr A. S. Daoud, MRCP, P.O. Box 17517,Al-Khaldeya 72456, Kuwait

During a 7-year period (1981–1987), 25 children with congenital hypothyroldism were diagnosed in a regional hospital in Kuwait. The calculated incidence was 1:3476 live births. The diagnosis relied on clinical manifestation and confirmed by thyroid function tests. The age at diagnosis ranged between 3 weeks and 7 years with a mean of 18.5 months. Seven patients (28 per cent) were diagnosed in the first months, six in the following 5 months (24 per cent), and 12 diagnosed after the age of 6 months (48 per cent). Thyroid scan (TC-99M) was performed for 13 patients, four had thyroid aplasia, three had ectopia, and six had thyroid in normal position. In 1986–1987, two patients were detected by neonatal screening. Mental development was the best in the children who received thyroid hormone replacement in the first months of life. Until a neonatal screening programme is widely available in developing countries, increased clinical awareness will remain the main way for the detection of congenital hypothyroidism.


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