Congenital Hypothyroidism

Congenital hypothyroidism is an abnormality in the development of thyroid gland (dysgenesis or agenesis) and defect in the biosinthesis of thyroide hormones. Endemic iodine deficiency genetic mutation and hemangiomas are the main causes.Untreated congenital hypothyroidism leads to Cretinism. Thyroid function screening in neonates is essential for not delaying diagnosis.If diagnosis is delayed clinical manifestations are seen like mental retardation, deafness,short stature or facial dephormities. The objective of this study was to evaluate the Incidence of Congenital Hypothyroidism in a group of newborn babies registered in Health care Pediatrics Center during 2016-2018. A cross-sectional study was conducted with a sample size of 366 babies born from January 2016 to June-2018 and registered in Health care Pediatric Department. Of these, 2 babies were diagnosed with Congenital Hypothyroidism. Babies with Down Syndrome were included in the study. Collection was done by observing the whole process starting from baby presentation and history taking to final diagnosis and treatment by Endocrinologist Pediatricien. Neonatal Screening was performed in 59 babies. Babies were born in Private Hospitals.11 babies were born outside Albania and had no referece if they did neonatal screening. This study was conducted after the approval of the directory of Primary Health center and the. The inclusion criteria were all babies born from January 2016 to June 2018. Only 59 babies did Neonatal Screening for Congenital Hypothyroidism. These babies were babies born in Private Hospitals that include Neonatal Screening to all babies born. None of the babies screened resulted with deficiency. The diagnose was difficult in babies without Screening. There were two babies diagnosed with Congenital Hypothyroidism. The 2 babies were diagnosed late because of lack of clinical manifestations. One of the babies was diagnosed with Cretinism. The other babies delay in diagnose came from mother who didn’t accept her baby suffered from Congenital Hypothyroidism and refused to make Tests