Newborn disease screening: High TSH level of 13.4 - What should be done?

Patient's question:

Finger-prick blood test results for thyroid hormones showed 13.4, while the normal range is 6-9. Re-examination of T3 and T4 were normal. Thyroid-stimulating hormone (TSH) was 7.48, with a normal range of 0.27-4.2. The baby is 20 days old, and the doctor prescribed three boxes of vitamin A and D drops for home treatment to ensure full recovery. Follow-up re-examination is recommended after three weeks.

Doctor's answer:

Hello! Newborns have a high metabolism, so their TSH levels can be higher than those of adults. Currently, the child's T3 and T4 levels are normal, so it may not necessarily be abnormal. It is recommended to follow the doctor's advice and wait and see for a while. Recheck the five thyroid function tests after 1-2 months. If T3 and T4 are normal or slightly elevated, and TSH is decreasing, it is normal. If the opposite is true, the child truly has hypothyroidism and needs to start medication as soon as possible. Wishing the baby healthy growth!

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