Most infants with this combination of results have normal thyroid function and subsequently demonstrate normal T4 levels. However, a small percentage do in fact have thyroid abnormalities; clinical judgment is thus required in determining the timing and extent of follow-up.

Recommend reading the letter sent from the health department regarding conditions to consider in your assessment of child and determining follow-up.

For more information, refer to the health department (ADH) letter that was faxed to you. Call 501-364-4050 to speak with the Newborn Screening Coordinator or page at 501-364-1100.
This infant may have congenital hypothyroidism.

  • Steps
    • Contact parent/guardian to check on the health of the infant.
      • Affected newborns may appear normal up to three months of age.

  • Signs/Symptoms of hypothyroidism (If symptomatic consult wit pediatric endocrinologist)
    • Delayed passing of stools
    • Jaundice
    • Problemas de alimentación
    • Excessive sleep
    • Hipotonía
    • Pallor
    • Dry cool skin
    • Umbilical hernia
    • Swelling of the tongue
    • Periorbital edema
    • Delayed closure of fontanels

  • Do these tests:
    • Obtain serum free T4 and TSH
    • Consult with pediatric endocrinologist if serum results abnormal

  • For more information, refer to the health department (ADH) letter that was faxed to you and information at the ADH website. Call 501-364-4050 to speak with the Newborn Screening Coordinator or page at 501-364-1100.
This infant may have congenital hypothyroidism.
  • Steps
    • Contact parent/guardian TODAY to check on the health of the infant.
      • Affected newborns may appear normal up to three months of age.
      • If symptomatic, promptly do serum free T4 and TSH testing AND consult with pediatric endocrinologist
      • Do these tests:
        • Serum free T4
        • Serum TSH

  • Signs/Symptoms of hypothyroidism
    • Delayed passing of stools
    • Jaundice
    • Problemas de alimentación
    • Excessive sleep
    • Hipotonía
    • Pallor
    • Dry cool skin
    • Umbilical hernia
    • Swelling of the tongue
    • Periorbital edema
    • Delayed closure of fontanels.

  • For questions about clinical evaluation, testing and follow up, please call 501-364-4050 to speak with the Newborn Screening Coordinator or page at 501-364-1100.

    For more information, refer to the health department (ADH) letter that was faxed to you and information at the ADH website.  Call 501-364-4050 to speak with the Newborn Screening Coordinator
    Page at 501-364-1100.