The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the Patients

Neonatal screening for congenital adrenal hyperplasia due to 21-hydroxylase deficiency is now performed in an increasing number of countries all over the world. The main goal of the screening is to achieve early diagnosis and treatment in order to prevent neonatal salt-crisis and death. The screenin...

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Main Authors: Svetlana Lajic, Leif Karlsson, Rolf H. Zetterström, Henrik Falhammar, Anna Nordenström
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:International Journal of Neonatal Screening
Subjects:
Online Access:https://www.mdpi.com/2409-515X/6/3/68
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author Svetlana Lajic
Leif Karlsson
Rolf H. Zetterström
Henrik Falhammar
Anna Nordenström
author_facet Svetlana Lajic
Leif Karlsson
Rolf H. Zetterström
Henrik Falhammar
Anna Nordenström
author_sort Svetlana Lajic
collection DOAJ
description Neonatal screening for congenital adrenal hyperplasia due to 21-hydroxylase deficiency is now performed in an increasing number of countries all over the world. The main goal of the screening is to achieve early diagnosis and treatment in order to prevent neonatal salt-crisis and death. The screening laboratory can also play an important role in increasing the general awareness of the disease and act as the source of information and education for clinicians to facilitate improved initial care, ensure prompt and correct glucocorticoid dosing to optimize the long-term outcome for the patients. A National CAH Registry and <i>CYP21A2</i> genotyping provide valuable information both for evaluating the screening program and the clinical outcome. The Swedish experience is described.
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spelling doaj.art-f5470f832d3d48f0acbc2d9e9bcb7e662023-11-20T11:22:28ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2020-08-01636810.3390/ijns6030068The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the PatientsSvetlana Lajic0Leif Karlsson1Rolf H. Zetterström2Henrik Falhammar3Anna Nordenström4Department of Women’s and Children’s Health, Karolinska Institutet, SE-17176 Stockholm, SwedenDepartment of Women’s and Children’s Health, Karolinska Institutet, SE-17176 Stockholm, SwedenCenter for Inherited Metabolic Diseases, Karolinska University Hospital, SE-17176 Stockholm, SwedenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, SE-17176 Stockholm, SwedenDepartment of Women’s and Children’s Health, Karolinska Institutet, SE-17176 Stockholm, SwedenNeonatal screening for congenital adrenal hyperplasia due to 21-hydroxylase deficiency is now performed in an increasing number of countries all over the world. The main goal of the screening is to achieve early diagnosis and treatment in order to prevent neonatal salt-crisis and death. The screening laboratory can also play an important role in increasing the general awareness of the disease and act as the source of information and education for clinicians to facilitate improved initial care, ensure prompt and correct glucocorticoid dosing to optimize the long-term outcome for the patients. A National CAH Registry and <i>CYP21A2</i> genotyping provide valuable information both for evaluating the screening program and the clinical outcome. The Swedish experience is described.https://www.mdpi.com/2409-515X/6/3/68neonatal screeningcongenital adrenal hyperplasiaCAH21-hydroxylase deficiencylong-term outcome
spellingShingle Svetlana Lajic
Leif Karlsson
Rolf H. Zetterström
Henrik Falhammar
Anna Nordenström
The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the Patients
International Journal of Neonatal Screening
neonatal screening
congenital adrenal hyperplasia
CAH
21-hydroxylase deficiency
long-term outcome
title The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the Patients
title_full The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the Patients
title_fullStr The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the Patients
title_full_unstemmed The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the Patients
title_short The Success of a Screening Program Is Largely Dependent on Close Collaboration between the Laboratory and the Clinical Follow-Up of the Patients
title_sort success of a screening program is largely dependent on close collaboration between the laboratory and the clinical follow up of the patients
topic neonatal screening
congenital adrenal hyperplasia
CAH
21-hydroxylase deficiency
long-term outcome
url https://www.mdpi.com/2409-515X/6/3/68
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