Postnatal triiodothyronine concentrations in healthy preterm infants and in infants with respiratory distress syndrome. 1977

V Abbassi, and K Merchant, and D Abramson

Postnatal changes in triiodotyronine (T3) concentration were investigated in 12 preterm infants of 26-34 weeks of gestational age. Blood for measurement of T3 was obtained from the cord at delivery and from infants at 1 day of age and at weekly intervals for 4 weeks. Seven of the babies suffered from respiratory distress syndrome (RDS) and five were considred healthy. Gestational ages and body weight were comparable in both groups. In preterm infants with RDS, cord blood T3 concentration was significantly lower than that in cord blood of babies without RDS (22 +/- 2.6 versus 36 +/- 5 ng/dl, P less than 0.05). There was no significant rise in T3 concentration of RDS babies at 24 hr of age (22 +/- 2.6 versus 34.0 +/- 8 ng/dl, P greater than 0.05), and hypotriiodothyroninemia persisted for 3 weeks. At 4 weeks of age, T3 concentration in babies with RDS, although within the normal range (80-190 ng/dl), was significantly lower than that in the healthy preterm infants (110 +/- 10 versus 165 +/- 11 ng/dl, P less than 0.05). Postnatal T3 changes in healthy preterm infants wre characterized by the absence of the initial hypertriiodothyroninemia and by a gradual rise within the first month of life. The noted difference in the pattern of postnatal T3 changes in healthy preterm infants compared to full term infants may reflect thyroid immaturity. The machanism and the significance of the neonatal hypotriiodothyroninemia in RDS and its long term effects on the development of these babies remain to be investigated.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007234 Infant, Premature A human infant born before 37 weeks of GESTATION. Neonatal Prematurity,Premature Infants,Preterm Infants,Infant, Preterm,Infants, Premature,Infants, Preterm,Premature Infant,Prematurity, Neonatal,Preterm Infant
D012127 Respiratory Distress Syndrome, Newborn A condition of the newborn marked by DYSPNEA with CYANOSIS, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause. Infantile Respiratory Distress Syndrome,Neonatal Respiratory Distress Syndrome,Respiratory Distress Syndrome, Infant
D001835 Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. Body Weights,Weight, Body,Weights, Body
D005312 Fetal Blood Blood of the fetus. Exchange of nutrients and waste between the fetal and maternal blood occurs via the PLACENTA. The cord blood is blood contained in the umbilical vessels (UMBILICAL CORD) at the time of delivery. Cord Blood,Umbilical Cord Blood,Blood, Cord,Blood, Fetal,Blood, Umbilical Cord,Bloods, Cord,Bloods, Fetal,Bloods, Umbilical Cord,Cord Blood, Umbilical,Cord Bloods,Cord Bloods, Umbilical,Fetal Bloods,Umbilical Cord Bloods
D005865 Gestational Age The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination. Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014284 Triiodothyronine A T3 thyroid hormone normally synthesized and secreted by the thyroid gland in much smaller quantities than thyroxine (T4). Most T3 is derived from peripheral monodeiodination of T4 at the 5' position of the outer ring of the iodothyronine nucleus. The hormone finally delivered and used by the tissues is mainly T3. Liothyronine,T3 Thyroid Hormone,3,3',5-Triiodothyronine,Cytomel,Liothyronine Sodium,Thyroid Hormone, T3

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