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Département de Métabolomique Clinique, Hôpital Saint-Antoine, AP-HP Sorbonne Université, Paris, France
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Département de Métabolomique Clinique, Hôpital Saint-Antoine, AP-HP Sorbonne Université, Paris, France
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Université de Paris, INSERM, Institut IMAGINE, Hôpital Necker-Enfants Malades, AP-HP, Paris, France
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Sorbonne Université, INSERM, Centre de Recherche Saint-Antoine, Paris, France
Hôpital Armand Trousseau, AP-HP Sorbonne Université, Paris, France
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Département de Métabolomique Clinique, Hôpital Saint-Antoine, AP-HP Sorbonne Université, Paris, France
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Neonatal screening for congenital adrenal hyperplasia (CAH) faces many specific challenges. It must be done using a performant analytical approach that combines sensitivity and specificity to capture the potential causes of mortality during the first week of life, such as salt wasting and glucocorticoid deficiency. Here, we confirm that maternal inhaled corticosteroid intake during pregnancy is a possible cause of missed CAH diagnosis. Thanks to liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) analysis, we were able to quantify endogenous steroid metabolites and also detect the presence of exogenous steroids in the dried blood spot of a newborn. Adding LC-MS/MS analysis as second-tier test, especially one that includes both 17-hydroxyprogesterone and 21-deoxycortisol measurements, would probably improve CAH diagnosis. In familial neonatal screening one could also look for maternal corticosteroid therapies that are hidden to prevent false-negative tests.
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of benefit) based on scientific evidence ( 5 ). IGF-I as a biomarker for GH status Many components in the blood are sensitive to GH and so could be candidate biomarkers for GH levels and, thus, be used to determine GH deficiency and the need for
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area (according to the Mosteller formula ( 25 )), to account for inter-individual differences in urine production and body size, respectively. Non-normally distributed variables were 10log-transformed prior to analysis. Based on evidence demonstrating
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Internal Medicine, S. Maria delle Croci Hospital, AUSL Romagna, Ravenna, Italy
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Istituto Auxologico Italiano, IRCCS, Obesity Unit - Laboratory of Nutrition and Obesity Research, Department of Endocrine and Metabolic Diseases, Milan, Italy
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insulin secretory defects may play a negative role. The concept that subclinical insulin secretory defects may affect linear growth independently from hyperglycemia has been suggested by a small-sized study in CF ( 20 ), but further evidence arises from
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birth parameters or clinical evidence of bone dysplasia, are thought to be associated with a higher likelihood of a monogenic etiology of short stature ( 2 ). However, no study validating these clinical predictors has been published to date. Therefore
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level of evidence and reliability that are continuously being developed ( 10 ). The boosting telemedicine tools and practice are also means of a potent knowledge generation ( 6 ). In 2017, Heon-Clin concluded that RD networks would need a systematic
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Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy
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change in HSDS from the start of GHT. The biological basis of growth failure in NS is not completely understood. There is some evidence that growth defects are related to partial GH insensitivity at a post-receptor level; using a mouse model of NS, it
Department of Child and Adolescent Medicine, Section of Pediatric Cardiology, University Hospital Jena, Am Klinikum, Jena, Germany
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Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Liebigstrasse, Leipzig, Germany
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Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Liebigstrasse, Leipzig, Germany
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(R 2 = 0.39; β = −0.22; P < 0.001) ( 18 ). Unfortunately, we cannot add additional evidence regarding ethnical differences in childhood due to our predominantly white cohort. To gain more understanding of the interaction between growth hormone
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to PA cannot be completely excluded in these cases as an explanation. So far, fetal insulin has received attention in pregnancies characterized by maternal diabetes or obesity as major contributor to excessive fat accretion. The collective evidence
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Universidade de São Paulo, Zebrafish Facility, São Paulo, São Paulo, Brazil
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). Our results showed that CDH2 p.Val289Ile does not affect β-catenin-CDH2 regulation. CDH2 appears to be a plausible candidate gene for CPHD, and additional unrelated cases are necessary to provide supporting evidence. The ClinGen Gene Curation