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Review
. 2020 Aug 26;6(3):68.
doi: 10.3390/ijns6030068. eCollection 2020 Sep.

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

Svetlana Lajic  1   2 , Leif Karlsson  1   3 , Rolf H Zetterström  3   4 , Henrik Falhammar  4   5 , Anna Nordenström  1   2   3
Affiliations
Review

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

Svetlana Lajic et al. Int J Neonatal Screen. .

Abstract

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 CYP21A2 genotyping provide valuable information both for evaluating the screening program and the clinical outcome. The Swedish experience is described.

Keywords: 21-hydroxylase deficiency; CAH; congenital adrenal hyperplasia; long-term outcome; neonatal screening.

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Conflict of interest statement

Conflicts of InterestThe authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow chart for the neonatal screening, 17OHP cut-off levels, information, and investigations.
See this image and copyright information in PMC

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