Question
How should one respond if a newborn’s heel prick test shows a positive result for thyroid-stimulating hormone?
Answer
If a newborn’s heel prick test indicates an elevated level of thyroid-stimulating hormone, it should be considered as hyperthyroidism, and the possibility of congenital hypothyroidism needs to be ruled out. Serum thyroid-stimulating hormone (TSH) levels are an important indicator for diagnosing congenital hypothyroidism. If a newborn’s screening shows high TSH levels, further examination of thyroid function is required to confirm whether it is a temporary high TSH condition. Once congenital hypothyroidism is diagnosed, treatment should be initiated as soon as possible to avoid affecting intellectual development. The main treatment method is thyroid hormone supplementation, with no alternative options available. It is recommended to visit an endocrinology clinic for a detailed examination or to take oral medication treatment and regularly track thyroid function.