PMID- 27331001 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160622 LR - 20200930 IS - 2214-4269 (Print) IS - 2214-4269 (Electronic) IS - 2214-4269 (Linking) VI - 7 DP - 2016 Jun TI - Newborn screening for congenital adrenal hyperplasia in New York State. PG - 1-7 LID - 10.1016/j.ymgmr.2016.02.005 [doi] AB - From 2007 to 2014 the New York State (NYS) Newborn Screening (NBS) program screened 2 million newborns for congenital adrenal hyperplasia (CAH). The data was analyzed to determine factors that affect 17alpha-hydroxyprogesterone levels and assist in developing algorithm changes that would improve the positive predictive value of the methodology being used. The concentration of 17-OHP in dried blood spots was measured using the AutoDELFIA Neonatal 17-OHP kit (Perkin Elmer, Turku, Finland). During the 8 year period of this study 2476 babies were referred, 105 babies were diagnosed with CAH (90 with the salt-wasting (SW), 8 with simple virilizing (SV), 5 with non-classical CAH, and 2 with another enzyme deficiency) and, 14 with possible CAH. Three false negative cases with SV-CAH were reported to the program. Of the total 108 known cases, 74 (69%) infants were detected by newborn screening in the absence of clinical information, or, known family history. The incidence of CAH in NYS is 1 in 18,170 with a ratio of SW to SV of 8.2:1. The incidence of CAH is lower in Black infants than in White, Hispanic and Asian infants. Despite a lower mean birth weight, female infants have a lower mean 17-OHP value than male infants and are under-represented in the referred category. As per other NBS programs the false positive rate is exacerbated by prematurity/low birth weight and by over-early specimen collection. FAU - Pearce, Melissa AU - Pearce M AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - DeMartino, Lenore AU - DeMartino L AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - McMahon, Rebecca AU - McMahon R AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - Hamel, Rhonda AU - Hamel R AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - Maloney, Breanne AU - Maloney B AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - Stansfield, Daniele-Marisa AU - Stansfield DM AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - McGrath, Emily C AU - McGrath EC AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - Occhionero, Amanda AU - Occhionero A AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - Gearhart, Adam AU - Gearhart A AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - Caggana, Michele AU - Caggana M AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA. FAU - Tavakoli, Norma P AU - Tavakoli NP AD - Division of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY, USA; Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY, USA. LA - eng PT - Journal Article DEP - 20160312 PL - United States TA - Mol Genet Metab Rep JT - Molecular genetics and metabolism reports JID - 101624422 PMC - PMC4908061 OTO - NOTNLM OT - 17alpha-Hydroxyprogesterone OT - 21-Hydroxylase deficiency OT - Congenital adrenal hyperplasia OT - Newborn screening EDAT- 2016/06/23 06:00 MHDA- 2016/06/23 06:01 PMCR- 2016/03/12 CRDT- 2016/06/23 06:00 PHST- 2016/02/09 00:00 [received] PHST- 2016/02/19 00:00 [revised] PHST- 2016/02/20 00:00 [accepted] PHST- 2016/06/23 06:00 [entrez] PHST- 2016/06/23 06:00 [pubmed] PHST- 2016/06/23 06:01 [medline] PHST- 2016/03/12 00:00 [pmc-release] AID - S2214-4269(16)30010-6 [pii] AID - 10.1016/j.ymgmr.2016.02.005 [doi] PST - epublish SO - Mol Genet Metab Rep. 2016 Mar 12;7:1-7. doi: 10.1016/j.ymgmr.2016.02.005. eCollection 2016 Jun.