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School based screening for hypothyroidism in Down's syndrome by dried blood spot TSH measurement
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    Coeliac screening just as important!

    EDITOR, - The paper by Noble et al on capillary dried spot testing for TSH measurement is a welcome advance for children with Down's syndrome (DS).(1) In reducing the number of venepunctures this patient group needs, we hope that those professionals caring for children with DS do not omit screening for coeliac disease (CD). This condition is equally prevalent and can be as difficult to diagnose as hypothyroidism in DS as i...

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