Advances of perinatal and neonatal medicine have been associated with
a progressive reduction in mortality of premature infants and a progre
ssive increase in number of the surviving very low birth weight (VLBW)
cohort less than 28 to 32 weeks gestation age. Hypothalamic-pituitary
-thyroid (HPT) function is immature in most premature infants, and thi
s is particularly true of the VLBW group. Accumulated information has
allowed development of a unique nosology of HPT system disorders in th
ese infants to facilitate thyroid function testing, test interpretatio
n, and patient management.