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International Journal of Neonatal Screening, Volume 12, Issue 2

2026 June - 26 articles

Cover Story: This study investigated 21-deoxycortisone (21-DE) as a novel newborn screening marker for congenital adrenal hyperplasia (CAH), a life threatening disorder of infancy. Screening using only 17-hydroxyprogesterone is sensitive but many false positives are encountered. The study measured 21-DE by LC-MS/MS in 492 newborn screening specimens, including 42 true positives, 11 false negatives, and 439 false positives for CAH. 21-DE was detected in all true positive and 10 of 11 false negative samples, and in none of the false positive specimens, yielding 98.1% sensitivity and 100% specificity, outperforming an existing marker, 21-deoxycortisol (88.7% sensitivity, 99.8% specificity). Incorporating 21-DE into second-tier screening protocols could meaningfully improve CAH detection accuracy. View this paper
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Articles (26)

  • Article
  • Open Access
942 Views
15 Pages

Health Outcomes of Patients with Distal Urea Cycle Disorders Detected by Newborn Screening: Data from the Spanish National Registry

  • Raquel Yahyaoui,
  • Pilar Quijada-Fraile,
  • Javier Blasco-Alonso,
  • Inmaculada Vives,
  • David Gil Ortega,
  • Maria-Luz Couce,
  • Paula Sánchez-Pintos,
  • M. Concepción García Jiménez,
  • Silvia Meavilla Olivas and
  • Elena Martín-Hernández
  • + 16 authors

Urea cycle disorders (UCDs) are rare inherited metabolic diseases associated with toxic hyperammonemia, leading to severe neurological damage and early mortality. Early diagnosis of distal UCDs through newborn screening (NBS) enables presymptomatic i...

  • Conference Report
  • Open Access
893 Views
5 Pages

Ethical and Clinical Boundaries in Genomics & Newborn Screening: A Brief Report from IPIC2025

  • Raquel Yahyaoui,
  • Lúcia Mamede,
  • Martin Zach,
  • James Taylor,
  • Claire Booth,
  • Rosalind Fisher,
  • Věra Franková,
  • Adli Ali,
  • Johan Prevot and
  • Elizabeth Rivers
  • + 2 authors

The Ethics Session of the International Primary Immunodeficiency Congress (IPIC), held in November 2025 and organised by the International Patient Organisation for Primary Immunodeficiencies (IPOPI), examined one of the most challenging developments...

  • Article
  • Open Access
667 Views
14 Pages

Implementation of a Prospective Birth Cohort for Newborn Screening and Early Linkage to Comprehensive Sickle Cell Disease Care in a Low-Resource Setting

  • Umma A. Ibrahim,
  • Aisha B. Musa,
  • Oiza O. Aliu-Isah,
  • Hauwa A. Inuwa,
  • Zubaida L. Farouk,
  • Khadija Bulama,
  • Aisha Mukaddas,
  • Khadija Kamal,
  • Rifkatu N. Auta and
  • Muktar H. Aliyu
  • + 8 authors

In sub-Saharan Africa, where approximately 75% of newborns with sickle cell disease (SCD) are born, under-five mortality remains high, partly due to the absence of newborn screening (NBS) and delayed linkage to comprehensive care. We conducted a pros...

(This article belongs to the Special Issue Newborn Screening for Sickle Cell Disease Between Point of Care Testing and Next Generation Sequencing – An Impossible Choice or Not?)
  • Article
  • Open Access
1,240 Views
18 Pages

Transitioning from Laboratory-Developed Tests to a Single Commercial Reagent Kit in a National Newborn Screening Program: Impact on Analytical Performance and Harmonization

  • Rachel S. Carling,
  • Zoe J. Barclay,
  • Sophie C. Ward,
  • Marie Appleton,
  • Robert Barski,
  • Harry Benn,
  • Kelly Chambers,
  • Paul Coakley,
  • Helena Kemp and
  • James R. Bonham
  • + 13 authors

Newborn screening in England is a national program with laboratories adhering to common screening algorithms. Until recently, screening for inherited metabolic disorders was provided by ten laboratories using laboratory-developed tests (LDTs) and thr...

  • Article
  • Open Access
1,062 Views
9 Pages

Development of Dried Blood Spot Proficiency Testing Materials for Newborn Screening of Lysosomal Diseases Using Recombinant Enzymes

  • Elya Courtney,
  • Samantha L. Isenberg,
  • Timothy Lim,
  • C. Austin Pickens,
  • Rachel Lee,
  • Carla Cuthbert and
  • Konstantinos Petritis

Lysosomal diseases (LDs, or Lysosomal Storage Disorders) have become increasingly visible in the newborn screening community, with the addition of mucopolysaccharidosis type II (MPS-II) into the Recommended Uniform Screening Panel in August 2022 and...

(This article belongs to the Special Issue Advances in Newborn Screening for Lysosomal Disorders: From Laboratory Screening to Diagnosis)
  • Article
  • Open Access
1,100 Views
11 Pages

A Four-Year Prospective Pilot Study of Newborn Screening for Late-Onset Proximal Urea-Cycle Disorders in Hyogo Prefecture in Japan

  • Tomoko Lee,
  • Miki Matsui,
  • Yoko Yokoyama,
  • Ryosuke Bo,
  • Hiroyuki Awano,
  • Dai Kataoka,
  • Masaaki Ueda,
  • Toshinori Minato,
  • Hironori Kobayashi and
  • Yasuhiro Takeshima
  • + 2 authors

Proximal urea-cycle disorders (PUCDs), including N-acetylglutamate synthase deficiency (NAGSD), ornithine transcarbamylase deficiency (OTCD), and carbamoyl phosphate synthase 1 deficiency (CPS1D), cause hyperammonemia and impair neurological outcomes...

(This article belongs to the Collection Newborn Screening in Japan)
  • Article
  • Open Access
900 Views
18 Pages

Newborn Screening for Spinal Muscular Atrophy in the Republic of Moldova: A Feasibility Study and First Steps

  • Iulia Coliban,
  • Natalia Usurelu,
  • Igor Opalco,
  • Sergiu Gladun and
  • Victoria Sacara

Spinal muscular atrophy (SMA) is a severe neuromuscular disorder in which presymptomatic treatment substantially improves survival and motor outcomes, yet newborn screening for SMA remains unevenly implemented across Europe, and evidence from lower-r...

  • Article
  • Open Access
951 Views
14 Pages

A Prospective Multi-Center Newborn Screening for Thalassemia by Comprehensive Analysis of Thalassemia Alleles (CATSA) Based on Single Molecule Real-Time Sequencing in Guangxi, China

  • Aihua Xia,
  • Hongfei Chen,
  • Fuhua Lu,
  • Ping Xu,
  • Peixiao Shen,
  • Wei Wei,
  • Chunrong Gui,
  • Juliang Liu,
  • Dan Wei and
  • Baoheng Gui
  • + 3 authors

Thalassemia is one of the most common inherited diseases in Guangxi, China. Early identification of thalassemia by neonatal screening is beneficial for effective clinical management and treatment. A total of 3671 newborns from multiple centers of Gua...

  • Article
  • Open Access
1,272 Views
10 Pages

False-positive results are known to occur frequently in newborn screening (NBS) for carnitine palmitoyltransferase II (CPT II) deficiency, highlighting the need to identify appropriate screening markers. The present study aimed to compare the perform...

(This article belongs to the Collection Newborn Screening in Japan)
  • Review
  • Open Access
1,572 Views
14 Pages

The Saudi Arabia National Newborn Screening (NBS) program is a pillar of public health, offering timely detection of treatable, life-threatening, or disabling conditions in neonates. This comprehensive review critically examines the current laborator...

(This article belongs to the Special Issue Newborn Screening Developing Programs in Asia)
  • Article
  • Open Access
1 Citations
1,214 Views
19 Pages

Parents’ Experiences of Receiving a Severe Combined Immunodeficiency (SCID) or Non-SCID T-Cell Lymphopenia Outcome During the Newborn Screening Evaluation in England

  • Pru Holder,
  • Chloe Musa,
  • Jim B. Chilcott,
  • Anju D. Keetharuth,
  • Louise Moody,
  • Ellinor K. Olander,
  • Fiona Ulph and
  • Jane Chudleigh

Background: In 2021, the UK National Screening Committee commissioned an evaluation of newborn bloodspot screening for severe combined immunodeficiency (SCID) in England. This paper describes the experiences of parents who received an SCID or non-SCI...

  • Article
  • Open Access
1,221 Views
10 Pages

Conjugated Hyperbilirubinemia in Early Infancy: Rethinking Diagnostic Cut-Offs—A Retrospective Analysis

  • Daniel Pfurtscheller,
  • Carola Ganzer,
  • Ena Suppan,
  • Melina Winkler,
  • Bernhard Schwaberger,
  • Lisa Sallmon,
  • Gerhard Pichler and
  • Benno Kohlmaier

Background: Conjugated hyperbilirubinemia in early infancy is a critical indicator of hepatobiliary dysfunction. Prompt and accurate identification is essential to diagnose cholestatic liver disease (CLD), particularly biliary atresia. Current guidel...

(This article belongs to the Special Issue Newborn Screening for Physical/Structural Birth Defects)
  • Article
  • Open Access
776 Views
19 Pages

Newborn mass screening improves outcomes for inborn errors of metabolism (IEM); nonetheless, home-based dietary therapy imposes a substantial parental burden. In this study, we explored differences in parents’ health coping behaviors, assessed...

(This article belongs to the Collection Newborn Screening in Japan)
  • Editorial
  • Open Access
1,273 Views
6 Pages

Congenital heart disease (CHD) remains the number one cause of mortality due to congenital defects in children under the age of one [...]

(This article belongs to the Special Issue Global Updates on the Advancements in CCHD Screening)
  • Article
  • Open Access
1,517 Views
15 Pages

Pilot Newborn Screening for Vitamin B12 Deficiency in the Czech Republic: Results and Detailed Studies on Identified Babies and Their Mothers

  • Samuel Stanovský,
  • Josef Bártl,
  • Petr Chrastina,
  • Viktor Kožich,
  • Jakub Krijt,
  • Kristýna Nelicová,
  • Jitka Sokolová,
  • Truong An Nguyen,
  • Richard Plavka and
  • Tomáš Honzík
  • + 7 authors

Neonatal vitamin B12 (B12) deficiency can cause neurodevelopmental harm, and newborn screening (NBS) may enable early detection and treatment. We conducted a multicenter pilot project in four Prague university hospitals between 1 June 2022 and 30 Jun...

  • Article
  • Open Access
1,348 Views
13 Pages

Neonatal Screening for CAH in Sweden—Results of Implementing Second-Tier Testing

  • Karin Engström,
  • Rolf H. Zetterström,
  • Anna Wedell and
  • Anna Nordenström

Newborn screening for congenital adrenal hyperplasia (CAH) is effective in identifying patients with severe forms before a potentially lethal crisis, but has a relatively high false-positive rate. The aim of this study was to improve the national neo...

(This article belongs to the Special Issue The Impact of Second-Tier Tests on Newborn Screening Performance: Benefits and Challenges)
  • Article
  • Open Access
985 Views
10 Pages

The Variation in IRT in Different Ethnic Groups in England—Implications for a Newborn Screening Programme for CF in Diverse Multiethnic Populations

  • Toby Greenfield,
  • Lesley Tetlow,
  • James R. Bonham,
  • Catherine Collingwood,
  • Laura Wainwright,
  • Liz Robinson,
  • Dave Wright,
  • Beverly Hird,
  • Tejswurree Ramgoolam and
  • Maya Desai
  • + 7 authors

Increasing ethnic diversity raises potential inequalities within screening programmes. In the UK, newborns are screened for CF by initially measuring IRT. Dried blood spot IRT levels above a set cut-off require follow-up testing to establish a screen...

  • Article
  • Open Access
1,333 Views
11 Pages

21-Deoxycortisone: A Novel Sensitive and Specific Newborn Screening Marker for Congenital Adrenal Hyperplasia

  • Mark de Hora,
  • Natasha Heather,
  • Dianne Webster,
  • Benjamin B. Albert and
  • Paul Hofman

21-deoxycortisol is a sensitive and specific blood marker for congenital adrenal hyperplasia (CAH). We postulated that 21-deoxycortisone, the 11β-hydroxysteroid dehydrogenase metabolite of 21-deoxycortisol, may also be an accurate bloodspot mark...

  • Article
  • Open Access
993 Views
18 Pages

Parental Views on the Psychosocial Impact of False-Positive Results Following Newborn Screening for Severe Combined Immunodeficiency in England

  • Pru Holder,
  • Chloe Musa,
  • Anju Keetharuth,
  • Fiona Ulph,
  • Jim B. Chilcott,
  • Louise Moody,
  • Ellinor K. Olander and
  • Jane Chudleigh

The project aimed to explore the psychosocial impact on parents of receiving a false-positive outcome following a positive newborn bloodspot screening (NBS) result for SCID for their child. A mixed-methods design was employed using semi-structured in...

  • Article
  • Open Access
1 Citations
1,596 Views
10 Pages

COASY-Associated Disorders as a Differential Diagnosis in Cases with Newborn Screening Results Suggestive of CPT-I

  • Zinandré Stander,
  • Amy L. White,
  • Matthew Lynch,
  • David Coman,
  • Justin Rosati,
  • Diana Bailey,
  • Jessica Johnson,
  • Bo Hoon Lee,
  • ChinTo Fong and
  • Silvia Tortorelli
  • + 6 authors

COASY-related disorders (CRDs) are a spectrum of autosomal recessive conditions caused by the dysfunction of CoA synthase, an enzyme responsible for the final steps of CoA synthesis. Clinical manifestations of CRDs are highly variable, ranging from p...

  • Article
  • Open Access
1,494 Views
13 Pages

Evaluation of Implementation of Newborn Screening for Sickle Cell Disease Program in Selected Hospitals in Dar es Salaam, Tanzania

  • Tunganege Matipa,
  • Elia Nyangi,
  • Agnes Jonathan,
  • Mwashungi Ally,
  • Lulu Chirande,
  • Asteria Mpoto,
  • Emmanuel Balandya and
  • Gladys Reuben Mahiti

Sickle cell disease (SCD) is a major public health concern in Tanzania where approximately 11,000 children are born with the condition annually. Newborn screening (NBS) enables early diagnosis and timely intervention. Despite the proven effectiveness...

(This article belongs to the Special Issue Newborn Screening for Sickle Cell Disease Between Point of Care Testing and Next Generation Sequencing – An Impossible Choice or Not?)
  • Technical Note
  • Open Access
795 Views
12 Pages

A Systematic Process to Accurately Link Large-Scale Research Consents to State Public Health Newborn Screening Samples

  • Emily Cheves,
  • Hannah E. Frawley,
  • Angela You Gwaltney,
  • Ana N. Forsythe,
  • Samantha Scott,
  • John Colin Mathews,
  • Jake Dibble,
  • Tanya Reeve,
  • Vesselina Bakalov and
  • Holly Peay
  • + 3 authors

Research programs can interface with public health programs to generate innovation, yet it is critical to ensure processes that support research activities without infringing on protected data. Genomic newborn screening (gNBS) research programs requi...

  • Article
  • Open Access
1 Citations
1,122 Views
15 Pages

Acid Sphingomyelinase Activity in Dried Blood Spot from Neonatal Intensive Care Unit–Admitted Neonates: A Pilot Study for Expanded Newborn Screening in Japan

  • Akie Kato,
  • Atsuko Noguchi,
  • Hiroyuki Adachi,
  • Kiichi Takahashi,
  • Masato Ito,
  • Tomoo Ito,
  • Shozo Ota and
  • Hirokazu Arai

Acid sphingomyelinase deficiency (ASMD) is currently treatable with olipudase alfa, increasing the need for early newborn screening (NBS). We conducted a two-center pilot cohort study to characterize dried blood spot (DBS) acid sphingomyelinase (ASM)...

(This article belongs to the Collection Newborn Screening in Japan)
  • Article
  • Open Access
1 Citations
1,579 Views
11 Pages

Cost-Effectiveness of Newborn Screening for Infantile-Onset Pompe Disease in Japan

  • Keiko Konomura,
  • Motoko Tanaka,
  • Go Tajima and
  • Eri Hoshino

We conducted a cost-effectiveness analysis of a universal newborn screening (NBS) program for infantile-onset Pompe disease (IOPD) compared with clinical identification in newborns. The analytical model combined a decision tree and a Markov model. Th...

(This article belongs to the Collection Newborn Screening in Japan)
  • Article
  • Open Access
1,218 Views
9 Pages

A Survey of Current Australasian Practices in the Use of Residual Bloodspots for the Addition of a New Disorder to the Screening Panel

  • Lawrence Greed,
  • James Pitt,
  • Ronda F. Greaves,
  • Kate Coleman,
  • Gabrielle Crisp,
  • Enzo Ranieri,
  • Mark de Hora,
  • Dianne Webster and
  • Natasha Heather

Newborn screening (NBS) bloodspots are primarily used to test for a defined panel of conditions, yet screening expansion has necessitated the implementation of new tests. Integral to test implementation across all clinical laboratories is the need to...

  • Article
  • Open Access
1,377 Views
15 Pages

A Multi-Stakeholder Perspective on Integrating Genomic Sequencing into Newborn Screening: An Interview Study

  • Saskia G. Smits,
  • Suzanne M. Onstwedder,
  • Tessel Rigter,
  • Wendy Rodenburg and
  • Lidewij Henneman

Interest in the genomic sequencing of healthy newborns has raised a discussion on whether this technology should be introduced into existing newborn screening (NBS) programs. This qualitative study explores a multi-stakeholder perspective on the futu...

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Int. J. Neonatal Screen. - ISSN 2409-515X