Article
Resistance to thyroid hormone due to a novel thyroid hormone receptor mutant in a patient with hypothyroidism secondary to lingual thyroid and functional characterization of the mutant receptor.
Thyroid : official journal of the American Thyroid Association - 1 Aug 2010
Nakajima Yasuyo, Yamada Masanobu, Horiguchi Kazuhiko, Satoh Tetsurou, Hashimoto Koshi, Tokuhiro Etsuro, Onigata Kazuhiko, Mori Masatomo
Abstract excerpt
BACKGROUND: We describe a rare case of congenital hypothyroidism and an extremely high serum thyrotropin (TSH) level caused by a combination of resistance to thyroid hormone (RTH) and a lingual thyroid. As the RTH mutant, R316C, was new, the optimum dose of levothyroxine was unclear. To aid in assessment of the therapy, we characterized the mutant R316C thyroid hormone receptor (TR) and compared it with a common...
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