Article
A clinically euthyroid child with a large goiter due to a thyroglobulin gene defect: clinical features and genetic studies.
Journal of pediatric endocrinology & metabolism : JPEM - 1 Jan 2013
Hermanns Pia, Refetoff Samuel, Sriphrapradang Chutintorn, Pohlenz Joachim, Okamato Jessica, Slyper Leeyat, Slyper Arnold H
Abstract excerpt
A 10-year old child born to consanguineous parents presented with an extremely large goiter, a low free T4 level and free T4 index, and normal TSH concentration. The findings of undetectable thyroglobulin (TG) and low free T4, and an elevated free T3/free T4 ratio suggested the possibility of a defect in TG synthesis. Noteworthy aspects of this case were the extremely elevated thyroidal radioiodide uptake despite...
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