Resistance to thyroid hormone in a Turkish child with A317T mutation in the thyroid hormone receptor-beta gene


Poyrazoglu S. , Tuetuencueler F., Bas F. , Darendeliler F.

TURKISH JOURNAL OF PEDIATRICS, vol.50, pp.577-580, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 50 Issue: 6
  • Publication Date: 2008
  • Title of Journal : TURKISH JOURNAL OF PEDIATRICS
  • Page Numbers: pp.577-580

Abstract

Resistance to thyroid hormone (RTH) syndrome is a rare disorder usually inherited as an autosomal dominant trait. The combination of elevated serum levels of free thyroid hormones with elevated thyroid-stimulating hormone (TSH) suggest differential diagnoses of RTH, thyroxine-binding globulin abnormalities, familial dysalbuminemic hyperthyroxinernia and TSH-secreting pituitary tumors. We report a patient with RTH in a Turkish family. The diagnosis was confirmed by the identification of a known disease-causing mutation in the thyroid hormone receptor-beta (THR beta) gene, but is the first published in the Turkish population. Genetic analysis of the mother and the patient yielded a mutation in the THRP gene, A317T, due to a base pair substitution of an adenine for a guanine.