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中枢性甲状腺功能减退症。

Central hypothyroidism.

机构信息

Department of Endocrinology, Medwin Hospital, Hyderabad, India.

出版信息

Indian J Pediatr. 2010 Jan;77(1):94-6. doi: 10.1007/s12098-009-0248-1.

DOI:10.1007/s12098-009-0248-1
PMID:19936667
Abstract

A 15-mth-old male child of consanguineous parents, presented with classical features of congenital hypothyroidism. Serum total thyroxine (T4), total triiodothyronine (T3) and TSH were low. There was no evidence of deficiency of other pituitary hormones. Magnetic resonance imaging of the pituitary was normal. TSHB gene sequencing revealed a homozygous missense mutation due to single base substitution G?A at codon 85 resulting in change from Glycine to Arginine. This mutation in TSHB gene has been reported earlier in three cases with similar phenotype from Japan.

摘要

一位 15 个月大的男性儿童,其父母为近亲,具有先天性甲状腺功能减退症的典型特征。血清总甲状腺素(T4)、总三碘甲状腺原氨酸(T3)和 TSH 水平降低。其他垂体激素缺乏的证据。垂体磁共振成像正常。TSHB 基因测序显示由于密码子 85 处单个碱基取代 G→A 导致甘氨酸变为精氨酸的纯合错义突变。该 TSHB 基因突变先前已在来自日本的三例具有类似表型的病例中报道过。

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本文引用的文献

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Role of the thyrotropin-releasing hormone stimulation test in diagnosis of congenital central hypothyroidism in infants.促甲状腺激素释放激素刺激试验在婴儿先天性中枢性甲状腺功能减退症诊断中的作用
J Clin Endocrinol Metab. 2008 Feb;93(2):410-9. doi: 10.1210/jc.2006-2656. Epub 2007 Nov 13.
2
Low TSH congenital hypothyroidism: identification of a novel mutation of the TSH beta-subunit gene in one sporadic case (C85R) and of mutation Q49stop in two siblings with congenital hypothyroidism.低促甲状腺素先天性甲状腺功能减退症:在一例散发病例中鉴定出促甲状腺素β亚基基因的一种新突变(C85R),并在两名先天性甲状腺功能减退症的兄弟姐妹中鉴定出Q49stop突变。
Pediatr Res. 2002 Dec;52(6):935-41. doi: 10.1203/00006450-200212000-00020.
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HESX1:一种与家族性视隔发育不良相关的新基因。
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Congenital central hypothyroidism due to a homozygous mutation in the thyrotropin beta-subunit gene follows an autosomal recessive inheritance.促甲状腺激素β亚基基因纯合突变所致的先天性中枢性甲状腺功能减退症遵循常染色体隐性遗传。
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J Pediatr. 1986 Dec;109(6):959-64. doi: 10.1016/s0022-3476(86)80276-1.
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Thyroid-stimulating hormone (TSH) deficiency caused by a single base substitution in the CAGYC region of the beta-subunit.由β亚基CAGYC区域中的单个碱基替换引起的促甲状腺激素(TSH)缺乏。
EMBO J. 1989 Aug;8(8):2291-6. doi: 10.1002/j.1460-2075.1989.tb08355.x.
7
Mutation of the POU-specific domain of Pit-1 and hypopituitarism without pituitary hypoplasia.Pit-1的POU特异性结构域突变与无垂体发育不全的垂体功能减退症
Science. 1992 Aug 21;257(5073):1118-21. doi: 10.1126/science.257.5073.1118.