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Table 1 Clinical characteristics of the four families harboring the TSHR G431S mutation

From: A new family with an activating mutation (G431S) in the TSH receptor gene: a phenotype discussion and review of the literature

 

Number in pedigree

Reference

T 4 and T 3 (% upper limit)

Preterm birth (<37 wks)

Developmental problems (IQ test, speech delay)

Prominent eyes

Treatment (Age)

Age of diagnosis

F/M

Family 1

I-1

[9]

N.a.

N.a.

N.a.

N.a.

Tx (15 y)

Youth

F

Family 1

II-1

 

N.a.

N.a.

N.a.

Yes

PTU, Tx (7 y)

4 y

M

Family 1

III-1 (proband)

 

FT4 = 275% FT3 = 293%

Yes, 36

N.a.

Yes, mildly

PTU, Tx (7 y)

3 y

M

Family 2

II-2

[17]

N.a.

N.a.

N.a.

N.a.

Tx

When IV-1 was diagnosed

N.a.

Family 2

III-1

 

N.a.

N.a.

N.a.

N.a.

Tx (18 y)

17 y

M

Family 2

III-3

 

N.a.

N.a.

N.a.

N.a.

Tx (15 y)

13 y

F

Family 2

IV-1

 

FT4 > 128% FT3 = 156%

No

N.a.

N.a.

MMI (7.5 y) Tx (8.4 y)

5 y

M

Family 3

B1

[6]

FT4 = 133% FT3 = 217%

N.a.

N.a.

N.a.

MMI, RAI (12 y)

5 y

M

Family 3

B2

 

FT4 = 204% FT3 = 199%

N.a.

N.a.

N.a.

MMI, RAI (15 y)

7 y

F

Family 3

Father

 

N.a.

N.a.

N.a.

N.a.

MMI

Hyperthyroidism in more than 15 years

M

Family 4

(I-1)

 

N.a.

N.a.

No

No

RAI (18 y), Tx (after 3. child)

16 y

F

Family 4

II-1

 

TT4 = 189% TT3 = 305%

No

Hyperactive behaviour which diminished after treatment

Yes

MMI, RAI (8 y)

8

M

Family 4

II-2 (propositus)

 

TT4 = 146% TT3 = 195%

No

Hyperactive behaviour which diminished after treatment

Yes

MMI, RAI (4.5 y)

4.5 y

M

  1. Abbreviations: N.a. not available, RAI radioactive Iodine, Tx thyroidectomy, F female, M make, PTU propylthiouracil.
  2. MMI Methimazole, Y year, FT4 free T4, FT3 free T3, TT4 total T4 and TT3 total T3.