Some degree of stimulation of the thyroid gland by human chorionicgonadotropin is common during early pregnancy.1,2,3 When serumchorionic gonadotropin concentrations are abnormally high for example, in women with molar pregnancies overt hyperthyroidismmay ensue. The pathophysiologic mechanism is believed to bepromiscuous stimulation of the thyrotropin receptor by the excesschorionic gonadotropin.4,5 The explanation for this stimulationis the close structural relations between chorionic gonadotropinand thyrotropin and between their receptors.6
Hyperemesis gravidarum is characterized by excessive vomitingin early pregnancy, leading to the loss of 5 percent or moreof body weight.4 It is usually . . . [Full Text of this Article]
Case Report
Methods
Hormone Assays
Sequencing of the Thyrotropin-Receptor Gene
Functional Characterization of the Mutant
Results
Sequence Determination
Functional Characterization of the Mutant Receptor
Discussion
Source Information
From the Institut de Recherche Interdisciplinaire (P.R., J.P., J.V., S.C., G.V., L.D.) and Service de Génétique Médicale (J.P., G.V.), Faculté de Médecine, Université Libre de Bruxelles, Brussels, Belgium; the Service d'Endocrinologie Maladies Métaboliques, Hôpital Cochin, Paris (P.R., C.B., J.-P.L.); and the Centre National pour la Recherche Scientifique, Unité Propre de Recherche 1524, Paris (M.-L.R.S.).
Address reprint requests to Dr. Vassart at IRIBHN, Campus Erasme, 808 Route de Lennik, B-1070 Brussels, Belgium.
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