Severe Hypothyroidism Caused by Type 3 Iodothyronine Deiodinase in Infantile Hemangiomas
Stephen A. Huang, M.D., Helen M. Tu, Ph.D., John W. Harney, M.S., Maria Venihaki, Ph.D., Atul J. Butte, M.D., Harry P.W. Kozakewich, M.D., Steven J. Fishman, M.D., and P. Reed Larsen, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Hemangiomas are the most common tumors of infancy, with a prevalenceof 5 to 10 percent among one-year-olds. They are characterizedby rapid growth in the first year of life, followed by involutionand gradual regression by adolescence.1,2 We recently treateda three-month-old infant with massive hepatic hemangiomas andprimary hypothyroidism who needed very high doses of thyroidhormone to restore euthyroidism and normal thyrotropin secretion.This finding suggested that the rate of degradation of thyroidhormone was accelerated. We subsequently identified high levelsof type 3 iodothyronine deiodinase activity in the hemangiomatissue. This selenoenzyme, normally present in the . . . [Full Text of this Article]
Case Report
Methods
Tissue Preparation
Type 3 Iodothyronine Deiodinase Assays
Northern Blot Analysis
In Situ Hybridization
Retrospective Review of Patients with Hemangioma
Results
Analysis of Type 3 Iodothyronine Deiodinase Activity in Hemangioma Tissue from the Patient
Retrospective Review of Patients and Analysis of Type 3 Iodothyronine Deiodinase Activity in Hemangioma Tissue from Other Patients
Discussion
Source Information
From the Division of Endocrinology (S.A.H., M.V., A.J.B.), the Departments of Pathology and Pediatrics (H.P.W.K.), and the Department of Surgery and the Vascular Anomalies Center (S.J.F.), Children's Hospital; and the Thyroid Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School (H.M.T., J.W.H., P.R.L.) all in Boston.
Address reprint requests to Dr. Larsen at the Thyroid Division, Harvard Medical School, Rm. 560, Harvard Institutes of Medicine, 77 Ave. Louis Pasteur, Boston, MA 02115, or at larsen@rascal.med. harvard.edu.
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