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Correspondence
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Volume 336:1390-1391 May 8, 1997 Number 19
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Congenital Hypothyroidism Caused by Mutations in the Thyrotropin-Receptor Gene

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 by Sunthornthepvarakul, T.
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To the Editor: The causes of congenital hypothyroidism are poorly understood. Recently, two different missense mutations in the extracellular domain of the thyrotropin receptor were identified in three siblings who had elevated serum thyrotropin concentrations but were euthyroid and had thyroid glands of normal size.1 We describe a patient with congenital hypothyroidism and thyroid hypoplasia due to two loss-of-function mutations in exon 10 of the thyrotropin-receptor gene.

At birth the patient, the firstborn infant of nonconsanguineous parents, had a blood thyrotropin concentration of 89 mU per liter. Reexamination revealed a serum thyrotropin concentration of 82 mU per liter (normal, <10) . . . [Full Text of this Article]

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