To the Editor: The causes of congenital hypothyroidism are poorlyunderstood. Recently, two different missense mutations in theextracellular domain of the thyrotropin receptor were identifiedin three siblings who had elevated serum thyrotropin concentrationsbut were euthyroid and had thyroid glands of normal size.1 Wedescribe a patient with congenital hypothyroidism and thyroidhypoplasia due to two loss-of-function mutations in exon 10of the thyrotropin-receptor gene.
At birth the patient, the firstborn infant of nonconsanguineousparents, had a blood thyrotropin concentration of 89 mU perliter. Reexamination revealed a serum thyrotropin concentrationof 82 mU per liter (normal, <10) . . . [Full Text of this Article]
References
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(2000). A Novel Mutation in the Thyrotropin (TSH) Receptor Gene Causing Loss of TSH Binding But Constitutive Receptor Activation in a Family with Resistance to TSH. J. Clin. Endocrinol. Metab.
85: 4238-4242
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83: 3101-3112
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Biebermann, H., Schöneberg, T., Schulz, A., Krause, G., Grüters, A., Schultz, G., Gudermann, T.
(1998). A conserved tyrosine residue (Y601) in transmembrane domain 5 of the human thyrotropin receptor serves as a molecular switch to determine G-protein coupling. FASEB J.
12: 1461-1471
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