在De Novo TSHR激活致病变异的严重表型
Anna C Torrey1, Michael Zuccaro2, Jonathan B Steinman3
1Vagelos College of Physicians and Surgeons, Columbia University, New York 10032, New York, USA.
Case reports in endocrinology
|October 9, 2025
概括
由新的甲状腺刺激激素受体 (TSHR) 变异引起的严重先天性甲状腺功能过高症可能会影响发育. 这些案例突出了TSHR激活变体的广泛范围及其持久影响.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 遗传学 是一个
- 儿科手术 儿科手术
背景情况:
- 甲状腺刺激激素受体 (TSHR) 的致病变体可以导致构成性激活,导致非自身免疫性甲状腺功能过高.
- 严重的早期甲状腺功能障碍会显著影响多系统发育,但其后果并未得到充分描述.
研究的目的:
- 描述两个严重的先天性甲状腺功能增强症的病例,由于新出现的TSHR变异.
- 突出TSHR激活变体的表型谱和临床后续.
主要方法:
- 案例报告两个无关的个人与新TSHR致病变体.
- 临床表现,遗传发现和手术管理的描述.
主要成果:
- 两名患者出现了严重的零星非自身免疫性甲状腺功能增强症 (SNAH) 和由于明显的新TSHR变异而导致的骨突.
- 两者都需要广泛的甲状腺切除术,由甲状腺缩和脆弱的复发性喉神经 (RLNs) 复杂化.
结论:
- 激活TSHR的变种可以导致严重的先天性甲状腺功能过高症,并带来显著的临床后果.
- 这些病例强调了识别TSHR变异的广泛表型谱的重要性,以及管理严重早期甲状腺功能障碍的挑战.
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