Central hypothyroidism low blood levels of thyroid hormone because thyroid gland is insufficiently activated
Conditions
Interventions
None listed
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
2 Years to 99 Years
Inclusion criteria
Inclusion criteria: Documented pathogenic mutation in the IGSF1 gene Informed consent
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Medical history. 2. Physical examination. 3. DEXA or bioelectrical impedance analysis for body composition. 4a. Fasting blood sample for FT4, FT3, T3, TSH, prolactin, LH, FSH, testosterone, SHBG, inhibin B, antimüllerian hormone, oestradiol, DHEAS, DHEA, androstenedione, IGF-I, IGFBP-3, cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, glucose, insulin, C-peptide, cortisol, ACTH, GH, leptin. 4b. TRH-induced response of TSH, prolactin and growth hormone at 0*, 20*, 60*, 90*, 120*, 180*. Free T4, Free T3 and thyroglobulin will be determined at 0, 120 and 180 minutes. TSH bioactivity will be assessed at 0, 20 and 60 minutes. 4c. If clinically indicated: GnRH-induced response of LH and FSH; GH response to GH stimulation test; and assessment of corticotrope axis. 5. Ultrasound examination of the thyroid gland, and testis or ovaries. 6. Echocardiography | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Ring size 2. X-ray of hand 3. Photograph with conventional camera 4. Questionnaire assessing complaints related to growth hormone overproduction 5. Neuropsychological tests For participation in these measurements, the patient will receive a financial compensation. | — |
Countries
Netherlands
Outcome results
None listed