Thyroid Hormone Resistance Syndromes

  • Roy E. WeissEmail author
  • Samuel Refetoff


Syndromes with impaired sensitivity to thyroid hormone (TH) include three types of resistance to thyroid hormone (RTH) syndromes (RTHβ, RTHα, and nonTR-RTH) and also include patients with defects in TH transport into cells (thyroid hormone cell membrane transport defect, THCMTD) and defects in TH metabolism (thyroid hormone metabolism defect, THMD). The overall goal of this chapter is to discuss the treatment options for patients with various syndromes of impaired sensitivity to TH. These are rare conditions with little or no evidence-based information for the “best” treatment of patients. The first step toward treatment of all of these syndromes is making an accurate diagnosis based on a combination of the clinical presentation and laboratory tests that ultimately requires genetic confirmation. Recognizing the etiology leads to a more logical approach to treatment.


Resistance to thyroid hormone Thyroid hormone cell membrane transport defect Thyroid hormone metabolism defect Monocarboxylase transporter 8 Deiodinase defect Thyroid hormone receptor beta Thyroid hormone receptor alpha 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of MedicineThe University of Miami Miller School of MedicineMiamiUSA
  2. 2.Departments of Medicine, Pediatrics and GeneticsThe University of ChicagoChicagoUSA

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