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Elevated circulating reverse T3 concentration

MedGen UID:
1815050
Concept ID:
C5706144
Finding
Synonyms: Elevated circulating reverse triiodothyronine concentration; Elevated rT3
 
HPO: HP:0034288

Definition

Abnormally increased concentration of reverse T3 (3,3',5'-triiodothyronine or rT3) in the blood circulation. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVElevated circulating reverse T3 concentration

Conditions with this feature

Thyroid hormone metabolism, abnormal, 2
MedGen UID:
1812066
Concept ID:
C5676976
Finding
Abnormal thyroid hormone metabolism-2 (THMA2) is characterized by elevated serum reverse triiodothyronine (rT3) levels and rT3/T3 ratios. Some patients exhibit resistance to thyroid-stimulating hormone (TSH; see 188540) with mildly elevated TSH levels, and elevated cholesterol levels have been observed (Franca et al., 2021). For a discussion of genetic heterogeneity of abnormal thyroid hormone metabolism, see THMA1 (609698).
Thyroid hormone metabolism, abnormal, 3
MedGen UID:
1824065
Concept ID:
C5774292
Disease or Syndrome
Abnormal thyroid hormone metabolism-3 (THMA3) is characterized by euthyroid hyperthyroxinemia, with elevated free T4 and reverse T3 levels, and normal TSH (see 188540) and free T3 levels. Patients also show low plasma selenium levels and reduced levels of stress-related selenoproteins (Schoenmakers et al., 2016; Geslot et al., 2021). For a discussion of genetic heterogeneity of abnormal thyroid hormone metabolism, see THMA1 (609698).

Professional guidelines

PubMed

Peden NR, Gunn A, Browning MC, Crooks J, Forrest AL, Hamilton WF, Isles TE
Br J Surg 1982 Nov;69(11):638-40. doi: 10.1002/bjs.1800691103. PMID: 6127134

Recent clinical studies

Etiology

Han J, Zhang TO, Xiao WH, Chang CQ, Ai H
Chin Med J (Engl) 2012 Mar;125(5):874-81. PMID: 22490590
Travison TG, O'Donnell AB, Araujo AB, Matsumoto AM, McKinlay JB
Clin Endocrinol (Oxf) 2007 Jul;67(1):71-7. Epub 2007 Apr 27 doi: 10.1111/j.1365-2265.2007.02837.x. PMID: 17466009
Medeiros-Neto GA, de Kallas WG, Cavaliere H, Knobel M, Mattar E
J Clin Endocrinol Metab 1982 Sep;55(3):403-7. doi: 10.1210/jcem-55-3-403. PMID: 6808003
Chopra IJ, Williams DE, Orgiazzi J, Solomon DH
J Clin Endocrinol Metab 1975 Nov;41(5):911-20. doi: 10.1210/jcem-41-5-911. PMID: 1242390
Chopra IJ
J Clin Invest 1974 Sep;54(3):583-92. doi: 10.1172/JCI107795. PMID: 4211761Free PMC Article

Diagnosis

Langouche L, Lehmphul I, Perre SV, Köhrle J, Van den Berghe G
Thyroid 2016 Dec;26(12):1674-1680. Epub 2016 Oct 25 doi: 10.1089/thy.2016.0214. PMID: 27676423
Wu SY, Huang WS, Polk D, Chen WL, Reviczky A, Williams J 3rd, Chopra IJ, Fisher DA
J Clin Endocrinol Metab 1993 Jun;76(6):1625-30. doi: 10.1210/jcem.76.6.8501172. PMID: 8501172
Persson H, Bennegård K, Lundberg PA, Svaninger G, Lundholm K
Ann Surg 1985 Jan;201(1):45-52. PMID: 3917657Free PMC Article
Lindstedt G, Lundberg PA, Sjögren B, Ernest I, Sundquist O
Scand J Clin Lab Invest 1982 Nov;42(7):585-93. PMID: 7156868
Chopra IJ
J Clin Invest 1974 Sep;54(3):583-92. doi: 10.1172/JCI107795. PMID: 4211761Free PMC Article

Therapy

Travison TG, O'Donnell AB, Araujo AB, Matsumoto AM, McKinlay JB
Clin Endocrinol (Oxf) 2007 Jul;67(1):71-7. Epub 2007 Apr 27 doi: 10.1111/j.1365-2265.2007.02837.x. PMID: 17466009
Michalaki M, Vagenakis AG, Makri M, Kalfarentzos F, Kyriazopoulou V
J Clin Endocrinol Metab 2001 Sep;86(9):4198-205. doi: 10.1210/jcem.86.9.7795. PMID: 11549650
Van den Berghe G, Wouters P, Carlsson L, Baxter RC, Bouillon R, Bowers CY
J Clin Endocrinol Metab 1998 Sep;83(9):3062-70. doi: 10.1210/jcem.83.9.5120. PMID: 9745404
Chopra IJ, Sack J, Fisher DA
J Clin Invest 1975 Jun;55(6):1137-41. doi: 10.1172/JCI108030. PMID: 1133163Free PMC Article
Chopra IJ
J Clin Invest 1974 Sep;54(3):583-92. doi: 10.1172/JCI107795. PMID: 4211761Free PMC Article

Prognosis

Michalaki M, Vagenakis AG, Makri M, Kalfarentzos F, Kyriazopoulou V
J Clin Endocrinol Metab 2001 Sep;86(9):4198-205. doi: 10.1210/jcem.86.9.7795. PMID: 11549650

Clinical prediction guides

Langouche L, Lehmphul I, Perre SV, Köhrle J, Van den Berghe G
Thyroid 2016 Dec;26(12):1674-1680. Epub 2016 Oct 25 doi: 10.1089/thy.2016.0214. PMID: 27676423
Han J, Zhang TO, Xiao WH, Chang CQ, Ai H
Chin Med J (Engl) 2012 Mar;125(5):874-81. PMID: 22490590
Travison TG, O'Donnell AB, Araujo AB, Matsumoto AM, McKinlay JB
Clin Endocrinol (Oxf) 2007 Jul;67(1):71-7. Epub 2007 Apr 27 doi: 10.1111/j.1365-2265.2007.02837.x. PMID: 17466009
Michalaki M, Vagenakis AG, Makri M, Kalfarentzos F, Kyriazopoulou V
J Clin Endocrinol Metab 2001 Sep;86(9):4198-205. doi: 10.1210/jcem.86.9.7795. PMID: 11549650
Chopra IJ, Williams DE, Orgiazzi J, Solomon DH
J Clin Endocrinol Metab 1975 Nov;41(5):911-20. doi: 10.1210/jcem-41-5-911. PMID: 1242390

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