Table 1. Long-term follow up of thyroid and gonadal hormone profiles of the patient with IGSF1 deletion.
Age | *14 d | 1 mo | 5 mo | #3y | #6y | 8 y | 9 y | 10 y | 11 y | 12 y | 12.5y | 14 y |
---|---|---|---|---|---|---|---|---|---|---|---|---|
TSH mIU/L | 1.4 | 0.11 | 0.09 | 1.07 | 1.52 | <0.01 | 0.08 | <0.01 | <0.01 | <0.01 | <0.01 | <0.01 |
FT4 pmol/L | 7.2 | 26 | 23.5 | 9.9 | 7.7 | 16.1 | 11.6 | 14.8 | 11.2 | 8.4 | 13.5 | 11.7 |
L-T4 dose μg/Kg/day | 0 | 10 | 5 | 0 | 0 | 1.9 | 2 | 1.65 | 1.4 | 1.35 | 1.9 | 1.4 |
FSH IU/L | 6.3 | 4.5 | 1.2 | 0.43 | 0.66 | 0.74 | 0.88 | 1.10 | 0.82 | 1.11 | 1.76 | 2.56 |
LH IU/L | 0.15 | na | 0.54 | <0.1 | 0.2 | 0.10 | 0.14 | 0.18 | 0.10 | 0.27 | 0.85 | 0.41 |
Testosterone nmol/L | 1 | na | 1 | na | <0.5 | <0.5 | <0.5 | <0.5 | <0.5 | 0.6 | 13.50 | 11.80 |
†Testicular vol. ml (p98 upon age) | Na | 2 (2.8) | 2 (2.8) | 3 (2.8) | 4 (3.5) | 5 (3.8) | 5 (4) | 6 (5) | 8 (8) | 12 (15) | 20 (24) | 40 (28) |
Hormone parameters are presented in chronological order along patient’s lifespan. In italics and bold, hormone values below and above normal ranges for age, respectively. *Age at clinical diagnosis of the patient. #Age after 1 month levo-thyroxine withdrawal to perform two separate TRH tests. †Testicular volume was measured by orchidometer until size exceeded 25 ml, when a caliper and the Lamber’s formula were used18.
TSH: thyrotropin, FT4: free thyroxine, L-T4: levothyroxine treatment, FSH: follicle-stimulating hormone, LH: luteinizing hormone, vol.: volume. d: days; mo: months; y: years; na: not available. Normal ranges for TSH and FT4 are from the Laboratory of the Institution where determinations were performed (TSH: 0.4–4.3 mIU/L, FT4: 11–25 pmol/L), age-related normal ranges for gonadal hormones are from refs 73, 74, 75, and for testicular volume are from ref. 52.