Table 3.
Family | [Se] | TT4 | FT4 | TT3 | rT3 | TSH | Growth and skeletal | Musculoskeletal | Neurocognitive | Hearing | Other |
---|---|---|---|---|---|---|---|---|---|---|---|
A | L | H | H | L | H | H | Short stature, DBA | N/A | Normal mental development | Normal | N/A |
B | L | H | H | N/L | H | N | Short stature, DBA | N/A | N/A | Normal | N/A |
C | L | H | H | N/L | H | N | Short stature, DBA | N/A | N/A | N/A | |
D | L | H | H | N/L | H | H | Short stature, DBA, kyphoscoliosis | Hypotonia, hip girdle weakness, spirometry: reduced expiratory and inspiratory flow, fatty infiltration of muscle | Impaired mental development and motor coordination | Bilateral sensorineural loss | Failure to thrive, bilateral clinodactyly, asymmetric leg length, peripheral sensory neuropathy, and increased fat mass |
E | L | N/A | H | N | N/A | N | Short stature, genu valgus | Lumbar spinal rigidity, reduced axial and neck strength, spirometry: reduced vital capacity, nocturnal hypoventilation, fatty infiltration of muscle | Developmental delay | Bilateral sensorineural loss, vertigo | Azoopsermia, Raynauds disease, photosensitivity, mild lymphopenia and reduced red cell mass, low insulin and high adiponectin levels, favorable blood lipid profile, and low intrahepatic lipid |
F | L | N/A | H | L | N/A | N | Short stature | Proximal and axial myopathy, lumbar rigidity, fatty infiltration of adductor muscles | Developmental delay | Bilateral sensorineural loss | Failure to thrive, eosinophilic colitis, increased fat mass, high adiponectin levels, and hypoglycemia with low fasting insulin |
G | L | N/A | H | N/L | N/A | N/H | Short stature, DBA | Fatty infiltration of muscles | Delayed motor and intellectual development, IQ 70 | Bilateral mild conductive loss rotatory vertigo | Failure to thrive, hypoplastic thyroid gland, no photosensitivity, and increased fat mass |
H | L | H | H | L | H | N/H | Short stature | N/A | Mental and motor retardation, IQ 50 | N/A | N/A |
I | N/A | H | H | L | H | N | DBA | N/A | N/A | N/A | Failure to thrive |
J | L | H | H | L | H | N/H | Decreased growth velocity from 13 years | Muscle weakness, fatty infiltration of the muscles | Normal early development | Normal | Right-eye ptosis, attention-deficit disorder with poor school performance, impaired growth hormone response, obese (body mass index 29.5), and impaired OGTT |
K | N/A | H | H | L | H | N | Short stature, DBA | N/A | Developmental delay | N/A | Failure to thrive |
L | L | H | H | L | H | N | Delayed growth | Hypotonia, myopathy with fatty infiltration of muscles, and ataxic gait | Developmental delay | Bilateral sensorineural loss | Dysarthic speech, tapered fingers, seizures, and increased fat mass |
DBA, delayed bone age; FT4, free thyroxine; H, high; IQ, intelligence quotient; L, low; N, normal; N/H, high-normal; N/L, low normal; OGTT, oral glucose tolerance test; rT3, reverse triiodothyronine; Se, selenium; T3, triiodothyronine; T4, thyroxine; TSH, thyroid stimulating hormone; TT3, total triiodothyronine; TT4, total thyroxine; TSH, thyroid stimulating; hormone.