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Increased circulating T4 concentration

MedGen UID:
1619052
Concept ID:
C4531079
Finding
Synonyms: Increased circulating T4 level; Increased circulating thyroxine level
 
HPO: HP:0031506

Definition

An elevation above the normal concentration of thyroxine in the blood. Thyroxine (also known as T4) is the main hormone secreted by the thyroid gland into the blood. It can be converted into the active form triiodothyronine (also known as T3). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIncreased circulating T4 concentration

Conditions with this feature

Familial hyperthyroidism due to mutations in TSH receptor
MedGen UID:
373154
Concept ID:
C1836706
Disease or Syndrome
A rare hyperthyroidism characterized by mild to severe hyperthyroidism, presence of goiter, absence of features of autoimmunity, frequent relapses while on treatment and a positive family history.
Familial gestational hyperthyroidism
MedGen UID:
355106
Concept ID:
C1863959
Disease or Syndrome
Some degree of stimulation of the thyroid gland by chorionic gonadotropin (see 118860) is common during early pregnancy. When serum chorionic gonadotropin concentrations are abnormally high, e.g., in women with molar pregnancies (231090), overt hyperthyroidism may ensue. The pathophysiologic mechanism appears to be promiscuous stimulation of the thyrotropin receptor by the excess chorionic gonadotropin. The explanation for this stimulation is the close structural relations between chorionic gonadotropin and thyrotropin and between their receptors (Grossmann et al., 1997).
Thyrotoxic periodic paralysis, susceptibility to, 2
MedGen UID:
413851
Concept ID:
C2750473
Finding
Any thyrotoxic periodic paralysis in which the cause of the disease is a mutation in the KCNJ18 gene.
Thyroid hormone resistance, generalized, autosomal recessive
MedGen UID:
483749
Concept ID:
C3489796
Disease or Syndrome
A rare, autosomal recessive inherited disorder usually caused by mutations in the THRB gene. It is characterized by a defective physiological resistance to thyroid hormones, resulting in the elevation of thyroxin and triiodothyronine in the serum.
Thyroid hormone metabolism, abnormal 1
MedGen UID:
1801974
Concept ID:
C5676891
Finding
Abnormal thyroid hormone metabolism-1 (THMA1) is characterized by multiorgan defects, including abnormal thyroid hormone metabolism, myopathy, hearing loss, and male infertility (summary by Catli et al., 2018). Genetic Heterogeneity of Abnormal Thyroid Hormone Metabolism THMA2 (619855) is caused by mutation in the DIO1 gene (147892) on chromosome 1p32. THMA3 (620198) is caused by mutation in the TRU-TCA1-1 gene (165060) on chromosome 19q13.

Professional guidelines

PubMed

Persani L, Preziati D, Matthews CH, Sartorio A, Chatterjee VK, Beck-Peccoz P
Clin Endocrinol (Oxf) 1997 Aug;47(2):207-14. doi: 10.1046/j.1365-2265.1997.2351057.x. PMID: 9302396
Miell JP, Zini M, Quin JD, Jones J, Portioli I, Valcavi R
J Clin Endocrinol Metab 1994 Nov;79(5):1507-12. doi: 10.1210/jcem.79.5.7525638. PMID: 7525638
Noguchi K, Suzuki H, Nakahata M, Kurosawa S, Nakagawa S
Clin Endocrinol (Oxf) 1986 Sep;25(3):293-301. doi: 10.1111/j.1365-2265.1986.tb01694.x. PMID: 3791669

Recent clinical studies

Etiology

Grondman I, de Nooijer AH, Antonakos N, Janssen NAF, Mouktaroudi M, Leventogiannis K, Medici M, Smit JWA, van Herwaarden AE, Joosten LAB, van de Veerdonk FL, Pickkers P, Kox M, Jaeger M, Netea MG, Giamarellos-Bourboulis EJ, Netea-Maier RT
J Clin Endocrinol Metab 2021 Jun 16;106(7):1994-2009. doi: 10.1210/clinem/dgab148. PMID: 33713408Free PMC Article
Zhou X, Wu Q, Hao T, Xu R, Hu X, Dong L
J Clin Lab Anal 2021 Jan;35(1):e23574. Epub 2020 Sep 12 doi: 10.1002/jcla.23574. PMID: 32920929Free PMC Article
Chandrasekaran S, Hunt H, Melhorn S, Gammill HS, Schur EA
J Matern Fetal Neonatal Med 2020 Aug;33(16):2812-2817. Epub 2019 Jan 9 doi: 10.1080/14767058.2018.1562542. PMID: 30572749Free PMC Article
Ceresini G, Morganti S, Maggio M, Usberti E, Fiorino I, Artoni A, Teresi G, Belli S, Ridolfi V, Valenti G, Ceda GP
Acta Biomed 2010;81 Suppl 1:31-6. PMID: 20518189
Crofton KM
Int J Androl 2008 Apr;31(2):209-23. Epub 2008 Jan 22 doi: 10.1111/j.1365-2605.2007.00857.x. PMID: 18217984

Diagnosis

Grondman I, de Nooijer AH, Antonakos N, Janssen NAF, Mouktaroudi M, Leventogiannis K, Medici M, Smit JWA, van Herwaarden AE, Joosten LAB, van de Veerdonk FL, Pickkers P, Kox M, Jaeger M, Netea MG, Giamarellos-Bourboulis EJ, Netea-Maier RT
J Clin Endocrinol Metab 2021 Jun 16;106(7):1994-2009. doi: 10.1210/clinem/dgab148. PMID: 33713408Free PMC Article
Halsall DJ, Oddy S
Ann Clin Biochem 2021 Jan;58(1):29-37. Epub 2020 Nov 4 doi: 10.1177/0004563220969150. PMID: 33040575
Zhou X, Wu Q, Hao T, Xu R, Hu X, Dong L
J Clin Lab Anal 2021 Jan;35(1):e23574. Epub 2020 Sep 12 doi: 10.1002/jcla.23574. PMID: 32920929Free PMC Article
Ceresini G, Morganti S, Maggio M, Usberti E, Fiorino I, Artoni A, Teresi G, Belli S, Ridolfi V, Valenti G, Ceda GP
Acta Biomed 2010;81 Suppl 1:31-6. PMID: 20518189
Tibaldi JM, Surks MI
Endocr Rev 1985 Winter;6(1):87-102. doi: 10.1210/edrv-6-1-87. PMID: 3884330

Therapy

Caron P, Grunenwald S, Persani L, Borson-Chazot F, Leroy R, Duntas L
Rev Endocr Metab Disord 2022 Jun;23(3):463-483. Epub 2021 Oct 20 doi: 10.1007/s11154-021-09691-9. PMID: 34671932Free PMC Article
Halsall DJ, Oddy S
Ann Clin Biochem 2021 Jan;58(1):29-37. Epub 2020 Nov 4 doi: 10.1177/0004563220969150. PMID: 33040575
van Houte J, Bindels AJ, Houterman S, Dong PV, den Ouden M, de Bock NE, Verberkmoes NJ, Curvers J, Bouwman AR
Perfusion 2021 Jul;36(5):440-446. Epub 2020 Aug 5 doi: 10.1177/0267659120946952. PMID: 32755277
Franklyn JA
Clin Endocrinol (Oxf) 2013 Jan;78(1):1-8. doi: 10.1111/cen.12011. PMID: 22891671
Lim VS
Am J Kidney Dis 2001 Oct;38(4 Suppl 1):S80-4. doi: 10.1053/ajkd.2001.27410. PMID: 11576928

Prognosis

Chandrasekaran S, Hunt H, Melhorn S, Gammill HS, Schur EA
J Matern Fetal Neonatal Med 2020 Aug;33(16):2812-2817. Epub 2019 Jan 9 doi: 10.1080/14767058.2018.1562542. PMID: 30572749Free PMC Article
Bunevicius A, Laws ER, Saudargiene A, Tamasauskas A, Iervasi G, Deltuva V, Smith TR, Bunevicius R
Endocrine 2019 Dec;66(3):563-572. Epub 2019 Aug 26 doi: 10.1007/s12020-019-02016-6. PMID: 31452060
Audet-Delage Y, Ouellet N, Dallaire R, Dewailly E, Ayotte P
Environ Sci Technol 2013 Nov 19;47(22):13086-92. Epub 2013 Nov 11 doi: 10.1021/es4027634. PMID: 24160776
Crofton KM
Int J Androl 2008 Apr;31(2):209-23. Epub 2008 Jan 22 doi: 10.1111/j.1365-2605.2007.00857.x. PMID: 18217984
Van den Berghe G
Verh K Acad Geneeskd Belg 2002;64(3):167-87; discussion 187-8. PMID: 12238241

Clinical prediction guides

Chen Z, Peeters RP, Leeuwenburgh S, Broekhuizen M, Neuman RI, Hitzerd E, Tan L, Jongejan RMS, de Rijke YB, Reiss IKM, Danser AHJ, Visser WE, Meima ME
Thyroid 2023 May;33(5):625-631. Epub 2023 Jan 9 doi: 10.1089/thy.2022.0406. PMID: 36416258
van Houte J, Bindels AJ, Houterman S, Dong PV, den Ouden M, de Bock NE, Verberkmoes NJ, Curvers J, Bouwman AR
Perfusion 2021 Jul;36(5):440-446. Epub 2020 Aug 5 doi: 10.1177/0267659120946952. PMID: 32755277
Chandrasekaran S, Hunt H, Melhorn S, Gammill HS, Schur EA
J Matern Fetal Neonatal Med 2020 Aug;33(16):2812-2817. Epub 2019 Jan 9 doi: 10.1080/14767058.2018.1562542. PMID: 30572749Free PMC Article
Crofton KM
Int J Androl 2008 Apr;31(2):209-23. Epub 2008 Jan 22 doi: 10.1111/j.1365-2605.2007.00857.x. PMID: 18217984
Van den Berghe G
Verh K Acad Geneeskd Belg 2002;64(3):167-87; discussion 187-8. PMID: 12238241

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