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Pituitary hypothyroidism

MedGen UID:
777086
Concept ID:
C3665349
Disease or Syndrome
Synonym: Secondary hypothyroidism
SNOMED CT: Secondary hypothyroidism (82598004); TSH - Thyroid stimulating hormone deficiency (82598004); Pituitary hypothyroidism (82598004); TSH deficiency (82598004); Hypothyrotropic hypothyroidism (82598004)
 
HPO: HP:0008245
OMIM®: 275100

Definition

A type of hypothyroidism that results from a defect in thyroid-stimulating hormone secretion. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPituitary hypothyroidism

Conditions with this feature

RHYNS syndrome
MedGen UID:
356371
Concept ID:
C1865794
Disease or Syndrome
RHYNS syndrome is characterized by gaze palsy, retinitis pigmentosa, sensorineural hearing loss, hypopituitarism, nephronophthisis, and mild skeletal dysplasia (Di Rocco et al., 1997).
Obesity due to leptin receptor gene deficiency
MedGen UID:
767139
Concept ID:
C3554225
Disease or Syndrome
Leptin receptor deficiency is characterized by severe early-onset obesity, major hyperphagia, hypogonadotropic hypogonadism, and neuroendocrine/metabolic dysfunction (summary by Dehghani et al., 2018).
Webb-Dattani syndrome
MedGen UID:
863145
Concept ID:
C4014708
Disease or Syndrome
Webb-Dattani syndrome is an autosomal recessive disorder characterized by frontotemporal hypoplasia, globally delayed development, and pituitary and hypothalamic insufficiency due to hypoplastic development of these brain regions. Patients present soon after birth with multiple pituitary hormonal deficiencies and subsequently develop microcephaly, seizures, and spasticity. Other features include postretinal blindness and renal abnormalities (summary by Webb et al., 2013).
Developmental and epileptic encephalopathy 105 with hypopituitarism
MedGen UID:
1823963
Concept ID:
C5774190
Disease or Syndrome
Developmental and epileptic encephalopathy-105 with hypopituitarism (DEE105) is an autosomal recessive disorder characterized by the onset of seizures and pituitary insufficiency in the first weeks or months of life. Affected individuals have profoundly impaired development with almost no acquisition of skills. They are hypotonic, unable to sit or speak, and have poor or absent visual fixation. Endocrine workup shows central pituitary dysfunction with low hormone levels. Brain imaging shows cerebral atrophy, thin corpus callosum, and small pituitary gland (Schanzer et al., 2021). For a general phenotypic description and a discussion of genetic heterogeneity of DEE, see 308350.

Professional guidelines

PubMed

Büyükgebiz A
J Clin Res Pediatr Endocrinol 2013;5 Suppl 1(Suppl 1):8-12. Epub 2012 Nov 15 doi: 10.4274/jcrpe.845. PMID: 23154158Free PMC Article
Grüters A, Krude H
Horm Res 2007;68 Suppl 5:107-11. Epub 2007 Dec 10 doi: 10.1159/000110591. PMID: 18174723
Büyükgebiz A
J Pediatr Endocrinol Metab 2006 Nov;19(11):1291-8. doi: 10.1515/jpem.2006.19.11.1291. PMID: 17220056

Recent clinical studies

Etiology

Toi N, Kurajoh M, Miyaoka D, Nagata Y, Yamada S, Imanishi Y, Hayashi D, Tateishi C, Inaba M, Tsuruta D, Morita A, Emoto M
Endocr J 2022 Jan 28;69(1):101-105. Epub 2021 Aug 25 doi: 10.1507/endocrj.EJ21-0313. PMID: 34433736
Effraimidis G, Watt T, Feldt-Rasmussen U
Front Endocrinol (Lausanne) 2021;12:641560. Epub 2021 Mar 12 doi: 10.3389/fendo.2021.641560. PMID: 33790867Free PMC Article
Büyükgebiz A
J Clin Res Pediatr Endocrinol 2013;5 Suppl 1(Suppl 1):8-12. Epub 2012 Nov 15 doi: 10.4274/jcrpe.845. PMID: 23154158Free PMC Article
Büyükgebiz A
J Pediatr Endocrinol Metab 2006 Nov;19(11):1291-8. doi: 10.1515/jpem.2006.19.11.1291. PMID: 17220056
Asakura Y, Tachibana K, Adachi M, Suwa S, Yamagami Y
Acta Paediatr 2002;91(2):172-7. doi: 10.1080/080352502317285171. PMID: 11952005

Diagnosis

Effraimidis G, Watt T, Feldt-Rasmussen U
Front Endocrinol (Lausanne) 2021;12:641560. Epub 2021 Mar 12 doi: 10.3389/fendo.2021.641560. PMID: 33790867Free PMC Article
Büyükgebiz A
J Clin Res Pediatr Endocrinol 2013;5 Suppl 1(Suppl 1):8-12. Epub 2012 Nov 15 doi: 10.4274/jcrpe.845. PMID: 23154158Free PMC Article
Grüters A, Krude H
Horm Res 2007;68 Suppl 5:107-11. Epub 2007 Dec 10 doi: 10.1159/000110591. PMID: 18174723
Büyükgebiz A
J Pediatr Endocrinol Metab 2006 Nov;19(11):1291-8. doi: 10.1515/jpem.2006.19.11.1291. PMID: 17220056
Fisher DA
Thyroid 1999 Jul;9(7):715-20. doi: 10.1089/thy.1999.9.715. PMID: 10447019

Therapy

Effraimidis G, Watt T, Feldt-Rasmussen U
Front Endocrinol (Lausanne) 2021;12:641560. Epub 2021 Mar 12 doi: 10.3389/fendo.2021.641560. PMID: 33790867Free PMC Article
Sonkar SK, Kumar S, Singh NK
Indian J Tuberc 2019 Jul;66(3):427-429. Epub 2018 Aug 2 doi: 10.1016/j.ijtb.2018.07.005. PMID: 31439193
Grüters A, Krude H
Horm Res 2007;68 Suppl 5:107-11. Epub 2007 Dec 10 doi: 10.1159/000110591. PMID: 18174723
Fisher DA
Thyroid 1999 Jul;9(7):715-20. doi: 10.1089/thy.1999.9.715. PMID: 10447019
Constine LS, Woolf PD, Cann D, Mick G, McCormick K, Raubertas RF, Rubin P
N Engl J Med 1993 Jan 14;328(2):87-94. doi: 10.1056/NEJM199301143280203. PMID: 8416438

Prognosis

Chen K, Wang H, Lai Y
Front Endocrinol (Lausanne) 2020;11:592831. Epub 2021 Feb 1 doi: 10.3389/fendo.2020.592831. PMID: 33597923Free PMC Article
Theodoridis C, Ladis V, Papatheodorou A, Berdousi H, Palamidou F, Evagelopoulou C, Athanassaki K, Konstantoura O, Kattamis C
J Pediatr Endocrinol Metab 1998;11 Suppl 3:835-44. PMID: 10091154

Clinical prediction guides

Radic CP, Abelleyro MM, Ziegler B, Marchione VD, Nevado J, Lapunzina P, Sciuccati G, Neme D, Rossetti LC, Bonduel M, De Brasi CD
Haemophilia 2023 May;29(3):844-854. Epub 2023 Mar 17 doi: 10.1111/hae.14779. PMID: 36930806
Toi N, Kurajoh M, Miyaoka D, Nagata Y, Yamada S, Imanishi Y, Hayashi D, Tateishi C, Inaba M, Tsuruta D, Morita A, Emoto M
Endocr J 2022 Jan 28;69(1):101-105. Epub 2021 Aug 25 doi: 10.1507/endocrj.EJ21-0313. PMID: 34433736
Effraimidis G, Watt T, Feldt-Rasmussen U
Front Endocrinol (Lausanne) 2021;12:641560. Epub 2021 Mar 12 doi: 10.3389/fendo.2021.641560. PMID: 33790867Free PMC Article
Chen K, Wang H, Lai Y
Front Endocrinol (Lausanne) 2020;11:592831. Epub 2021 Feb 1 doi: 10.3389/fendo.2020.592831. PMID: 33597923Free PMC Article
Theodoridis C, Ladis V, Papatheodorou A, Berdousi H, Palamidou F, Evagelopoulou C, Athanassaki K, Konstantoura O, Kattamis C
J Pediatr Endocrinol Metab 1998;11 Suppl 3:835-44. PMID: 10091154

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