raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:566243

Resistance to thyroid hormone due to a mutation in thyroid hormone receptor beta

Synonyms: RTHb · Resistance to thyroid hormone beta · Resistance to thyroid hormone due to a mutation in TRb

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

A rare genetic hyperthyroidism characterized by elevated levels of circulating free thyroid hormones, normal or elevated thyroid-stimulating hormone, decreased peripheral tissue responses to iodothyronine action, and a highly variable clinical phenotype which most commonly includes goiter, resting tachycardia, osteoporosis, short stature, and attention deficit disorder. Some patients may be entirely asymptomatic.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enResistance to thyroid hormone due to a mutation in thyroid hormone receptor betaRTHb · Resistance to thyroid hormone beta · Resistance to thyroid hormone due to a mutation in TRb
frRésistance aux hormones thyroïdiennes par mutation du récepteur aux hormones thyroïdiennes bêtaRTHb · Résistance aux hormones thyroïdiennes bêta · Résistance aux hormones thyroïdiennes par mutations de TRb
deResistenz gegen Schilddrüsenhormone durch Mutation im Thyroidhormonrezeptor betaRTHb · Resistenz gegen Schilddrüsenhormone durch Mutation im TRb · Resistenz gegen Thyroidhormon beta
esResistencia a la hormona tiroidea por una mutación en el receptor beta de hormona tiroideaRTHb · Resistencia a la hormona tiroidea por una mutación en TRb
itResistenza all'ormone tiroideo da mutazione nel recettore dell'ormone tiroideo betaRTHb · Resistenza all'ormone tiroideo beta · Resistenza all'ormone tiroideo da mutazione in TRb
nlResistentie tegen thyroïdhormoon door een mutatie in thyroïdhormoonreceptor-bètaRTHb · Resistentie tegen thyroïdhormoon door een mutatie in TRb · Resistentie tegen thyroïdhormoon-bèta
ptResistência a levotiroxina por mutação no recetor beta da hormona tiroideia
plOporność na hormon tarczycy spowodowana mutacją receptora beta tarczycyOporność na hormon tarczycy beta · Oporność na hormon tarczycy z powodu mutacji w TRb
csRezistence na hormony štítné žlázy způsobené mutací v receptoru beta pro hormony štítné žlázy= en
ukРезистентність до гормонів щитовидної залози, зумовлена мутацією бета-рецепторів гормонів щитовидної залозиРезистентність до гормону щитовидної залози бета · Резистентність до гормонів щитовидної залози через мутацію в TRb · RTHb
zh甲状腺激素受体β突变所致甲状腺激素的抵抗甲状腺激素β抵抗
trTiroid hormonu reseptörü betadaki mutasyona bağlı tiroid hormonuna dirençTRb'deki mutasyona bağlı tiroid hormonuna direnç · RTHb · Tiroid hormonu beta'ya direnç

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM145650Evalidated
OMIM188570NTBTvalidated
OMIM274300NTBTvalidated
ICD-10E07.8NTBTattributedvalidated
ICD-115A00.00NTBTindexvalidated
MONDO0034217Evalidated
UMLSC1840364Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
THRBDisease-causing germline mutation(s) inAssessedHGNC:11799ENSG000001510901901603p24.2thyroid hormone receptor beta30976996[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—United StatesClass onlyValidatedORPHANET
Point prevalenceUnknown—JapanClass onlyValidatedORPHANET
Prevalence at birth1-9 / 100 0002.47 / 100 000United StatesValue and classValidated14517508[PMID]_31149222[PMID]
Prevalence at birth1-9 / 100 0002.4 / 100 000JapanValue and classValidatedORPHANET_19542904[PMID]_31149222[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

20 annotations · validated 2024-09-30
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000853Goiter
HP:0033075Inappropriately normal thyroid-stimulating hormone level
HP:0033077Increased circulating free T4 concentration
HP:0001649Tachycardia
Frequent (79-30%)
HP:0032069Anti-thyroglobulin antibody positivity
HP:0025379Anti-thyroid peroxidase antibody positivity
HP:0000739Anxiety
HP:0007018Attention deficit hyperactivity disorder
HP:0002750Delayed skeletal maturation
HP:0034288Elevated circulating reverse T3 concentration
HP:0000752Hyperactivity
HP:0011788Increased circulating free T3
HP:0000403Recurrent otitis media
HP:0001328Specific learning disability
Occasional (29-5%)
HP:0025484Increased circulating thyroglobulin concentration
HP:0001530Mild postnatal growth retardation
HP:0012758Neurodevelopmental delay
HP:0001962Palpitations
HP:0000407Sensorineural hearing impairment
Excluded (0%)
HP:0031098Decreased thyroid-stimulating hormone level

Run the differential on the 4 obligate / very frequent terms

Annotation source: 25905160[PMID]_29892828[PMID]

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Sources for this card