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central sensitivity indices include the thyrotroph thyroxine resistance index (TT4RI) and TSH index (TSHI). The FT3/FT4 ratio reflects deiodinase activity and is a proxy for peripheral thyroid hormone sensitivity ( 21 ). Central resistance phenomena affect
Department of Endocrinology, Shengjing Hospital, China Medical University, Shenyang, Liaoning, China
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Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Heping District, Shenyang, Liaoning, China
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Department of Endocrinology, Shengjing Hospital, China Medical University, Shenyang, Liaoning, China
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sensitivity index (TT4RI) was calculated as: fT4 (pmol/L) · TSH (mIU/L) ( 11 ). The TSH index (TSHI) was calculated as: ln TSH (mIU/L) + 0.1345 · fT4 (pmol/L) ( 14 ). The TFQI is achieved by applying the population empirical cumulative distribution
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(DiaSorin S.p.A., Saluggia, Italy) obtaining normal values (TT3 = 1.42 and 2.50 nmol/L for the mother and the daughter, respectively; RI: 1.18–3.40; TT4 = 78.33 and 90.30 nmol/L for the mother and the daughter, respectively; RI: 57.6–161.3 nmol/L). These
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Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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the TTR gene, encoding for transthyretin to exclude a familial dysalbuminemic hyperthyroxinemia, and we did not find any variant. We did not sequence the SERPINA7 as TT4 levels were increased (243.7 nmol/L, normal reference 69-141), thus excluding
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; TT, total thyroidectomy; ; ; TPS, tumour proportion score. Outcome of treatment and adverse effects As of October 2022, with a median follow-up of 32.6 (IQR: 26.4–38.8) months, no patients were on active treatment. We observed an ORR
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Introduction Deiodinase type 2 (DIO2) is an enzyme that catalyzes the production of the active form of thyroid hormone triiodothyronine (T3) from thyroxine (T4) and is important for maintaining intracellular T3 levels [ 1 ]. DIO2 is also
Department of Clinical Sciences, Skåne University Hospital, Malmö, Sweden
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[ 1 , 2 ] and environmental factors [ 3 ]. One strong risk factor is tobacco smoking, which results in higher TRAb at diagnosis of GD and during treatment with thiamazole than in nonsmokers [ 4 ]. It has also been shown that smokers treated with
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and framework described for the indication, as well as on surgical tips [ 1 , 2 , 3 , 4 ]. The first step taken to improve robotic thyroid surgery was characterized by the rapid evolution of robotic surgical techniques and training programs [ 1 , 2 , 3
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increased the recurrence risk after ATD withdrawal [ 146 , 147 ]. Maternal FT4 (or TT4) values should be maintained at the upper limit of the pregnancy-specific thyroid function tests [ 148 ]. During the third trimester, discontinuation of ATD is often