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Cited by 873

The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

The Syndromes of Resistance to Thyroid Hormone*

REFETOFF, SAMUEL, WEISS, ROY E., USALA, STEPHEN J.·1993·Endocrine Reviews

Abstract

THE syndromes of resistance to thyroid hormone are characterized by reduced clinical and biochemical manifestations of thyroid hormone action relative to the circulating hormone levels. In practice, most patients are identified by the persistent elevation of serum levels of T4 and T3 with “inappropriately” nonsuppressed TSH, in the absence of intercurrent acute illness, drugs, or alterations of thyroid hormone binding to serum proteins. More importantly, administration of supraphysiological doses of thyroid hormone fail to produce the expected suppressive effect on the secretion of pituitary TSH and/or to induce the expected metabolic responses in the peripheral tissues. Since the publication of the index cases in 1967 (1), 347 subjects have been reported who exhibit the characteristics of the syndrome (Refs. 1–129 and our personal communications and observations). In this review, we summarize all cases known to us, present their common features as well as unusual manifestations, and attempt to analyze and relate both clinical and laboratory findings. Special emphasis is given to recent advances in diagnostic procedures and in genetic studies which, in addition to identifying the etiology of the resistance, have contributed to the understanding of the molecular mechanisms of thyroid hormone action. The ultimate goal is to provide more accurate means of establishing the diagnosis, earlier recognition of the disorder, and more effective approaches to therapy.

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Metadata

Authors
REFETOFF, S., WEISS, R. E., & USALA, S. J.
Venue
Endocrine Reviews
Published
1993-06
Volume
14
Issue
3
Pages
348-399
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W2056724579
Cited by
873
References
31
FWCI
31.04
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Syndromes of Resistance to Thyroid Hormone*. https://app.cochat.ai/papers/10.1210/edrv-14-3-348
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REFETOFF, S., WEISS, R. E., & USALA, S. J. (1993). The Syndromes of Resistance to Thyroid Hormone*. Endocrine Reviews. https://doi.org/10.1210/edrv-14-3-348

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