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Table 1 Key points of differentiation between RTH-α and RTH-β

From: Update on resistance to thyroid hormone syndromeβ

TR types

RTH type

Mutation receptor

Clincal manifestations

Treatment

TR-α1: Heart, muscle tissue

TR-α2: Widely distributed

TR-β1: Brain, liver, kidney

TR-β2: Hypothalamus, pituitary gland

RTH-α

TR-α

Anemia, Constipation, Growth retardation, Developmental delay, Motor and Cognitive development delay

L-T4

RTH-β

TR-β

General, Pituitary and Peripheral RTH-β

Vary from hyperthyroidism to hypothyroidism or simple goiter

L-T4 or L-T3, TRIAC, DT4, beta-blockers