Evidence map›Paper›PMID 41837232›Full record

ArticleJCEM case reports2026

A case of thyroid hormone resistance with thyroid regrowth: implications of misdiagnosis on patient care.

Matthew Shelly, Luke Miller, Katelyn Graver, Mohammad Ishaq Arastu

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Matthew ShellyLewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.ORCID https://orcid.org/0009-0000-4879-4717
Luke MillerLewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.
Katelyn GraverLewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.
Mohammad Ishaq ArastuDepartment of Endocrinology, St. Luke's University Health Network, Bethlehem, PA 18015, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a male patient misdiagnosed with resistant hyperthyroidism who erroneously underwent total thyroidectomy complicated by thyroid tissue regrowth. Subsequent iodine-131 (I-131) radiation therapy and medical management further confounded the misdiagnosis. Serological examination in the following years revealed persistently elevated thyroid stimulating hormone (TSH) levels ranging from 45.7 μIU/mL (SI: 45.7 mIU/L) to 134.0 μIU/mL (SI: 134.0 mIU/L) (reference range, 0.550-5.00 μIU/mL [SI: 0.55-5.00 mIU/L]) with variable free thyroxine (FT4) levels ranging from 0.80 ng/dL to 8.1 ng/dL (SI: 10.3 pmol/L to 104.3 pmol/L) (reference range, 0.90-1.70 ng/dL [SI: 11.5-21.8 pmol/L]). Thyroid hormone resistance syndromes (RTH) are characterized by thyroid hormone resistance in organ tissues. Clinical presentation varies based on the severity of thyroid hormone dysregulation and the location of hormone resistance. RTH is often misdiagnosed due to variable phenotypic and biochemical presentations, resulting in erroneous medical and surgical treatments that further complicate patient management. The purpose of this report is to highlight the complex treatment course of this patient and describe challenges faced when diagnosing and managing RTH.

Indexed as

misdiagnosisrecurrent goiterthyroid hormonethyroid hormone resistance (RTH)

Identifiers

PMID41837232
PMCPMC12981220

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.