NBME 20 Answers : Block 2 : #26 = A male newborn is found to have a decreased blood ...

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NBME 20 Answers

nbme20/Block 2/Question#26

A male newborn is found to have a decreased blood ...

Thyroid hormone-binding globulin deficiency

+1 upvote downvote
submitted by monoloco(49),

Decreased total, normal free (unbound) = Thyroid hormone-binding globulin deficiency

+1 upvote downvote
submitted by whossayin(3),

why can't "organification defect in T3 and T4" be the answer?

sugaplum I think if it was organification defect you wouldn't have a normal T4 level in the serum. +2

+1 upvote downvote
submitted by sugaplum(35),

This is apparently congenital thyroid binding globulin deficiency

"Thyroxine-binding globulin deficiency — Thyroxine-binding globulin (TBG) deficiency is characterized by low serum total T4 but normal free T4 and TSH; the diagnosis is confirmed by measuring TBG concentrations. These infants have normal thyroid function and do not require treatment." - uptodate *can't find in FA, maybe it is in there somewhere?