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Thyroid feedback quantile-based index

The thyroid feedback quantile-based index (TFQI) is a calculated measure of impaired pituitary sensitivity to free thyroxine, proposed in Diabetes Care in 2018 and ranging from −1 to 1.

Thyroid follicular cell

Thyroid follicular cell (thyrocyte): endoderm-derived epithelial cell lining thyroid follicles; uses NIS, TPO, and thyroglobulin to make T3 and T4 under TSH control; source of papillary, follicular, and anaplastic thyroid cancers.

Thyroid function tests

Thyroid function tests (TFTs) are blood tests measuring TSH, free T4, and free T3 to diagnose and monitor thyroid disorders; TSH is the first-line test, with reflex free T4 added when TSH is abnormal.

Thyroid hemiagenesis

Thyroid hemiagenesis (THA, ORPHA:95719) is a rare congenital absence of one thyroid lobe, usually the left (about 80% of cases), affecting roughly 0.02–0.2% of people, more often females, and usually asymptomatic.

Thyroid hormone receptor

Thyroid hormone receptor (TR, TRα/TRβ, THRA/THRB): nuclear T3-activated transcription factor binding DNA as RXR heterodimer on TREs; cloned 1986, structure 1995; TRβ mutations cause RTH.

Thyroid hormones

Thyroid hormones: T4 (thyroxine) and T3 (triiodothyronine), iodine-containing hormones from the thyroid gland regulating metabolism, growth, and brain development, activated locally by deiodinases and replaced clinically with levothyroxine.

Thyroid hypoplasia

Thyroid hypoplasia (congenital thyroid hypoplasia) is incomplete development of the thyroid gland in newborns, one form of thyroid dysgenesis causing permanent congenital hypothyroidism, usually sporadic, detected by newborn screening and treated with levothyroxine.

Thyroid lymphoma

Thyroid lymphoma is a rare B-cell non-Hodgkin lymphoma arising in the thyroid gland, accounting for about 1% to 5% of thyroid cancers and usually occurring in older women.

Thyroid nodule

Thyroid nodule: an abnormal lump of thyroid cells within the thyroid gland, found in about half of people by age 60 and over 90% benign; evaluated by ultrasound risk systems (TI-RADS) and fine-needle aspiration.

Thyroid peroxidase

Thyroid peroxidase (TPO), the thyroid microsomal antigen, is a heme enzyme on the apical membrane of thyroid follicular cells that oxidizes iodide, iodinates thyroglobulin, and couples MIT/DIT to make T3 and T4; target of antithyroid drugs and autoantigen in Hashimoto's disease.

Thyroid stimulating hormone deficiency

Thyroid stimulating hormone deficiency (ICD-11 5A61.4), also called central hypothyroidism: low TSH or TRH causing secondary/tertiary hypothyroidism, low FT4 with inappropriately normal TSH, treated with levothyroxine.

Thyroid storm

Thyroid storm (thyrotoxic crisis) is life-threatening decompensated thyrotoxicosis, usually in Graves' disease, diagnosed clinically via Burch-Wartofsky and JTA criteria and treated in the ICU with beta-blockers, thionamides, iodide, and steroids.

Thyroid-stimulating hormone

Thyroid-stimulating hormone (TSH, thyrotropin) is an anterior pituitary glycoprotein hormone that drives thyroid T4/T3 secretion via the TSH receptor; its log-linear feedback makes it the frontline thyroid test, with pregnancy and biotin interference as key caveats.

Thyroidectomy

Thyroidectomy, surgical removal of all or part of the thyroid gland; types include total, lobectomy, isthmusectomy. Used for thyroid cancer, goiter, Graves' disease; main risks are hypocalcemia and recurrent laryngeal nerve injury.

Thyroiditis

Thyroiditis, inflammation of the thyroid gland, covers Hashimoto's, subacute (de Quervain's), painless, postpartum, drug-induced, radiation-induced, and suppurative forms, with courses ranging from transient thyrotoxicosis-hypothyroidism to permanent hypothyroidism.

Thyronamine

Thyronamines are endogenous biogenic amines formed from thyroid hormones, best known through 3-iodothyronamine (T1AM), discovered in 2004, which rapidly lowers body temperature and heart rate in rodents.

Thyroplasty

Thyroplasty is a laryngeal framework surgical procedure, classified by Isshiki in 1974, in which the thyroid cartilage is reshaped or fitted with an implant to improve the voice.

Thyrotoxic periodic paralysis

Thyrotoxic periodic paralysis is a rare, potentially life-threatening complication of hyperthyroidism in which low potassium causes sudden episodes of painless muscle weakness, mainly in Asian men aged 20 to 40.

Thyrotoxicosis

Thyrotoxicosis (hyperthyroidism-related excess thyroid hormone state) is excess thyroid hormone action on tissues; Graves disease causes about 80% of cases in iodine-sufficient areas, diagnosed by suppressed TSH, treated with antithyroid drugs, radioiodine, or surgery.

Thyrotoxicosis factitia

Thyrotoxicosis factitia, also called factitious hyperthyroidism, is thyrotoxicosis from ingested exogenous thyroid hormone, usually levothyroxine; suppressed TSH, near-zero radioiodine uptake, and undetectable thyroglobulin distinguish it from Graves' disease and thyroiditis.

Thyrotroph

Thyrotroph (thyrotrope, TSH cell): anterior pituitary cell producing thyroid-stimulating hormone. Rarest pituitary endocrine cell (~5%), Pit-1/GATA2 lineage, stimulated by TRH, suppressed by T3 feedback.

Thyrotropin alfa

Thyrotropin alfa (Thyrogen, rhTSH) is a recombinant human thyroid-stimulating hormone injected intramuscularly to detect and ablate thyroid remnants after thyroidectomy for well-differentiated thyroid cancer.

Thyrotropin receptor

Thyrotropin receptor (TSHR, TSH receptor), a class A G protein-coupled receptor on thyroid cells that binds TSH and thyrostimulin, drives cAMP signaling, and is the autoantigen targeted in Graves' disease; cloned in 1989 by Brussels and California groups.

Thyrotropin-releasing hormone

Thyrotropin-releasing hormone (TRH), also known as thyrotropin-releasing factor or protirelin, is a hypothalamic tripeptide that stimulates TSH and prolactin release and was first isolated in 1969.

Thyrotropin-releasing hormone receptor

Thyrotropin-releasing hormone receptor (TRHR, TRH-R1) is a human class A Gq-coupled GPCR binding the tripeptide TRH; rodents also have TRH-R2, which shows higher basal signaling and distinct arrestin trafficking.

Thyroxine

Thyroxine, also called T4, is the principal iodine-containing hormone secreted by the thyroid gland, which the body converts to the more active hormone triiodothyronine (T3).

Thyroxine biosynthesis

Thyroxine biosynthesis (T4 synthesis, with T3) is the TSH-triggered pathway in thyroid follicular cells: iodide trapping, TPO/DUOX-driven iodination and coupling on thyroglobulin, lysosomal release, and secretion.

Thysanoessa

Thysanoessa (Brandt, 1851) is a genus of ten krill species in Euphausiidae, sister to Meganyctiphanes; cold-water forage crustaceans such as Arctic krill T. raschii and coastal T. spinifera, key prey of fish, seabirds, and whales.

Thysanozoon nigropapillosum

Thysanozoon nigropapillosum (gold-dotted flatworm, yellow papillae flatworm) is an Indo-Pacific polyclad flatworm, black with yellow-tipped dorsal papillae and a white margin, feeding mainly on ascidians.

Thyssen

Thyssen was a German industrial group built around coal, iron, and steel. Founded by August Thyssen in 1871 near Mülheim, it merged with Krupp in 1999 to form ThyssenKrupp.