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Living with Familial thyroid dyshormonogenesis

A form of underactive thyroid present from birth because the thyroid cannot make enough thyroid hormone.

Understanding Familial thyroid dyshormonogenesis

Familial thyroid dyshormonogenesis is a type of congenital hypothyroidism, a lasting shortage of thyroid hormone that is present from birth.

It results from inborn errors in how the thyroid makes thyroid hormone. It starts in newborns and infants. Signs can include feeding trouble, constipation, a long-lasting yellow color in newborns (jaundice), an enlarged thyroid (goiter), and developmental delay.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Underactive thyroid from birth
  • Enlarged thyroid in the neck (goiter)
  • Feeding difficulties in infancy
  • Constipation
  • Prolonged newborn jaundice
  • Delays in development

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is thyroid hormone level being monitored regularly?
Would genetic testing tell us which gene is involved?
How can we support my child's development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

Changes in genes cause it. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalEndocrine

Also known as: nongoitrous hyperthyrotropinemia; thyroid dyshormonogenesis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial thyroid dyshormonogenesisGARD ID 16843 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Familial thyroid dyshormonogenesis.

Explore the Familial thyroid dyshormonogenesis blog

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