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A rare, genetic congenital hypothyroidism disorder characterized by mild global developmental delay in childhood, short stature, delayed bone age, and abnormal thyroid and selenium levels in serum (high total and free T4 concentrations, low T3, high reverse T3, normal to high TSH, decreased selenium). Intellectual disability, primary infertility, hypotonia, muscle weakness, and impaired hearing have also been reported.
Features include always present findings: Increased circulating free T4 concentration; and very common findings: Abnormal circulating enzyme concentration or activity. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 4 | Gowers sign, Proximal lower limb muscle weakness, Distal lower limb muscle weakness |
SECISBP2 function has not been fully characterized.
Thyroid hormone metabolism, abnormal 1 is associated with mutations in the SECISBP2 gene on chromosome 9.
Genetic testing for SECISBP2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 1 very common feature, 3 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for thyroid hormone metabolism, abnormal 1.
2 publications have been identified in PubMed for thyroid hormone metabolism, abnormal 1. Research spans Review / Meta-Analysis (50%) and Basic Science / Preclinical (50%).
Laugwitz L (2025). [PMID: 39753114](https://pubmed.ncbi.nlm.nih.gov/39753114/). *American journal of human genetics*. [Basic Science / Preclinical]
Persani L (2024). [PMID: 38963712](https://pubmed.ncbi.nlm.nih.gov/38963712/). *European thyroid journal*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 1:08 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Lab test results
3 |
Increased circulating T4 concentration, Increased circulating free T4 concentration, Elevated circulating thyroid-stimulating hormone concentration |
Hormones | 3 | Elevated circulating thyroid-stimulating hormone concentration, Hypothyroidism, Abnormal circulating insulin concentration |
Bones and joints | 2 | Delayed skeletal maturation, Fatty replacement of skeletal muscle |
Growth and development | 2 | Short stature, Growth delay |
Arms and legs | 2 | Proximal lower limb muscle weakness, Distal lower limb muscle weakness |
Eyes | 1 | Ptosis |
Brain and nerves | 1 | Intellectual disability |