The subject is a 44-year-old female with thyroid hemiagenesis, who initially presented with hyperthyroidism. Thyroid peroxide antibody and thyroglobulin antibody levels were high. The scintiscan study and sonographic findings were compatible with thyroid hemiagenesis with accompanying Graves’ disease. In reviewing her family history, her daughter was found to have thyroid agenesis, and other thyroid disorders were found in 2 female family members.

1.
Melnick JC, Stemkowski PE: Thyroid hemiagenesis (hockey stick sign): A review of the world literature and a report of four cases. J Clin Endocrinol Metab 1981;52:247–251.
2.
Hamburger JI, Hamburger SW: Thyroidal hemiagenesis. Arch Surg 1970;100:319–320.
3.
Shabana W, Delange F, Freson M, Osteaux M, De Schepper J: Prevalence of thyroid hemiagenesis: Ultrasound screening in normal children. Eur J Pediatr 2000;159:456–458.
4.
Mikosch P, Gallowitsch HJ, Kresnik E, Molnar M, Gomez I, Lind P: Thyroid hemiagenesis in an endemic goiter area diagnosed by ultrasonography: Report of sixteen patients. Thyroid 1999;9:1075–1084.
5.
De Remigis P, D’Angelo M, Bonaduce S, Di Giandomenico V, Sensi S: Comparison of ultrasonic scanning and scintiscanning in the evaluation of thyroid hemiagenesis. J Clin Ultrasound 1985;13:561–563.
6.
Hsu CY, Wang SJ: Thyroid hemiagenesis accompanying an ectopic sublingual thyroid. Clin Nucl Med 1994;19:546.
7.
McLean R, Howard N, Murray IP: Thyroid dysgenesis in monozygotic twins: Variants identified by scintigraphy. Eur J Nucl Med 1985;10:346–348.
8.
Rosenberg T, Gilboa Y: Familial thyroid ectopy and hemiagenesis. Arch Dis Child 1980;55:639–641.
9.
Macchia PE: Recent advances in understanding the molecular basis of primary congenital hypothyroidism. Mol Med Today 2000;6:36–42.
10.
Van Vliet G: Treatment of congenital hypothyroidism. Lancet 2001;358:86–87.
11.
Grant DB, Smith I, Fuggle PW, Tokar S, Chapple J: Congenital hypothyroidism detected by neonatal screening: Relationship between biochemical severity and early clinical features. Arch Dis Child 1992;67:87–90.
12.
Abramowicz MJ, Vassart G, Refetoff S: Probing the cause of thyroid dysgenesis. Thyroid 1997;7:325–326.
13.
Guazzi S, Price M, De Felice M, Damante G, Mattei MG, Di Lauro R: Thyroid nuclear factor 1 (TTF-1) contains a homeodomain and displays a novel DNA binding specificity. EMBO J 1990;9:3631–3639.
14.
Clifton-Bligh RJ, Wentworth JM, Heinz P, Crisp MS, John R, Lazarus JH, Ludgate M, Chatterjee VK: Mutation of the gene encoding human TTF-2 associated with thyroid agenesis, cleft palate and choanal atresia. Nat Genet 1998;19:399–401.
15.
Macchia PE, Lapi P, Krude H, Pirro MT, Missero C, Chiovato L, Souabni A, Baserga M, Tassi V, Pinchera A, Fenzi G, Gruters A, Busslinger M, Di Lauro R: PAX8 mutations associated with congenital hypothyroidism caused by thyroid dysgenesis. Nat Genet 1998;19:83–86.
16.
van der Gaag RD, Drexhage HA, Dussault JH: Role of maternal immunoglobulins blocking TSH-induced thyroid growth in sporadic forms of congenital hypothyroidism. Lancet 1985;1:246–250.
17.
Brown RS, Bellisario RL, Mitchell E, Keating P, Botero D: Detection of thyrotropin binding inhibitory activity in neonatal blood spots. J Clin Endocrinol Metab 1993;77:1005–1008.
18.
Bando Y, Nagai Y, Ushiogi Y, Toya D, Tanaka N, Fujisawa M: Development of Graves’ hyperthyroidism from primary hypothyroidism in a case of thyroid hemiagenesis. Thyroid 1999;9:183–187.
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