Human Phenotype Ontology 
Grandparent Node:
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Abnormal circulating hormone concentration (HP:0003117)help
Grandparent Node:
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Abnormality of thyroid physiology (HP:0002926)help
Parent Node:
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Abnormal circulating thyroid hormone concentration (HP:0031508)help
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Abnormal circulating T4 concentration (HP:0031505)help
Term ID: 31505
Name: Abnormal circulating T4 concentration
Synonym: Abnormal circulating T4 level; Abnormal circulating thyroxine level
Definition: A deviation from the normal concentration of thyroxine in the blood. Thyroxine (also known as T4) is the main hormone secreted by the thyroid gland into the blood. It can be converted into the active form triiodothyronine (also known as T3).
Comments:
Reference: HP:0031505
Genes and Diseases:
 
       Child Nodes:
........expandIncreased circulating thyroxine level (HP:0031506) help
........expandDecreased circulating thyroxine level (HP:0031507) help

 Sister Nodes: 
..expandAbnormal T3/T4 ratio (HP:0012558) help
..expandIncreased circulating free T3 (HP:0011788) help
InputHPO IDHPO termDistanceGeneGene id entrezHGNC IDDiseaseIdDiseaseNameFrequencyOnsetHGMD variantsClinVar variants
 
HPO disease - gene - phenotype typical associations:
 
HPO disease - gene - phenotype less frequent non-typical associations:
HP:0031505HP:0031505Abnormal circulating T4 concentration0ALG8 CL E G H7905323161OMIM:608104Congenital disorder of glycosylation, type Ih46
HP:0031505HP:0031505Abnormal circulating T4 concentration0ALMS1 CL E G H7840428ORPHA:64Alström syndrome404
HP:0031505HP:0031505Abnormal circulating T4 concentration0DUOX2 CL E G H5050613273ORPHA:95716Familial thyroid dyshormonogenesis121
HP:0031505HP:0031505Abnormal circulating T4 concentration0DUOX2 CL E G H5050613273ORPHA:226316Genetic transient congenital hypothyroidism121
HP:0031505HP:0031505Abnormal circulating T4 concentration0DUOXA2 CL E G H40575332698ORPHA:95716Familial thyroid dyshormonogenesis11
HP:0031505HP:0031505Abnormal circulating T4 concentration0HESX1 CL E G H88204877ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or function21
HP:0031505HP:0031505Abnormal circulating T4 concentration0IYD CL E G H38943421071ORPHA:95716Familial thyroid dyshormonogenesis130
HP:0031505HP:0031505Abnormal circulating T4 concentration0KCNJ18 CL E G H10013444439080OMIM:613239Thyrotoxic periodic paralysis, susceptibility to, 210
HP:0031505HP:0031505Abnormal circulating T4 concentration0LHX3 CL E G H80226595ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or function51
HP:0031505HP:0031505Abnormal circulating T4 concentration0LHX4 CL E G H8988421734ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or function43
HP:0031505HP:0031505Abnormal circulating T4 concentration0MAGEL2 CL E G H545516814ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 1563
HP:0031505HP:0031505Abnormal circulating T4 concentration0MAGEL2 CL E G H545516814ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 163
HP:0031505HP:0031505Abnormal circulating T4 concentration0MAGEL2 CL E G H545516814ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 263
HP:0031505HP:0031505Abnormal circulating T4 concentration0NDN CL E G H46927675ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 15
HP:0031505HP:0031505Abnormal circulating T4 concentration0NDN CL E G H46927675ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 1
HP:0031505HP:0031505Abnormal circulating T4 concentration0NDN CL E G H46927675ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 2
HP:0031505HP:0031505Abnormal circulating T4 concentration0OCA2 CL E G H49488101ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 15121
HP:0031505HP:0031505Abnormal circulating T4 concentration0OCA2 CL E G H49488101ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 1121
HP:0031505HP:0031505Abnormal circulating T4 concentration0OCA2 CL E G H49488101ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 2121
HP:0031505HP:0031505Abnormal circulating T4 concentration0PAX8 CL E G H78498622OMIM:218700Hypothyroidism, congenital, nongoitrous, 263
HP:0031505HP:0031505Abnormal circulating T4 concentration0POU1F1 CL E G H54499210ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or function36
HP:0031505HP:0031505Abnormal circulating T4 concentration0PROP1 CL E G H56269455ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or function54
HP:0031505HP:0031505Abnormal circulating T4 concentration0SECISBP2 CL E G H7904830972ORPHA:171706Short stature-delayed bone age due to thyroid hormone metabolism deficiency3
HP:0031505HP:0031505Abnormal circulating T4 concentration0SECISBP2 CL E G H7904830972OMIM:609698Thyroid hormone metabolism, abnormal3
HP:0031505HP:0031505Abnormal circulating T4 concentration0SLC5A5 CL E G H652811040ORPHA:95716Familial thyroid dyshormonogenesis59
HP:0031505HP:0031505Abnormal circulating T4 concentration0SNRPN CL E G H663811164ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 1537
HP:0031505HP:0031505Abnormal circulating T4 concentration0SNRPN CL E G H663811164ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 137
HP:0031505HP:0031505Abnormal circulating T4 concentration0SNRPN CL E G H663811164ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 237
HP:0031505HP:0031505Abnormal circulating T4 concentration0TG CL E G H703811764ORPHA:95716Familial thyroid dyshormonogenesis155
HP:0031505HP:0031505Abnormal circulating T4 concentration0THRB CL E G H706811799OMIM:274300Thyroid hormone resistance, generalized, autosomal recessive161
HP:0031505HP:0031505Abnormal circulating T4 concentration0TPO CL E G H717312015ORPHA:95716Familial thyroid dyshormonogenesis92
HP:0031505HP:0031505Abnormal circulating T4 concentration0TPO CL E G H717312015OMIM:274500Thyroid hormonogenesis, genetic defect in, 2A92
HP:0031505HP:0031505Abnormal circulating T4 concentration0TRHR CL E G H720112299OMIM:618573HYPOTHYROIDISM, CONGENITAL, NONGOITROUS, 7; CHNG72
HP:0031505HP:0031505Abnormal circulating T4 concentration0TRHR CL E G H720112299ORPHA:99832Resistance to thyrotropin-releasing hormone syndrome2
HP:0031505HP:0031505Abnormal circulating T4 concentration0TSHB CL E G H725212372ORPHA:90674Isolated thyroid-stimulating hormone deficiency9
HP:0031505HP:0031505Abnormal circulating T4 concentration0TSHR CL E G H725312373OMIM:603373HYPERTHYROIDISM, FAMILIAL GESTATIONAL97
HP:0031505HP:0031505Abnormal circulating T4 concentration0TSHR CL E G H725312373ORPHA:90673Hypothyroidism due to TSH receptor mutations97
HP:0031505HP:0031507Decreased circulating T4 concentration1ALG8 CL E G H7905323161OMIM:608104Congenital disorder of glycosylation, type Ih46
HP:0031505HP:0031507Decreased circulating T4 concentration1ALMS1 CL E G H7840428ORPHA:64Alström syndromeHP:0040283 - Occasional404
HP:0031505HP:0031507Decreased circulating T4 concentration1DUOX2 CL E G H5050613273ORPHA:95716Familial thyroid dyshormonogenesisHP:0040281 - Very frequent121
HP:0031505HP:0031507Decreased circulating T4 concentration1DUOX2 CL E G H5050613273ORPHA:226316Genetic transient congenital hypothyroidismHP:0040282 - Frequent121
HP:0031505HP:0031507Decreased circulating T4 concentration1DUOXA2 CL E G H40575332698ORPHA:95716Familial thyroid dyshormonogenesisHP:0040281 - Very frequent11
HP:0031505HP:0031507Decreased circulating T4 concentration1HESX1 CL E G H88204877ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or functionHP:0040282 - Frequent21
HP:0031505HP:0031507Decreased circulating T4 concentration1IYD CL E G H38943421071ORPHA:95716Familial thyroid dyshormonogenesisHP:0040281 - Very frequent130
HP:0031505HP:0031506Increased circulating T4 concentration1KCNJ18 CL E G H10013444439080OMIM:613239Thyrotoxic periodic paralysis, susceptibility to, 210
HP:0031505HP:0031507Decreased circulating T4 concentration1LHX3 CL E G H80226595ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or functionHP:0040282 - Frequent51
HP:0031505HP:0031507Decreased circulating T4 concentration1LHX4 CL E G H8988421734ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or functionHP:0040282 - Frequent43
HP:0031505HP:0031507Decreased circulating T4 concentration1MAGEL2 CL E G H545516814ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 15HP:0040283 - Occasional63
HP:0031505HP:0031507Decreased circulating T4 concentration1MAGEL2 CL E G H545516814ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 1HP:0040282 - Frequent63
HP:0031505HP:0031507Decreased circulating T4 concentration1MAGEL2 CL E G H545516814ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 2HP:0040282 - Frequent63
HP:0031505HP:0031507Decreased circulating T4 concentration1NDN CL E G H46927675ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 15HP:0040283 - Occasional
HP:0031505HP:0031507Decreased circulating T4 concentration1NDN CL E G H46927675ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 1HP:0040282 - Frequent
HP:0031505HP:0031507Decreased circulating T4 concentration1NDN CL E G H46927675ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 2HP:0040282 - Frequent
HP:0031505HP:0031507Decreased circulating T4 concentration1OCA2 CL E G H49488101ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 15HP:0040283 - Occasional121
HP:0031505HP:0031507Decreased circulating T4 concentration1OCA2 CL E G H49488101ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 1HP:0040282 - Frequent121
HP:0031505HP:0031507Decreased circulating T4 concentration1OCA2 CL E G H49488101ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 2HP:0040282 - Frequent121
HP:0031505HP:0031507Decreased circulating T4 concentration1PAX8 CL E G H78498622OMIM:218700Hypothyroidism, congenital, nongoitrous, 263
HP:0031505HP:0031507Decreased circulating T4 concentration1POU1F1 CL E G H54499210ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or functionHP:0040282 - Frequent36
HP:0031505HP:0031507Decreased circulating T4 concentration1PROP1 CL E G H56269455ORPHA:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or functionHP:0040282 - Frequent54
HP:0031505HP:0031506Increased circulating T4 concentration1SECISBP2 CL E G H7904830972ORPHA:171706Short stature-delayed bone age due to thyroid hormone metabolism deficiency3
HP:0031505HP:0031506Increased circulating T4 concentration1SECISBP2 CL E G H7904830972OMIM:609698Thyroid hormone metabolism, abnormal3
HP:0031505HP:0031507Decreased circulating T4 concentration1SLC5A5 CL E G H652811040ORPHA:95716Familial thyroid dyshormonogenesisHP:0040281 - Very frequent59
HP:0031505HP:0031507Decreased circulating T4 concentration1SNRPN CL E G H663811164ORPHA:98754Prader-Willi syndrome due to maternal uniparental disomy of chromosome 15HP:0040283 - Occasional37
HP:0031505HP:0031507Decreased circulating T4 concentration1SNRPN CL E G H663811164ORPHA:177901Prader-Willi syndrome due to paternal deletion of 15q11q13 type 1HP:0040282 - Frequent37
HP:0031505HP:0031507Decreased circulating T4 concentration1SNRPN CL E G H663811164ORPHA:177904Prader-Willi syndrome due to paternal deletion of 15q11q13 type 2HP:0040282 - Frequent37
HP:0031505HP:0031507Decreased circulating T4 concentration1TG CL E G H703811764ORPHA:95716Familial thyroid dyshormonogenesisHP:0040281 - Very frequent155
HP:0031505HP:0031506Increased circulating T4 concentration1THRB CL E G H706811799OMIM:274300Thyroid hormone resistance, generalized, autosomal recessive161
HP:0031505HP:0031507Decreased circulating T4 concentration1TPO CL E G H717312015ORPHA:95716Familial thyroid dyshormonogenesisHP:0040281 - Very frequent92
HP:0031505HP:0031507Decreased circulating T4 concentration1TPO CL E G H717312015OMIM:274500Thyroid hormonogenesis, genetic defect in, 2A92
HP:0031505HP:0031507Decreased circulating T4 concentration1TRHR CL E G H720112299OMIM:618573HYPOTHYROIDISM, CONGENITAL, NONGOITROUS, 7; CHNG72
HP:0031505HP:0031507Decreased circulating T4 concentration1TRHR CL E G H720112299ORPHA:99832Resistance to thyrotropin-releasing hormone syndromeHP:0040282 - Frequent2
HP:0031505HP:0031507Decreased circulating T4 concentration1TSHB CL E G H725212372ORPHA:90674Isolated thyroid-stimulating hormone deficiencyHP:0040281 - Very frequent9
HP:0031505HP:0031506Increased circulating T4 concentration1TSHR CL E G H725312373OMIM:603373HYPERTHYROIDISM, FAMILIAL GESTATIONAL97
HP:0031505HP:0031507Decreased circulating T4 concentration1TSHR CL E G H725312373ORPHA:90673Hypothyroidism due to TSH receptor mutationsHP:0040282 - Frequent97


Genes (24) :ALG8 ALMS1 DUOX2 DUOXA2 HESX1 IYD KCNJ18 LHX3 LHX4 MAGEL2 NDN OCA2 PAX8 POU1F1 PROP1 SECISBP2 SLC5A5 SNRPN TG THRB TPO TRHR TSHB TSHR

Diseases (19) :OMIM:608104 ORPHA:64 ORPHA:95716 ORPHA:226316 ORPHA:226307 OMIM:613239 ORPHA:98754 ORPHA:177901 ORPHA:177904 OMIM:218700 ORPHA:171706 OMIM:609698 OMIM:274300 OMIM:274500 OMIM:618573 ORPHA:99832 ORPHA:90674 OMIM:603373 ORPHA:90673
 

Human Phenotype Ontology(HPO) is developed by the Human Phenotype Ontology Consortium. The version used here is December 15 2022 release.