Thyrotoxicosis factitia

E4_THYTOXFAC

Hyperthyroidism: Overactivity of the thyroid gland resulting in overproduction of thyroid hormone and increased metabolic rate. Causes include diffuse hyperplasia of the thyroid gland (Graves' disease), single nodule in the thyroid gland, and thyroiditis. The symptoms are related to the increased metabolic rate and include weight loss, fatigue, heat intolerance, excessive sweating, diarrhea, tachycardia, insomnia, muscle weakness, and tremor.

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E05.4
  • Cause of death: ICD-10 E05.4

2 out of 7 registries used, show all original rules.

109

4. Check minimum number of events

None

109

5. Include endpoints

None

109

6. Filter based on genotype QC (FinnGen only)

109

Control definitions (FinnGen only)

Control exclude
THYROTOXICOSIS

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E05
Name in latin
Thyreotoxicosis factitia

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 609 533 72
Only index persons 568 503 65
Unadjusted period prevalence (%)
Whole population 0.01 0.02 0.00
Only index persons 0.02 0.02 0.00
Median age at first event (years)
Whole population 61.75 61.52 63.95
Only index persons 60.75 60.51 62.60

-FinnGen-

Key figures

All Female Male
Number of individuals 109 101 8
Unadjusted period prevalence (%) 0.03 0.03 0.00
Median age at first event (years) 56.93 55.79 71.31

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
101
Matched controls
1010
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E05.4
ICD-10 Finland
Thyrotoxicosis factitia
+∞
139.9
99
*
H03AA01
ATC
levothyroxine sodium; systemic
57.3
51.7
94
191
104
Kela drug reimbursment
Thyroid insufficiency
15.9
27.1
48
54
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
345.4
27.1
26
*
H03BB01
ATC
carbimazole; oral
69.0
23.4
26
5
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
8.3
19.2
51
110
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
73.7
11.9
13
*
E03.89
ICD-10 Finland
Other specified hypothyroidism
11.6
10.9
20
21
C07AA05
ATC
propranolol; systemic
4.3
9.5
41
137
BAA60
NOMESCO Finland
Total thyroidectomy
22.4
8.7
12
6
R53
ICD-10 Finland
Malaise and fatigue
3.9
8.0
38
136
E03
ICD-10 Finland
Other hypothyroidism
5.9
7.5
21
43
E03.80
ICD-10 Finland
Hypothyroidism caused by autoimmune thyroiditis
11.2
6.7
12
12
N06AB03
ATC
fluoxetine; oral
4.7
6.5
22
56
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
19.5
6.4
9
5

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
57
48
23.80
61.79
7.0
1.8
4.5
4.4
pmol/l
0.02
51
40
36
88
5.62
14.88
2.3
2.1
335.9
387.4
nmol/l
0.81
31
82
31
75
5.38
12.81
1.2
1.3
282.4
161.5
iu/ml
0.48
13
30
63
321
3.28
8.55
2.6
2.7
2.3
2.4
mmol/l
0.32
58
283
44
185
3.31
8.17
1.8
1.7
454.4
497.3
pmol/l
0.47
35
152
61
324
3.00
7.39
10.8
7.1
1.2
1.2
inr
0.01
21
107
65
358
3.02
7.36
2.3
1.8
96.6
96.1
pmol/l
0.02
38
158
13
23
6.28
7.25
5.2
5.1
—
—
—
0
0
16
36
5.04
6.97
5.8
3.6
—
—
—
0
0
11
19
6.33
6.24
8.5
3.5
7.4
6.9
mmol/l
0.30
11
19
55
299
2.69
6.05
4.1
4.9
—
—
—
0
0
11
20
6.01
5.94
8.5
3.4
1.3
1.5
mmol/l
0.55
11
20
34
147
2.91
5.76
1.7
1.7
1227.0
1195.4
nmol/l
0.08
27
105
41
202
2.65
5.38
2.6
2.0
2.9
3.1
mg/l
0.22
30
169
69
436
2.59
5.37
3.6
2.5
79.7
74.0
ug/l
0.26
64
396
57
335
2.47
5.10
5.7
3.8
17.5
33.4
ng/l
0.68
38
222
20
68
3.38
5.03
6.1
3.5
2.5
2.5
mmol/l
0.04
15
52
49
272
2.46
4.93
4.6
3.3
—
—
—
0
0
75
508
2.53
4.81
5.6
4.3
6.9
6.5
mmol/l
0.62
70
463
20
70
3.27
4.80
6.1
3.5
—
—
—
0
0
94
715
3.29
4.73
5.0
3.9
12.0
11.5
mm/h
0.14
89
654
70
464
2.42
4.64
4.5
5.4
0.0
0.0
e9/l
0.65
61
410
42
223
2.44
4.60
1.5
1.4
16.0
23.0
nmol/l
3.46
37
184
71
478
2.39
4.48
4.7
5.7
0.2
0.2
e9/l
0.41
65
426
77
541
2.44
4.35
6.6
8.9
3.6
4.0
e9/l
0.78
69
478
69
463
2.34
4.33
4.5
5.4
0.6
0.5
e9/l
0.14
61
409
41
222
2.36
4.25
1.6
1.2
0.6
1.2
u/ml
0.96
12
55
63
413
2.25
4.10
13.3
9.0
0.0
0.0
e9/l
0.06
54
339
69
473
2.25
3.98
4.6
5.4
2.0
1.8
e9/l
0.72
62
419
9
15
6.43
3.90
4.4
2.9
3.8
3.8
mmol/l
—
9
15
9
15
6.43
3.90
4.4
2.9
—
—
—
0
0
9
15
6.43
3.90
4.4
2.9
106.1
107.9
mmol/l
—
9
15
44
256
2.21
3.78
7.5
3.8
—
—
—
0
0
25
113
2.57
3.78
1.4
2.0
—
—
—
0
0
100
846
3.20
3.52
8.6
5.1
40.4
39.1
mmol/mol
0.55
90
778
60
403
2.09
3.48
6.3
4.9
1.2
1.2
mmol/l
0.77
53
358
67
471
2.10
3.42
7.2
5.0
0.0
0.0
estimate
0.00
19
87
38
217
2.15
3.36
3.7
5.0
—
—
—
0
0
67
474
2.07
3.33
4.8
3.7
0.0
0.0
estimate
0.00
18
86
37
210
2.15
3.31
1.6
1.8
0.5
1.2
mg/l
2.66
30
170
24
115
2.39
3.19
3.7
1.8
100.8
131.6
ug/g
0.25
18
83
66
471
2.02
3.12
4.9
3.7
0.0
0.0
estimate
0.00
18
87
46
291
2.00
3.05
5.3
3.6
7.4
7.4
ph
0.53
11
53
5
5
10.39
3.01
2.0
1.2
6.3
10.2
umol/l
—
5
5
102
891
3.25
2.92
6.0
4.3
6.0
5.8
mmol/l
0.75
93
813
104
926
3.68
2.87
19.5
12.9
13.6
22.0
mg/l
3.47
89
700
12
42
3.09
2.85
4.5
2.5
0.8
1.1
%
0.45
12
42
34
198
2.04
2.80
1.8
1.4
2.3
2.5
g/l
0.21
22
113
5
6
8.65
2.77
2.4
2.2
—
—
—
0
0
12
43
3.01
2.74
2.4
2.3
—
—
—
0
0
12
44
2.94
2.64
1.8
2.8
0.0
0.1
e6/l
1.28
12
44
17
76
2.47
2.60
1.4
1.1
—
—
—
0
0
81
645
2.00
2.54
5.4
4.3
—
—
—
0
0
48
324
1.86
2.53
4.1
2.8
—
—
—
0
0
21
105
2.24
2.52
1.3
1.3
—
—
—
0
0
38
239
1.91
2.48
5.0
3.5
4.5
6.8
mg/mmol
0.25
20
145
17
78
2.40
2.46
3.6
4.0
—
—
—
0
0
6
12
5.22
2.43
2.0
1.3
60.2
60.4
mmol/l
—
6
12
14
60
2.53
2.33
1.2
1.2
—
—
—
0
0
42
279
1.82
2.28
3.5
3.0
226.4
63.3
e6/l
0.34
36
211
104
944
3.21
2.23
25.5
14.2
3.9
3.9
mmol/l
0.18
104
907
104
943
3.24
2.22
25.8
14.2
139.3
139.8
mmol/l
0.77
104
909
77
618
1.84
2.17
5.3
3.6
—
—
—
0
0
18
90
2.20
2.15
2.2
1.4
—
—
—
0
0
11
44
2.67
2.08
4.4
5.6
26.1
25.6
mmol/l
0.21
11
44
10
38
2.80
2.07
5.4
7.1
—
—
—
0
0
35
227
1.80
2.03
3.1
2.8
20.9
31.8
mg/l
0.32
20
142
38
253
1.77
2.02
3.6
2.8
0.1
0.5
e6/l
1.81
32
187
6
17
3.67
1.86
5.5
4.0
9.6
9.1
kpa
—
6
17
6
17
3.67
1.86
5.5
4.0
5.5
5.0
kpa
—
6
17
6
17
3.67
1.86
5.5
4.0
2.5
2.8
mmol/l
—
6
12
6
18
3.46
1.77
1.7
2.6
—
—
—
0
0
6
18
3.46
1.77
1.0
1.2
—
—
—
0
0
37
253
1.70
1.76
4.4
4.0
0.0
0.0
estimate
0.00
17
87
36
245
1.70
1.74
3.2
2.7
6.2
7.2
mmol/l
0.71
25
200
13
63
2.21
1.67
8.8
2.7
5.1
4.2
kpa
1.86
13
63
91
794
1.88
1.66
24.8
15.6
13.6
13.7
%
0.26
91
783
46
338
1.62
1.65
3.8
3.6
180.4
70.1
e6/l
0.30
38
228
6
20
3.11
1.60
1.5
3.0
—
—
—
0
0
100
910
2.20
1.58
5.5
4.2
4.7
4.7
mmol/l
0.25
89
834
13
65
2.14
1.56
1.8
2.4
10.4
10.0
g/l
0.13
13
60
5
17
3.03
1.37
2.0
2.1
—
—
—
0
0
21
131
1.75
1.36
1.3
1.4
293.3
604.8
titre
—
6
25
100
924
2.00
1.33
6.1
4.8
2.7
2.8
mmol/l
0.18
90
839
6
24
2.58
1.32
1.0
1.2
—
—
—
0
0
94
847
1.80
1.29
20.5
13.2
37.1
39.5
%
0.94
56
634
20
128
1.69
1.19
1.2
1.2
—
—
—
0
0
13
73
1.89
1.17
1.7
1.3
—
—
—
0
0
34
251
1.52
1.14
3.7
2.7
—
—
—
0
0
30
217
1.53
1.10
4.5
3.8
1.0
1.0
kg/l
—
7
29
41
318
1.46
1.07
3.7
2.8
—
—
—
0
0
26
184
1.54
1.04
1.2
1.3
2.1
9.4
u/ml
1.20
12
75
9
48
1.95
1.03
5.0
4.9
—
—
—
0
0
9
48
1.95
1.03
1.2
1.1
—
—
—
0
0
7
37
1.95
0.96
1.1
1.8
—
—
—
0
0
10
55
1.90
0.95
1.8
2.6
—
—
—
0
0
9
52
1.80
0.95
1.6
1.8
1.9
1.9
g/l
—
9
46
6
28
2.21
0.93
1.5
4.1
—
—
—
0
0
10
57
1.83
0.87
3.2
7.6
—
—
—
0
0
97
904
1.66
0.86
5.8
4.2
1.5
1.6
mmol/l
1.20
88
821
0
26
0.00
0.79
0.0
1.2
—
—
—
0
0
93
863
1.53
0.79
5.2
3.8
1.4
1.2
mmol/l
1.55
85
779
0
27
0.00
0.78
0.0
1.5
—
—
—
0
0
0
27
0.00
0.78
0.0
1.5
—
—
—
0
0
28
214
1.42
0.77
2.1
2.3
329.4
6419.8
umol/l
1.30
20
182
5
27
1.89
0.69
1.0
2.0
—
—
—
0
0
5
28
1.82
0.67
1.0
1.0
—
—
—
0
0
5
30
1.70
0.62
1.0
1.5
—
—
—
0
0
6
37
1.66
0.56
1.3
1.2
—
—
—
0
0
34
282
1.30
0.56
2.3
2.0
—
—
—
0
0
6
40
1.53
0.52
1.0
1.1
—
—
—
0
0
6
95
0.61
0.44
3.8
1.6
—
—
—
0
0
21
169
1.30
0.43
7.5
3.5
38.7
170.0
ng/l
0.96
14
126
0
15
0.00
0.41
0.0
1.1
—
—
—
0
0
0
15
0.00
0.41
0.0
1.1
—
—
—
0
0
14
107
1.35
0.39
1.3
1.3
—
—
—
0
0
20
243
0.78
0.39
1.4
1.5
—
—
—
0
0
5
36
1.41
0.38
1.0
1.4
—
—
—
0
0
14
108
1.34
0.37
1.1
1.3
—
—
—
0
0
5
80
0.61
0.37
1.2
1.3
—
—
—
0
0
6
41
1.49
0.36
5.8
9.7
92.8
95.2
%
—
6
41
25
215
1.21
0.30
3.6
3.8
—
—
—
0
0
28
244
1.20
0.30
4.4
6.8
—
—
—
0
0
21
179
1.21
0.27
2.1
1.7
—
—
—
0
0
12
95
1.30
0.27
1.2
1.3
—
—
—
0
0
10
77
1.33
0.27
4.0
3.4
—
—
—
0
0
9
74
1.24
0.26
2.1
2.4
0.2
0.2
g/l
—
9
69
9
74
1.24
0.26
1.6
1.4
—
—
—
0
0
82
787
1.17
0.24
23.9
16.8
332.2
331.3
g/l
0.44
82
782
5
37
1.37
0.24
1.0
1.4
—
—
—
0
0
5
37
1.37
0.24
1.0
1.4
—
—
—
0
0
5
37
1.37
0.24
1.0
1.4
—
—
—
0
0
5
38
1.33
0.23
1.0
1.4
—
—
—
0
0
25
221
1.17
0.23
2.7
3.3
95.4
94.7
%
0.04
25
216
11
89
1.26
0.22
1.7
2.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.3
—
—
—
0
0
0
13
0.00
0.21
0.0
1.0
—
—
—
0
0
7
60
1.18
0.18
4.4
1.9
—
—
—
0
0
14
120
1.19
0.17
1.1
1.2
—
—
—
0
0
6
53
1.14
0.09
2.7
2.5
—
—
—
0
0
43
414
1.06
0.07
2.1
2.0
—
—
—
0
0
8
78
1.03
0.07
3.4
2.8
—
—
—
0
0
14
152
0.91
0.06
1.4
1.5
—
—
—
0
0
21
213
0.98
0.00
4.6
3.6
—
—
—
0
0
27
265
1.03
0.00
1.6
1.6
1.5
1.3
mmol/l
0.38
17
220
10
95
1.06
0.00
1.2
1.5
—
—
—
0
0
0
6
0.00
0.00
0.0
8.3
—
962.2
—
0
6
0
9
0.00
0.00
0.0
1.9
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
6
0.00
0.00
0.0
1.8
—
—
—
0
0
0
9
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
700.4
—
0
5
0
5
0.00
0.00
0.0
2.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
6.2
—
45.7
—
0
6
0
6
0.00
0.00
0.0
1.2
—
7.0
—
0
6
0
9
0.00
0.00
0.0
1.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.9
—
—
—
0
0
0
5
0.00
0.00
0.0
1.8
—
—
—
0
0
7
69
1.02
0.00
1.1
1.3
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
0.00
0.0
17.8
—
1733.3
—
0
6
5
56
0.89
0.00
1.8
1.2
—
—
—
0
0
0
6
0.00
0.00
0.0
1.0
—
7.0
—
0
6

Mortality – FinRegistry

Association

Association between endpoint E4_THYTOXFAC and mortality.

Females

Parameter HR [95% CI] p-value
E4_THYTOXFAC 1.608 [1.15, 2.24] 0.005
Birth year 0.997 [0.99, 1.01] 0.534

During the follow-up period (1.1.1998 — 31.12.2019), 95 out of 465 females with E4_THYTOXFAC died.

Males

No data

Mortality risk

Mortality risk for people of age

years, who have E4_THYTOXFAC.

N-year risk Females Males
1 0.149% No data
5 1.053% No data
10 2.484% No data
15 4.999% No data
20 8.612% No data

Relationships between endpoints

Index endpoint: E4_THYTOXFAC – Thyrotoxicosis factitia

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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