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

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

519972

1. Apply sex-specific rule

None

519972

2. Check conditions

None

519972

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.

114

4. Check minimum number of events

None

114

5. Include endpoints

None

114

6. Filter based on genotype QC (FinnGen only)

113

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 113 105 8
Unadjusted period prevalence (%) 0.03 0.04 0.00
Median age at first event (years) 57.33 56.09 73.52

-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

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
114
Matched controls
1140
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E05.4
ICD-10 Finland
Thyrotoxicosis factitia
+∞
158.7
112
*
H03AA01
ATC
levothyroxine sodium; systemic
71.5
62.5
107
200
104
Kela drug reimbursment
Thyroid insufficiency
18.8
53.4
54
52
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
14.1
47.2
69
112
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
384.3
30.3
29
*
H03BB01
ATC
carbimazole; oral
192.2
29.1
29
*
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
+∞
19.3
18
*
E03.89
ICD-10 Finland
Other specified hypothyroidism
16.5
16.2
26
20
E03
ICD-10 Finland
Other hypothyroidism
6.7
15.1
28
53
C07AA05
ATC
propranolol; systemic
3.5
9.2
46
186
BAA60
NOMESCO Finland
Total thyroidectomy
15.7
9.0
14
10
E03.80
ICD-10 Finland
Hypothyroidism caused by autoimmune thyroiditis
13.1
7.8
13
11
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
+∞
7.4
7
*
E89.00
ICD-10 Finland
Postirradiation hypothyroidism
+∞
7.4
7
*
E05
ICD-10 Finland
Thyrotoxicosis [hyperthyroidism]
+∞
7.4
7
*
N39.0
ICD-10 Finland
Urinary tract infection, site not specified
3.3
7.0
33
126
JN3AE
NOMESCO Finland
Abdominal ultrasound examination
3.9
7.0
23
69
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
18.1
6.9
10
6
M01AH01
ATC
celecoxib; oral
3.1
6.6
34
136
E05.80
ICD-10 Finland
Subacute thyrotoxicosis
+∞
6.3
6
*
H02AB09
ATC
hydrocortisone; systemic
9.4
6.2
12
14

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
61
49
25.63
68.12
6.9
1.9
4.44
4.43
pmol/l
0.03
53
41
39
96
5.66
16.03
2.2
2.1
337.85
384.96
nmol/l
0.78
33
90
32
78
5.31
13.08
1.2
1.3
282.44
156.71
iu/ml
0.51
13
31
67
337
3.40
9.41
2.7
2.8
2.34
2.37
mmol/l
0.31
61
302
46
196
3.26
8.31
1.9
1.7
460.28
492.70
pmol/l
0.34
36
162
79
465
3.28
8.07
7.7
5.8
1.22
1.22
mmol/l
0.37
61
393
73
411
3.16
8.05
16.6
10.7
1.17
1.18
inr
0.04
24
128
69
378
3.09
7.96
2.2
1.9
96.64
95.71
pmol/l
0.04
38
169
76
466
2.89
6.70
5.2
5.9
—
—
—
0
0
57
306
2.73
6.45
2.7
2.1
150.56
137.02
u/l
0.14
52
290
16
40
4.49
6.13
5.8
3.7
—
—
—
0
0
44
216
2.69
5.83
2.6
2.0
2.93
3.13
mg/l
0.24
32
181
36
161
2.81
5.69
1.8
1.7
1251.51
1195.58
nmol/l
0.16
28
116
61
357
2.52
5.56
5.6
3.8
17.50
32.84
ng/l
0.72
42
238
72
460
2.53
5.37
3.6
2.6
79.97
74.76
ug/l
0.24
66
419
79
530
2.60
5.26
5.5
4.5
6.83
6.51
mmol/l
0.48
74
484
75
494
2.51
5.15
4.5
5.4
0.55
0.54
e9/l
0.07
66
437
75
494
2.51
5.15
4.4
5.4
0.04
0.04
e9/l
0.40
65
436
99
752
3.41
5.06
5.3
4.0
11.88
11.54
mm/h
0.09
93
688
76
508
2.49
4.99
4.6
5.8
0.19
0.17
e9/l
0.28
69
452
13
25
5.73
4.94
5.2
5.4
—
—
—
0
0
75
504
2.43
4.78
4.5
5.5
1.91
1.84
e9/l
0.34
67
451
21
76
3.16
4.76
6.0
3.6
—
—
—
0
0
44
235
2.42
4.74
1.5
1.4
16.54
22.62
nmol/l
2.76
38
195
28
121
2.74
4.64
1.8
1.8
28.47
29.44
s
0.44
28
116
50
285
2.34
4.63
4.6
3.4
—
—
—
0
0
70
462
2.33
4.58
4.6
5.7
8.60
8.35
%
0.27
65
437
81
570
2.45
4.56
6.5
8.9
3.58
4.00
e9/l
1.01
73
506
44
240
2.36
4.48
1.6
1.3
0.56
1.18
u/ml
1.03
13
61
11
20
5.96
4.41
8.5
3.5
7.38
7.08
mmol/l
0.18
11
20
69
458
2.28
4.38
4.5
5.5
2.86
2.70
%
0.21
64
433
11
21
5.68
4.26
8.5
3.4
1.27
1.44
mmol/l
0.53
11
21
27
121
2.61
4.15
3.7
2.0
100.10
136.82
ug/g
0.33
21
89
47
271
2.25
4.15
7.1
3.7
—
—
—
0
0
67
448
2.20
4.07
4.6
5.5
0.72
0.65
%
0.43
62
418
66
440
2.19
4.02
13.6
8.8
0.00
0.00
e9/l
0.06
57
362
64
425
2.15
3.90
6.5
5.4
1.21
1.22
mmol/l
0.65
57
381
105
889
3.29
3.82
8.3
5.3
40.11
39.16
mmol/mol
0.38
94
817
9
16
6.01
3.74
4.4
2.9
106.11
108.19
mmol/l
—
9
16
9
16
6.01
3.74
4.4
2.9
3.81
3.84
mmol/l
—
9
16
9
16
6.01
3.74
4.4
2.9
—
—
—
0
0
25
119
2.41
3.36
1.4
2.1
—
—
—
0
0
49
309
2.03
3.28
5.4
4.0
7.39
7.40
ph
0.47
12
57
13
44
3.21
3.25
4.5
2.5
0.84
1.10
%
0.51
13
44
107
935
3.35
3.23
5.9
4.4
5.96
5.77
mmol/l
0.62
97
854
109
967
3.90
3.18
19.9
13.2
13.67
21.69
mg/l
3.40
93
730
69
495
2.00
3.17
7.6
5.1
0.00
0.00
estimate
-0.00
20
92
13
45
3.13
3.14
2.4
2.3
—
—
—
0
0
69
499
1.97
3.06
5.3
3.8
0.00
0.00
estimate
-0.00
19
92
38
224
2.04
3.02
1.6
1.8
0.52
1.14
mg/l
2.78
31
182
5
5
10.37
3.00
2.0
1.2
6.28
10.20
umol/l
—
5
5
23
113
2.30
2.87
1.3
1.3
—
—
—
0
0
68
498
1.91
2.81
5.4
3.7
0.00
0.00
estimate
-0.00
22
97
5
6
8.64
2.77
2.4
2.2
—
—
—
0
0
36
215
1.99
2.73
1.8
1.4
2.27
2.45
g/l
0.22
23
123
8
19
4.44
2.73
2.1
2.5
—
—
—
0
0
12
41
3.15
2.72
4.5
2.5
0.74
0.67
%
0.38
12
41
85
676
2.01
2.68
5.5
4.3
—
—
—
0
0
18
82
2.42
2.64
3.8
3.9
—
—
—
0
0
15
63
2.59
2.59
1.3
1.2
—
—
—
0
0
40
252
1.90
2.58
4.3
3.5
4.51
7.20
mg/mmol
0.31
20
154
109
986
3.40
2.53
26.0
14.6
139.29
139.77
mmol/l
0.87
109
951
109
987
3.38
2.36
25.6
14.7
3.93
3.93
mmol/l
0.08
109
949
19
94
2.23
2.32
2.2
1.5
—
—
—
0
0
12
48
2.68
2.27
1.8
4.0
0.01
0.14
e6/l
1.30
12
48
17
81
2.29
2.26
1.4
1.1
—
—
—
0
0
37
238
1.82
2.20
3.1
3.0
20.94
34.46
mg/l
0.43
20
149
81
654
1.82
2.20
5.3
3.6
—
—
—
0
0
49
343
1.75
2.19
4.0
2.9
—
—
—
0
0
43
294
1.74
2.07
3.4
3.2
226.37
60.56
e6/l
0.35
36
222
14
66
2.28
1.91
8.5
2.8
4.90
4.16
kpa
1.33
14
66
38
257
1.72
1.87
3.1
2.8
6.20
7.14
mmol/l
0.64
25
213
39
266
1.71
1.87
5.2
4.1
0.00
0.00
estimate
-0.00
18
93
105
953
2.29
1.83
5.3
4.3
4.70
4.74
mmol/l
0.17
92
874
39
269
1.68
1.78
3.6
2.8
0.14
0.53
e6/l
1.82
33
199
11
48
2.43
1.76
4.4
5.4
26.12
25.56
mmol/l
0.22
11
48
23
136
1.87
1.76
1.2
1.2
—
—
—
0
0
10
40
2.64
1.71
5.4
7.0
—
—
—
0
0
6
19
3.27
1.68
5.5
3.7
2.50
2.77
mmol/l
—
6
14
6
19
3.27
1.68
5.5
3.7
9.57
8.94
kpa
—
6
19
6
19
3.27
1.68
5.5
3.7
5.53
5.02
kpa
—
6
19
5
14
3.68
1.63
1.4
1.3
—
—
—
0
0
6
20
3.11
1.60
1.0
1.2
—
—
—
0
0
6
21
2.96
1.52
1.5
3.0
—
—
—
0
0
5
16
3.22
1.45
1.2
1.3
—
—
—
0
0
18
105
1.85
1.43
5.9
6.1
106.11
103.82
mmol/l
1.42
18
105
47
358
1.53
1.38
3.8
3.9
175.95
66.55
e6/l
0.30
39
242
22
139
1.72
1.36
1.4
1.4
982.86
610.37
titre
—
7
27
105
970
2.04
1.32
5.9
4.8
2.74
2.76
mmol/l
0.09
93
883
28
193
1.60
1.25
1.2
1.3
2.09
8.83
u/ml
1.19
13
80
5
19
2.70
1.23
2.0
1.9
—
—
—
0
0
28
194
1.59
1.22
1.3
1.3
22.20
36.65
iu/ml
—
5
67
10
51
2.05
1.15
4.8
4.8
—
—
—
0
0
7
30
2.42
1.14
1.4
4.1
—
—
—
0
0
95
860
1.63
1.12
24.9
15.8
13.57
14.91
%
6.68
95
849
31
227
1.50
1.06
5.5
3.9
1.01
1.01
kg/l
—
7
30
11
61
1.89
1.02
3.2
7.6
—
—
—
0
0
102
946
1.74
1.01
5.6
4.2
1.49
1.58
mmol/l
1.12
91
860
35
267
1.45
0.98
3.7
2.7
—
—
—
0
0
7
37
1.95
0.96
1.3
1.2
—
—
—
0
0
6
28
2.20
0.93
1.0
1.0
—
—
—
0
0
13
79
1.73
0.92
1.7
1.3
—
—
—
0
0
42
335
1.40
0.92
3.6
2.9
—
—
—
0
0
30
229
1.42
0.83
2.1
2.4
329.86
5955.55
umol/l
1.30
21
197
0
26
0.00
0.79
0.0
1.2
—
—
—
0
0
10
59
1.76
0.78
1.8
2.6
—
—
—
0
0
0
27
0.00
0.78
0.0
1.5
—
—
—
0
0
0
27
0.00
0.78
0.0
1.5
—
—
—
0
0
9
53
1.76
0.77
1.2
1.1
—
—
—
0
0
5
24
2.13
0.75
1.4
1.3
323.80
306.91
ug/g
—
5
11
97
904
1.49
0.75
5.1
3.8
1.40
1.19
mmol/l
1.47
88
816
5
26
1.96
0.71
1.8
2.3
12.16
7.80
kpa
—
5
26
7
41
1.75
0.71
1.1
1.8
—
—
—
0
0
5
27
1.89
0.69
1.0
1.9
—
—
—
0
0
36
293
1.33
0.67
2.2
2.1
—
—
—
0
0
17
121
1.48
0.67
1.2
1.2
—
—
—
0
0
5
29
1.76
0.64
1.6
1.4
199.62
141.85
ug/l
—
5
24
5
30
1.70
0.62
1.0
1.5
—
—
—
0
0
19
145
1.37
0.53
2.6
2.7
7.00
4.10
e6/l
0.50
13
81
7
45
1.59
0.50
5.6
9.3
93.21
94.90
%
—
7
45
15
111
1.40
0.50
1.3
1.4
—
—
—
0
0
5
82
0.59
0.48
1.2
1.3
—
—
—
0
0
11
77
1.47
0.47
1.9
2.5
0.24
0.21
g/l
0.50
11
72
22
176
1.31
0.46
7.2
3.5
36.33
164.84
ng/l
0.99
15
131
11
78
1.45
0.45
1.5
1.4
—
—
—
0
0
6
95
0.61
0.44
3.8
1.6
—
—
—
0
0
0
15
0.00
0.41
0.0
1.1
—
—
—
0
0
0
15
0.00
0.41
0.0
1.1
—
—
—
0
0
8
60
1.36
0.41
4.0
1.9
—
—
—
0
0
11
80
1.42
0.40
4.1
3.4
—
—
—
0
0
27
228
1.24
0.38
3.5
4.0
—
—
—
0
0
22
183
1.25
0.35
2.1
1.7
—
—
—
0
0
6
44
1.38
0.35
1.0
1.1
—
—
—
0
0
30
262
1.20
0.31
4.2
6.8
—
—
—
0
0
12
94
1.31
0.29
1.7
1.9
—
—
—
0
0
22
253
0.84
0.26
1.4
1.5
—
—
—
0
0
14
115
1.25
0.25
1.1
1.3
—
—
—
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
5
38
1.33
0.23
1.0
1.4
—
—
—
0
0
5
38
1.33
0.23
1.0
1.4
—
—
—
0
0
46
425
1.14
0.23
2.2
2.0
—
—
—
0
0
5
39
1.29
0.23
1.0
1.4
—
—
—
0
0
0
12
0.00
0.21
0.0
1.2
—
—
—
0
0
0
13
0.00
0.21
0.0
1.0
—
—
—
0
0
85
820
1.14
0.20
24.1
17.4
332.34
331.30
g/l
0.53
85
815
12
100
1.22
0.19
1.2
1.3
—
—
—
0
0
7
59
1.20
0.18
2.4
2.3
—
—
—
0
0
9
82
1.11
0.15
4.8
2.8
—
—
—
0
0
25
232
1.10
0.11
2.7
3.3
95.44
94.33
%
0.06
25
226
5
45
1.12
0.10
1.0
1.2
—
—
—
0
0
15
156
0.96
0.00
1.4
1.5
—
—
—
0
0
22
223
0.98
0.00
6.0
3.6
—
—
—
0
0
28
276
1.02
0.00
1.5
1.6
1.47
1.30
mmol/l
0.40
17
229
0
5
0.00
0.00
0.0
1.4
—
—
—
0
0
6
59
1.02
0.00
1.8
1.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.6
—
63.20
—
0
5
0
5
0.00
0.00
0.0
1.0
—
700.40
—
0
5
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
0.00
0.0
2.0
—
—
—
0
0
0
8
0.00
0.00
0.0
1.9
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.0
—
—
—
0
0
7
70
1.00
-0.00
1.1
1.3
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.5
—
41.78
—
0
6
0
6
0.00
-0.00
0.0
1.0
—
7.02
—
0
6
0
7
0.00
-0.00
0.0
11.7
—
939.29
—
0
7
0
9
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.7
—
0.83
—
0
6
0
9
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
6.98
—
0
6
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
7
0.00
-0.00
0.0
5.4
—
49.50
—
0
7
10
100
1.00
-0.00
1.2
1.5
—
—
—
0
0
0
7
0.00
-0.00
0.0
21.1
—
1859.43
—
0
7

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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