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

557745

1. Apply sex-specific rule

None

557745

2. Check conditions

None

557745

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.

131

4. Check minimum number of events

None

131

5. Include endpoints

None

131

6. Filter based on genotype QC (FinnGen only)

118

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 118 110 8
Unadjusted period prevalence (%) 0.04 0.04 0.00
Median age at first event (years) 57.58 56.42 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
121
Matched controls
1210
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E05.4
ICD-10 Finland
Thyrotoxicosis factitia
+∞
168.8
119
*
H03AA01
ATC
levothyroxine sodium; systemic
77.2
67.4
114
210
104
Kela drug reimbursment
Thyroid insufficiency
19.4
57.6
57
53
E03.9
ICD-10 Finland
Hypothyroidism, unspecified
15.2
53.1
77
125
E05.0
ICD-10 Finland
Thyrotoxicosis with diffuse goitre
451.9
34.8
33
*
H03BB01
ATC
carbimazole; oral
149.6
32.5
33
*
E05.9
ICD-10 Finland
Thyrotoxicosis, unspecified
+∞
21.5
20
*
E03.89
ICD-10 Finland
Other specified hypothyroidism
16.9
18.1
29
22
E03
ICD-10 Finland
Other hypothyroidism
6.1
14.4
29
59
BAA60
NOMESCO Finland
Total thyroidectomy
18.2
10.7
16
10
E03.80
ICD-10 Finland
Hypothyroidism caused by autoimmune thyroiditis
15.1
10.0
16
12
E89.00
ICD-10 Finland
Postirradiation hypothyroidism
+∞
9.5
9
*
E05
ICD-10 Finland
Thyrotoxicosis [hyperthyroidism]
+∞
9.5
9
*
E89.01
ICD-10 Finland
Postsurgical hypothyroidism
20.6
9.2
13
7
C07AA05
ATC
propranolol; systemic
3.3
9.0
48
200
H06.2*E05.9
ICD-10 Finland
Dysthyroid exophthalmos
+∞
8.4
8
*
E05.80
ICD-10 Finland
Subacute thyrotoxicosis
+∞
7.4
7
*
C07AB07
ATC
bisoprolol; oral
2.8
6.9
73
429
M01AH01
ATC
celecoxib; oral
3.1
6.8
36
147
T86
ICPC
Hypothyroidism/myxoedema
6.9
6.7
16
26
N39.0
ICD-10 Finland
Urinary tract infection, site not specified
3.0
6.2
34
141
SPAT1250
SPAT
Comprehensive monitoring of chronic illness
2.8
6.0
41
190

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
66
56
24.73
71.54
7.8
1.9
4.64
4.36
pmol/l
0.51
60
47
46
120
5.57
17.77
2.2
2.1
329.90
380.82
nmol/l
1.06
39
114
36
92
5.15
13.93
1.3
1.3
264.73
137.89
u/ml
0.66
16
37
83
475
3.38
9.08
17.7
11.2
1.16
1.18
inr
0.18
76
384
91
559
3.53
8.68
8.9
6.5
1.22
1.22
mmol/l
0.13
74
478
51
225
3.19
8.64
1.9
1.7
466.35
478.62
pmol/l
0.11
40
186
75
413
3.15
8.61
2.8
3.1
2.34
2.37
mmol/l
0.58
69
382
89
561
3.22
7.69
3.8
3.1
82.43
83.45
ug/l
0.04
82
519
41
172
3.09
7.41
2.6
2.1
14.32
12.96
umol/l
0.59
36
160
72
411
2.86
7.35
5.8
4.0
17.48
35.40
ng/l
1.03
50
269
80
485
2.92
7.24
2.5
2.0
99.77
98.50
pmol/l
0.07
44
223
62
330
2.80
7.20
1.7
1.6
16.98
22.19
nmol/l
2.52
53
276
65
356
2.78
7.12
3.0
2.2
145.47
141.16
u/l
0.05
60
340
95
638
3.28
7.03
7.5
10.1
3.78
3.96
e9/l
0.33
85
559
67
377
2.74
6.90
5.6
5.5
—
—
—
0
0
92
618
3.04
6.59
5.9
5.1
6.79
6.51
mmol/l
0.50
87
580
26
89
3.45
6.48
3.0
5.3
1.00
0.79
%
—
7
24
88
583
2.87
6.36
5.9
6.1
0.56
0.54
e9/l
0.22
78
502
88
585
2.85
6.28
5.9
6.1
0.04
0.04
e9/l
0.56
77
502
88
594
2.77
5.94
5.9
6.1
1.91
1.84
e9/l
0.36
81
521
26
95
3.21
5.82
3.9
6.0
0.17
0.19
%
—
6
26
82
539
2.62
5.77
6.2
6.1
8.67
8.59
%
0.09
76
511
38
173
2.74
5.76
1.8
1.6
1228.26
1180.54
nmol/l
0.13
29
125
52
277
2.54
5.74
2.7
2.1
2.81
2.92
mg/l
0.14
39
232
88
602
2.69
5.64
6.2
6.3
0.20
0.17
e9/l
0.77
80
525
81
535
2.55
5.55
6.0
6.0
3.27
2.68
%
1.09
75
507
81
535
2.55
5.55
6.3
6.0
0.73
0.68
%
0.40
75
504
82
547
2.55
5.47
5.9
6.0
29.03
28.04
%
0.35
76
521
42
207
2.58
5.40
4.4
3.0
491.73
519.13
mosm/kgh2o
0.29
37
181
33
150
2.65
4.95
1.9
1.8
29.15
29.04
s
0.04
33
145
13
26
5.47
4.79
5.2
5.2
—
—
—
0
0
27
113
2.79
4.73
5.8
3.5
7.40
7.39
ph
0.18
20
70
60
371
2.22
4.46
5.4
4.1
7.40
7.39
ph
0.46
53
250
75
508
2.25
4.44
7.1
6.1
1.21
1.22
mmol/l
0.54
70
462
47
266
2.25
4.30
4.0
5.2
—
—
—
0
0
31
150
2.43
4.03
1.6
2.1
—
—
—
0
0
31
152
2.40
3.91
3.8
2.1
130.13
121.45
ug/g
0.07
24
115
11
24
4.93
3.85
9.9
3.3
7.49
6.89
mmol/l
0.38
11
24
12
29
4.47
3.82
9.3
3.1
1.21
1.37
mmol/l
0.54
12
29
6
5
12.52
3.80
2.3
1.2
7.10
10.20
umol/l
—
6
5
9
16
5.98
3.73
4.4
2.9
106.11
108.19
mmol/l
—
9
16
9
16
5.98
3.73
4.4
2.9
3.81
3.84
mmol/l
—
9
16
9
16
5.98
3.73
4.4
2.9
1.21
1.20
mmol/l
—
9
16
21
87
2.71
3.72
4.0
4.0
—
—
—
0
0
58
374
2.06
3.69
3.1
3.4
11.82
52.08
e6/l
1.68
46
281
73
514
2.06
3.62
17.4
10.7
0.00
0.00
e9/l
0.80
65
412
54
343
2.04
3.54
5.2
3.4
0.00
0.01
estimate
0.49
25
91
15
53
3.09
3.50
2.2
2.4
—
—
—
0
0
67
464
1.99
3.41
6.0
3.8
0.00
0.00
estimate
-0.00
21
94
11
28
4.21
3.38
3.8
3.1
7.41
7.42
ph
0.24
11
28
51
323
2.00
3.33
3.3
3.0
0.14
0.52
e6/l
2.40
39
231
17
67
2.79
3.29
3.9
2.6
1.25
1.22
%
0.03
17
67
48
303
1.97
3.13
1.7
1.3
0.70
1.54
u/ml
0.82
16
76
9
21
4.54
3.06
2.2
2.6
10.53
6.37
pmol/l
—
9
21
16
65
2.68
2.93
3.9
2.6
0.73
0.58
%
1.34
16
65
26
134
2.20
2.88
1.5
1.3
—
—
—
0
0
81
627
1.88
2.69
5.9
4.1
0.00
0.00
estimate
-0.00
27
115
115
1033
3.28
2.69
7.0
5.0
6.13
5.81
mmol/l
1.07
107
949
80
620
1.86
2.61
5.9
4.0
0.00
0.00
estimate
-0.00
29
116
16
70
2.48
2.54
5.4
6.5
25.96
25.36
mmol/l
0.30
16
70
42
270
1.85
2.51
1.8
1.4
2.37
2.37
g/l
0.00
30
157
16
71
2.44
2.47
1.3
1.2
—
—
—
0
0
80
626
1.82
2.46
5.9
4.0
0.00
13.53
estimate
0.50
28
120
22
113
2.16
2.45
5.4
7.5
0.27
1.26
mmol/l
0.79
16
95
6
12
5.20
2.43
1.2
1.8
24.60
47.64
ng/l
—
6
12
41
264
1.84
2.42
1.9
1.8
0.51
1.33
mg/l
2.44
33
218
22
114
2.14
2.40
5.4
7.4
7.41
7.41
ph
0.02
13
68
48
329
1.76
2.29
5.8
4.3
0.00
0.00
estimate
-0.00
26
110
49
338
1.76
2.29
3.3
3.1
9.42
31.41
mg/l
2.81
30
207
52
365
1.74
2.28
3.5
2.9
5.95
7.22
mmol/l
1.45
38
304
116
1066
3.13
2.20
24.2
15.8
13.68
21.41
mg/l
4.41
105
851
6
14
4.45
2.18
1.3
1.3
—
—
—
0
0
18
90
2.17
2.14
2.3
2.3
10.13
10.08
g/l
0.02
18
84
13
56
2.48
2.13
4.0
5.0
—
—
—
0
0
28
167
1.88
2.08
1.4
1.5
853.33
684.57
titre
—
9
35
21
116
1.98
1.94
1.9
2.1
0.00
0.00
estimate
—
6
28
65
502
1.64
1.90
5.1
3.6
6.31
6.25
ph
0.16
45
270
58
436
1.63
1.89
3.8
4.4
57.75
55.46
e6/l
0.02
47
292
48
345
1.65
1.86
5.0
3.6
1.65
6.31
mg/mmol
1.83
26
201
111
999
2.34
1.85
9.8
6.1
40.37
38.78
mmol/mol
0.77
102
931
25
149
1.85
1.85
6.7
6.4
104.56
104.07
mmol/l
0.17
25
149
19
104
1.98
1.80
1.3
1.2
—
—
—
0
0
55
413
1.61
1.77
4.5
3.2
—
—
—
0
0
35
234
1.70
1.77
1.4
1.3
1.77
9.15
u/ml
1.61
17
94
52
388
1.60
1.70
3.6
3.0
—
—
—
0
0
18
99
1.96
1.68
8.1
2.8
4.77
4.26
kpa
0.87
18
99
22
130
1.85
1.67
2.5
3.3
3.57
6.66
e9/l
0.66
17
112
26
162
1.77
1.67
1.2
1.2
—
—
—
0
0
6
20
3.10
1.60
1.2
1.3
—
—
—
0
0
10
44
2.39
1.60
2.1
1.7
0.79
6.91
ug/l
—
10
38
6
21
2.95
1.52
5.5
3.5
9.57
9.01
kpa
—
6
21
6
21
2.95
1.52
5.5
3.5
5.53
4.99
kpa
—
6
21
6
21
2.95
1.52
5.5
3.5
2.50
2.77
mmol/l
—
6
15
35
245
1.60
1.46
1.5
1.3
22.33
33.51
iu/ml
—
9
79
9
40
2.35
1.43
1.2
1.2
—
—
—
0
0
19
113
1.81
1.42
2.4
1.6
—
—
—
0
0
16
90
1.90
1.41
4.8
7.6
—
—
—
0
0
5
18
2.85
1.30
1.6
1.7
3.68
4.99
e9/l
—
5
18
8
36
2.31
1.27
2.9
2.4
23.00
25.32
mmol/l
—
8
36
13
71
1.93
1.25
1.7
1.7
1.57
1.66
g/l
0.05
13
64
26
177
1.60
1.21
2.2
2.9
6.09
3.99
e6/l
0.38
15
86
8
38
2.18
1.21
2.6
4.1
—
—
—
0
0
19
119
1.71
1.20
1.5
3.3
1.74
1.84
%
0.22
14
107
101
915
1.63
1.17
29.0
19.3
13.54
13.60
%
0.19
101
907
7
31
2.33
1.12
1.0
1.3
—
—
—
0
0
7
34
2.12
1.04
1.0
1.0
—
—
—
0
0
37
282
1.45
1.03
5.6
3.9
1.02
1.02
kg/l
0.02
29
174
0
29
0.00
0.99
0.0
1.2
—
—
—
0
0
0
29
0.00
0.99
0.0
1.6
—
—
—
0
0
0
28
0.00
0.99
0.0
1.6
—
1.26
—
0
22
11
64
1.79
0.89
6.3
9.5
94.45
94.76
%
0.11
11
64
35
272
1.40
0.87
2.0
2.8
329.27
318.69
umol/l
0.35
26
239
112
1060
1.76
0.85
6.4
5.0
4.72
4.74
mmol/l
0.06
102
980
6
34
1.80
0.77
1.0
1.9
—
—
—
0
0
5
23
2.22
0.77
2.2
1.8
—
—
—
0
0
9
54
1.72
0.76
1.2
1.8
—
—
—
0
0
5
24
2.13
0.75
2.6
1.3
1021.80
2638.50
e6/l
—
5
18
60
518
1.31
0.74
2.9
2.7
—
—
estimate
—
0
0
28
215
1.39
0.74
6.2
3.9
42.48
300.71
ng/l
1.11
21
163
5
25
2.04
0.73
1.0
1.3
21.04
16.10
u/l
—
5
18
16
110
1.52
0.73
1.8
1.9
—
—
—
0
0
28
216
1.39
0.72
2.0
1.9
—
—
—
0
0
5
94
0.51
0.70
1.2
1.3
—
—
—
0
0
41
486
0.76
0.67
2.2
1.9
1.45
1.31
mmol/l
0.46
29
411
5
28
1.82
0.67
1.6
2.1
53.60
61.10
%
—
5
28
112
1071
1.61
0.65
7.2
5.7
2.69
2.74
mmol/l
0.22
102
985
0
20
0.00
0.61
0.0
1.1
—
—
—
0
0
0
20
0.00
0.61
0.0
1.1
—
—
—
0
0
35
288
1.30
0.60
3.5
4.0
—
—
—
0
0
105
995
1.42
0.59
5.7
4.2
1.41
1.21
mmol/l
1.56
96
906
6
38
1.61
0.55
1.0
1.4
—
—
—
0
0
6
38
1.61
0.55
1.2
1.3
—
—
—
0
0
9
63
1.46
0.54
1.4
1.1
—
—
—
0
0
15
111
1.40
0.49
1.8
1.4
—
—
—
0
0
42
362
1.25
0.49
2.3
2.2
—
—
—
0
0
26
315
0.78
0.49
1.4
1.5
—
—
—
0
0
10
68
1.51
0.48
2.6
3.4
25.24
24.66
mmol/l
—
10
68
19
150
1.32
0.43
1.2
1.3
—
—
—
0
0
5
33
1.54
0.42
2.0
2.0
12.16
8.05
kpa
—
5
33
0
15
0.00
0.41
0.0
1.2
—
—
—
0
0
5
35
1.45
0.40
1.8
1.3
136.02
130.48
ug/l
—
5
30
41
361
1.21
0.39
5.5
7.0
—
—
—
0
0
53
480
1.19
0.37
2.2
2.1
—
—
—
0
0
6
44
1.38
0.35
6.2
5.0
37.15
36.96
°c
—
6
44
109
1056
1.32
0.34
6.6
4.9
1.48
1.58
mmol/l
1.30
100
970
18
147
1.26
0.33
1.3
1.5
—
—
—
0
0
8
67
1.21
0.27
4.0
2.0
—
—
—
0
0
0
11
0.00
0.21
0.0
1.1
—
—
—
0
0
0
10
0.00
0.21
0.0
1.0
—
—
—
0
0
0
10
0.00
0.21
0.0
1.1
—
—
—
0
0
0
13
0.00
0.21
0.0
1.0
—
—
—
0
0
6
47
1.29
0.21
1.0
1.4
—
—
—
0
0
6
48
1.26
0.20
1.0
1.4
—
—
—
0
0
6
48
1.26
0.20
1.0
1.4
—
—
—
0
0
6
48
1.26
0.20
1.0
1.4
—
—
—
0
0
6
49
1.24
0.20
1.0
1.4
—
—
—
0
0
0
14
0.00
0.20
0.0
1.7
—
—
—
0
0
7
60
1.18
0.18
1.0
1.1
—
—
—
0
0
17
148
1.17
0.18
1.2
1.4
—
—
—
0
0
8
72
1.12
0.16
2.3
2.2
—
—
—
0
0
11
93
1.20
0.15
1.9
2.4
6.14
6.06
ph
0.11
11
60
9
109
0.81
0.13
3.3
1.7
—
—
—
0
0
13
115
1.15
0.11
1.2
1.4
—
—
—
0
0
12
127
0.94
0.01
1.3
1.6
—
—
—
0
0
19
195
0.97
0.00
1.4
1.6
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
5
51
0.98
-0.00
1.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.6
—
1.20
—
0
5
0
5
0.00
-0.00
0.0
1.6
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.3
—
—
—
0
0
0
6
0.00
-0.00
0.0
31.3
—
6.32
—
0
6
0
5
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
8
0.00
-0.00
0.0
15.0
—
973.75
—
0
8
7
78
0.89
-0.00
1.9
1.3
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.8
—
—
—
0
0
0
5
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
7
0.00
-0.00
0.0
5.4
—
49.50
—
0
7
9
98
0.91
-0.00
1.2
1.4
—
—
—
0
0

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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