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Euthyroid Patient with Elevated Serum Free Thyroxine
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Clinical Chemistry
- Article date:
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July 1, 2008
- Author:
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Copyright informationCopyright American Association for Clinical Chemistry Jul 2008. Provided by ProQuest LLC. (Hide copyright information)
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CASE
A 32-year-old female patient presented complaining of increased flushing, perspiration and heat intolerance of 3 months' duration. Medical history included idiopathic thrombocytopenic purpura of 4 years' duration, which had been treated by splenectomy after failed immunosuppression with prednisone and azathioprine and was currently in remission. On examination, she was found to be clinically euthyroid without a goiter. She had also developed a difiuse erythematous papular rash on the face and back, with bullous lesions on the chest. Immunofluorescent antibody studies performed on a punch biopsy of skin were positive for several autoantibodies, leading to a diagnosis of subacute ...
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