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Elhadd TA et al. - A 67-year-old Scottish lady presented with longstanding ankle edema, paroxysmal atrial fibrillation, uncontrolled hypertension, fine tremors, warm peripheries, and agitation. Initial findings were a small goiter, elevated serum TSH of 7.37mU/L (normal range, 0.30–6.0mU/L), a free-thyroxine concentration of 34.9pmol/L (normal range, 9.0–24.0pmol/L), a flat TSH response to TSH-releasing hormone, and serum alpha-subunit of 3.1IU/L.


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