Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple Myeloma
Sporadic reports of factitious elevations of thyroid hormones related to laboratory interference from autoantibodies and multiple myeloma paraproteins have appeared in the literature. Such clinically confusing laboratory results can lead to erroneous diagnoses and inappropriate treatments. We report...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2021/8479193 |
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| author | Kaushik Mandal Damilola Ashorobi Alice Lee Huijuan Liao Salini C. Kumar David S. Rosenthal |
| author_facet | Kaushik Mandal Damilola Ashorobi Alice Lee Huijuan Liao Salini C. Kumar David S. Rosenthal |
| author_sort | Kaushik Mandal |
| collection | DOAJ |
| description | Sporadic reports of factitious elevations of thyroid hormones related to laboratory interference from autoantibodies and multiple myeloma paraproteins have appeared in the literature. Such clinically confusing laboratory results can lead to erroneous diagnoses and inappropriate treatments. We report an additional case of a patient with multiple myeloma and an IgG paraproteinemia who had such a spurious elevation of total T3 complicating her levothyroxine management of hypothyroidism. In addition, we alert clinicians that differences in performance characteristics between various manufacturers’ test platforms may also cause spurious reports. |
| format | Article |
| id | doaj-art-d5e3162215014e2aaec72f7fbf839ef8 |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-d5e3162215014e2aaec72f7fbf839ef82025-02-03T01:08:58ZengWileyCase Reports in Endocrinology2090-65012090-651X2021-01-01202110.1155/2021/84791938479193Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple MyelomaKaushik Mandal0Damilola Ashorobi1Alice Lee2Huijuan Liao3Salini C. Kumar4David S. Rosenthal5Division of Endocrinology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USADivision of Endocrinology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USADivision of Endocrinology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USADivision of Endocrinology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USADivision of Endocrinology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USADivision of Endocrinology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USASporadic reports of factitious elevations of thyroid hormones related to laboratory interference from autoantibodies and multiple myeloma paraproteins have appeared in the literature. Such clinically confusing laboratory results can lead to erroneous diagnoses and inappropriate treatments. We report an additional case of a patient with multiple myeloma and an IgG paraproteinemia who had such a spurious elevation of total T3 complicating her levothyroxine management of hypothyroidism. In addition, we alert clinicians that differences in performance characteristics between various manufacturers’ test platforms may also cause spurious reports.http://dx.doi.org/10.1155/2021/8479193 |
| spellingShingle | Kaushik Mandal Damilola Ashorobi Alice Lee Huijuan Liao Salini C. Kumar David S. Rosenthal Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple Myeloma Case Reports in Endocrinology |
| title | Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple Myeloma |
| title_full | Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple Myeloma |
| title_fullStr | Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple Myeloma |
| title_full_unstemmed | Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple Myeloma |
| title_short | Factitiously Elevated Total Triiodothyronine in a Euthyroid Patient with Multiple Myeloma |
| title_sort | factitiously elevated total triiodothyronine in a euthyroid patient with multiple myeloma |
| url | http://dx.doi.org/10.1155/2021/8479193 |
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