JOHN S. FENNELL, M.D.
To the editor: Dalovisio and colleagues (1) have recently reported on increased serum alkaline phosphatase levels in three patients with subacute thyroiditis. These patients had other liver enzyme abnormalities, but hepatitis B antigen was negative. The authors suggested that the raised alkaline phosphatase was probably of hepatic origin and postulated that there may be damage to the liver by "the as yet unidentified etiological agent of subacute thyroiditis." We wish to report here the case of a patient with subacute thyroiditis in whom there was also evidence of hepatic dysfunction, including an elevated serum alkaline phosphatase (2).
A 36-year-old man
FENNELL JS. Alkaline Phosphatase and Thyroiditis. Ann Intern Med. ;89:143–144. doi: 10.7326/0003-4819-89-1-143
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Published: Ann Intern Med. 1978;89(1):143-144.
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