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Letters |15 May 1993

Intravenous Gammaglobulin in a Hypothyroid Patient with the Antiphospholipid Antibody Syndrome

Yasuko Nakamura, MD; Yukiko Uchida, MD; Masami Murakami, MD

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TO THE EDITOR:
Many reports of thrombocytopenia associated with autoimmune thyroid disease have occurred since Jackson's first description [1]. Most were cases of autoimmune thyroid disease complicated by idiopathic thrombocytopenic purpura. We describe a hypothyroid patient with thrombocytopenia and a paradoxical thromboembolic episode, diagnosed as having an antiphospholipid antibody syndrome because of high serum levels of anticardiolipin antibodies and lupus anticoagulant.
A 65-year-old Japanese woman was admitted to our hospital with a goiter and signs and symptoms of hypothyroidism. At 53 years of age, she had had a cerebral infarction. Laboratory data confirmed hypothyroidism as follows: The free-triiodothyronine value...
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Nakamura Y, Uchida Y, Murakami M. Intravenous Gammaglobulin in a Hypothyroid Patient with the Antiphospholipid Antibody Syndrome. Ann Intern Med. 1993;118:827–828. doi: 10.7326/0003-4819-118-10-199305150-00022

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Published: Ann Intern Med. 1993;118(10):827-828.

DOI: 10.7326/0003-4819-118-10-199305150-00022

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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