Can anyone help with interpreting this case?
32 year old male glue sniffer (1 can Evostick per day).
Diffuse white matter changes on CT.
fT4 7.6 pmol/L, TSH 1.43 IU/L (ACS-180)
Testosterone 20.5 nmol/L.
Is the low fT4 due to displacement, sick euthyroid, pituitary toxicity
or an effect on thyroid binding? or something else?
I would be very grateful for any comments.
Julian
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Julian H Barth
Department of Clinical Biochemistry & Immunology
Leeds Teaching Hospitals NHS Trust
Leeds General Infirmary
Leeds LS1 3EX
tel 0113-392-3416
fax 0113-392-5174
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