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Unusual presentation of more common disease/injury
An unusual case of hyperthyroidism associated with jaundice and hypercalcaemia
  1. Theerawut Klangjareonchai
  1. Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  1. Correspondence to Dr Theerawut Klangjareonchai, theeranut7326{at}hotmail.com

Summary

A 51-year-old woman with rheumatoid arthritis presented with a 3 month history of painless jaundice and significant weight loss and constipation. Laboratory values were consistent with hyperthyroidism, cholestatic jaundice and parathyroid hormone-independent hypercalcaemia. Three months after beginning of methimazole, euthyroidism was achieved and serum adjusted calcium, total and direct bilirubin levels were normal.

https://doi.org/10.1136/bcr.11.2011.5076

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.