Abstract
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.
MeSH terms
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Arthritis, Rheumatoid / complications
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Constipation / complications
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Diagnosis, Differential
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Female
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Humans
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Hypercalcemia / complications
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Hypercalcemia / diagnosis*
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Hypercalcemia / drug therapy
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Hyperthyroidism / complications
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Hyperthyroidism / diagnosis*
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Hyperthyroidism / drug therapy
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Jaundice, Obstructive / complications
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Jaundice, Obstructive / diagnosis*
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Jaundice, Obstructive / drug therapy
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Liver Function Tests
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Middle Aged
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Weight Loss