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Falsely Undetectable TSH in a Cohort of South Asian Euthyroid Patients
Author(s) -
Julia C. Drees,
Judith Stone,
C. Randy Reamer,
Victoria E. Arboleda,
Karl Huang,
Jane Hrynkow,
Di. Greene,
Matthew S. Petrie,
Carolyn Hoke,
Thomas Lorey,
Richard Dlott
Publication year - 2013
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2013-2092
Subject(s) - euthyroid , cohort , medicine , endocrinology , thyroid
An index case of a clinically euthyroid woman of South Asian descent was identified with discordant TSH results: undetectable TSH on our routine assay and normal TSH on an alternate assay. Low TSH concentrations due to functionally compromising TSH mutations have been reported. Here we describe a new phenomenon of functional TSH that is undetectable by 4 widely used US Food and Drug Administration (FDA)-approved TSH immunoassays marketed by a single vendor.

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