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Clinical Chemistry 17: 174-182, 1971;
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Clinical Chemistry, Vol 17, 174-182, Copyright © 1971 by the American Association for Clinical Chemistry

Comparison of Laboratory Test Results for Assessing Thyroid Function in Normal Subjects and Treated and Untreated Hyper- and Hypothyroid Patients

Norman D. Lee 1, Boris Catz 1, M. S. Margolese 1, and Vincent J. Pileggi 1

1 Bio-Science Laboratories, 7600 Tyrone Ave., Van Nuys, Calif. 91405 (N.D.L., V.J.P.); 435 North Roxbury Dr., Beverly Hills, Calif. 90210 (B.C.); and 2080 Century Park East, Los Angeles, Calif. 90067 (M.S.M.).

Various indexes of thyroid status were measured in sera from normal men and women, normal women who were using oral contraceptives, hyper- and hypothyroid patients, and hypothyroid patients being successfully managed with various forms of replacement therapy. Total circulating thyroxine concentrations were measured by three methods as well as the thyroxine-binding capacity of the serum inter-alpha globulin, "free" thyroxine, and "free" thyroxine index. Our purpose was to compare the various measurements, and to assess their diagnostic usefulness. The most significant finding was that, of 197 hypothyroid patients, all of whom possessed total circulating thyroxine concentrations within normal limits, 28% showed subnormal "free" thyroxine concentrations.


Key Words: normal ranges • "free" and "bound" serum thyroxine • effects of oral contraceptive medications • "nonclassic" hypothyroidism • diagnostic aids

Submitted on October 7, 1970
Accepted on December 29, 1970







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Copyright © 1971 by the American Association for Clinical Chemistry.