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Clinical Chemistry, Vol 17, 174-182, Copyright © 1971 by the American Association for Clinical Chemistry
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.
Submitted on October 7, 1970
Accepted on December 29, 1970
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