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The British Journal of Radiology, Vol 73, Issue 869 547-549, Copyright © 2000 by British Institute of Radiology
ARTICLES |
O Elshafie, S Hussein, WD Jeans and NJ Woodhouse
Department of Medicine, Sultan Qaboos University Hospital, Sultanate of Oman.
A patient with long-standing metastatic disease from a well differentiated papillary cell carcinoma of the thyroid underwent embolisation of a painful large sacral metastasis. Following embolisation she had a massive rise in circulating serum thyroglobulin (Tg) levels coinciding with the development of adult respiratory distress syndrome (ARDS) on the tenth day without any other obvious cause. The patient subsequently recovered. The time course suggests that ARDS in this case might have resulted from aggregation of Tg molecules in the pulmonary microcirculation.
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