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- W2395156677 abstract "Case Presentation: A 17-year-old female patient presented with swelling and tightness in her legs and a 6-kg weight gain during a 3-month period. She also reported fatigue and intermittent chest pain. Vital signs showed tachycardia. Initial labora tory work-up by her primary care physician revealed normal complete blood cell count and chemistry. She had no protein in her urine and a normal serum albumin level. A normal brain natriuretic peptide level and normal echocardiographic findings ruled out heart failure. She continued to gain another 5.7 kg during the next 2 months and developed generalized edema in her lower extremities and abdomen. On examination, she had 2+ pitting edema throughout her legs and ankles (Fig. 1). Follow-up testing revealed a thyroid-stimulating hormone level of <0.015 mIU/L. What is the diagnosis?" @default.
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- W2395156677 date "2012-07-01" @default.
- W2395156677 modified "2023-09-26" @default.
- W2395156677 title "Visual Vignette" @default.
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- W2395156677 doi "https://doi.org/10.4158/ep12044.vv" @default.
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