A 33 year old woman has experienced episodes of fatigue, pleural effusion, pericardial effusion and carpal tunnel syndrome and macrocytic anemia. Best test for diagnosis shall be -: (A) Anti-beta 2 phospholipid antibodies, (B) Anti-smith antibody, (C) Antinulear antibody, (D) Assay for thyroid hormones
Answer is D. ANSWER- D. Assay for thyroid hormonesCarpel tunnel syndrome is a common complication of hypothyroidism and is often reversible with thyroid hormone therapy.Normally hypothyroidism is associated with normochromic anemia but may sometimes also cause macrocytic anemia.