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Letters to the Editor |
1 Department of Pathology, and Laboratory Medicine, and,
2 Division of Endocrinology and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, GA
aAddress correspondence to this author at: F-147, Emory University Hospital, Department of Pathology and Laboratory Medicine, 1364 Clifton Road NE, Atlanta, GA 30322. Fax 404-712-4780; e-mail jritchi@emory.edu.
| The first 20% of the full text of this article appears below. |
To the Editor:
We describe here the first case of immunoassay interference from human anti-mouse antibodies (HAMAs) induced by a therapeutic anti-idiotypic antibody. A 76-year-old woman was referred to the Emory Endocrinology Clinic in May 2002 for evaluation of abnormal thyroid function tests. Between August 2001 and March 2002, her total triiodothyronine (T3) was 6.62 to >12.32 nmol/L, but her T3 uptake, total thyroxine (T4), free T4, thyroid-stimulating hormone (TSH), and thyroglobulin were within the appropriate reference intervals.
The patient had undergone a partial thyroidectomy in 1987 for toxic goiter and had been stable on thyroxine replacement with thyroid indices within the appropriate reference values since that time. In January 2000, she underwent a colon resection for colon carcinoma and received adjuvant chemotherapy with 5-fluorouracil until August 2000 and an investigational tumor vaccine (CeaVac) from February 2000 until April 2002. CeaVac is a monoclonal antibody generated in BALB/c mice against another antibody that binds to a highly restricted carcinoembryonic
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