In the Amerlite MAB FT4 assay, as stated by the manufacturer, FT4 valu
es should be normal in patients with anti-thyroid hormone autoantibodi
es. The case of a 69 year old woman with a spuriously high FT4 using t
he Amerlite MAB FT4 assay is reported. Laboratory investigations showe
d that her spurious FT4 result was Likely to have been caused by antit
hyroid hormone autoantibodies.