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Paciente femenina de 52 años refiere astenia marcada, adinamia, aumento de peso,...

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Paciente femenina de 52 años refiere astenia marcada, adinamia, aumento de peso, intolerancia al frío, constipación y voz ronca. Al examen presenta piel seca, bradicardia y edema facial leve. La astenia en este caso se explica por:

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