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Department of Medicine Division of Endocrinology Tygerberg Academic Hospital Cape Town 7505 16 December 2013 The Editor-in-Chief

JEMDSA Dear Sir

Re: Case Study submission 1. Authors:

Van Zyl FH, BMedSc, MBChB,MMed(Int), Fellow, Division of Endocrinology, Department of Medicine, Stellenbosch University, Cape Town

Conradie M, MBChB, PhD,Consultant Department of Medicine and Endocrine Division, Tygerberg Academic Hospital, Stellenbosch University, Cape Town

Barnard K, MBChB, MPH, Consultant Department of Medicine and Endocrine Division, Tygerberg Academic Hospital, Stellenbosch University, Cape Town

Hough FS, MBChB, Hons Bsc, FCP(SA), MMed, MD, Consultant Division of Endocrinology, Department of Medicine, Stellenbosch University, Cape Town

Ascott-Evans BH, MBChB,FCP(SA), Head of Division of Endocrinology, Department of Medicine, Stellenbosch University, Cape Town

2.

Contact details of corresponding author:

Dr Francois H van Zyl; E-mail: [email protected]; Mobile: 072 222 5890; Office Tel: 0233425220;

Fax: 0233422528; Postal Address: 37 Russell Street, Worcester, 6850

3. Images used in the case study with the permission of the Departments of Radiology, Department of Nuclear Medicine and Department of Anatomical Pathology at Tygerberg Academic Hospital.

4. All co-authors have made significant contributions to the manuscript to qualify as co-

authors.

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5. An informed consent document was signed by the patient in this case study and information submitted to the Health Research Ethic Committee, Faculty of Health Sciences, Stellenbosch University.

6. No conflicts of interest documented.

Kind Regards

FH van Zyl

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