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A correction has been published: N Engl J Med 2000;342(10):748.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:414-420 February 10, 2000 Number 6
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Case 4-2000— A 64-Year-Old Man with Cushing's Syndrome and a Pancreatic Mass
Lawrence J. Brandt, and Eugene J. Mark

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Presentation of Case

A 64-year-old man was admitted to the hospital because of hyperadrenocorticism.

The patient had a history of angina pectoris and had undergone five-vessel coronary-artery bypass surgery nine years before admission. He had long-standing heartburn, and for two years had had intermittent upper abdominal pain that responded to ranitidine. The results of upper gastrointestinal endoscopy were normal. Six months before admission, he began to bruise easily; weakness, emotional lability, moon facies, and peripheral edema developed; and his weight increased by 5 kg. Three months before admission, a tremor developed in his hands. One month later, bouts of tachycardia and bradycardia occurred, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Lawrence J. Brandt's Diagnoses

Pathological Discussion

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References




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