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Previous Volume 352:1025-1032 March 10, 2005 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 59-year-old woman was seen in the clinic for evaluation of an adrenal mass.

Two years earlier, she had undergone her first physical examination since childhood, having sought medical attention because of morning stiffness and polyarticular joint pain that she had had for several months and the recent onset of dysuria. She was found to have hypertension (blood pressure, 140/100 mm Hg) and rheumatoid arthritis. A urine culture showed growth of Escherichia coli, and amoxicillin was prescribed. Doxazosin (4 mg) and lisinopril (10 mg) were administered for the hypertension; her arthritis symptoms were controlled by hydroxychloroquine.

Dysuria, pyuria, and positive . . . [Full Text of this Article]

Differential Diagnosis

Benign or Malignant?

Functional or Nonfunctional?

Clinical Diagnosis

Dr. Robert G. Dluhy's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Division of Endocrinology, Diabetes and Metabolism, Brigham and Women's Hospital (R.G.D.); the Departments of Radiology (M.M.M.) and Pathology (C.-L.W.), Massachusetts General Hospital; and the Departments of Medicine (R.G.D.), Radiology (M.M.M.), and Pathology (C.-L.W.), Harvard Medical School.

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