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Previous Volume 352:1047-1048 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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To the Editor: The medical mystery in the January 20 issue¹ involved a seven-month-old boy who had congenital Cushing's syndrome and a severe acneiform rash (Figure 1A), with growth of pubic hair. The child's motor development was grossly delayed. Computed tomography of the abdomen showed a solid mass in the region of the left adrenal gland (Figure 1B). The child's plasma cortisol level was elevated, at 44 mg per deciliter (normal range, 5 to 23), and the testosterone level was 6.06 ng per milliliter (normal range, 0.04 to 0.48). Histologic examination of the mass after excision . . . [Full Text of this Article]

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