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A 68-year-old man was admitted to the hospital because of laryngeal stenosis.
Six years before admission, polyuria and polydipsia had developed. Glucose levels and a test for glycosylated hemoglobin were normal. A dexamethasone suppression test, performed because of truncal obesity, was normal. The serum osmolality was 304 mOsm per kilogram of water, and the antidiuretic hormone level was less than 0.9 pg per milliliter (normal range, 1 to 13.3). The testosterone level was low, with normal-to-low levels of follicle-stimulating and luteinizing hormones, prolactin, and thyroid-stimulating hormone. A desmopressin nasal spray controlled the symptoms. At about the same time, a slowly
Differential Diagnosis
Clinical Diagnoses
Dr. Peter Heald's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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