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A correction has been published: N Engl J Med 1998;339(6):415.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:1138-1143 April 16, 1998 Number 16
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Case 12-1998— A 68-Year-Old Man with a Rash, Diabetes Insipidus, and Laryngeal Stenosis
Peter Heald, and Lyn M. Duncan

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Presentation of Case

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 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Peter Heald's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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