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A 71-year-old woman was admitted to the hospital because of a pituitary mass.
During the five years before admission, the patient had been tired and anorectic, her joints had ached, and her neck and shoulders had become stiff. A diagnosis of polymyalgia rheumatica had been made, and she had refused to take prednisone. She had become depressed after the death of her husband 12 years before admission. Because she frequently traveled within the United States to visit her daughters, her medical care was fragmented and inconsistent. Laboratory tests performed six years before admission showed hyperlipidemia, with normal thyroid function. The
Differential Diagnosis
Clinical Diagnosis
Dr. Joseph R. Madsen's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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