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May 10, 1952


Author Affiliations

1560 Grand Concourse New York.

JAMA. 1952;149(2):187. doi:10.1001/jama.1952.02930190089026

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To the Editor:—  In their article on Addison's Disease in bronchogenic carcinoma published in The Journal, March 1, page 729, Drs. Wallach and Scharfman stated that they failed to find in American literature "any confirmed case report of Addison's disease due to replacement of adrenal tissue by tumor." A case of this kind was reported by me in my monograph on primary carcinoma of the lungs published in 1932 and later in my book on bronchogenic carcinoma and adenoma published in 1948. It concerned a man of 53 whose illness of about two years' duration was characterized by steady loss of weight, asthenia, anorexia, hypotension, and pigmentation of the skin and mucosa of the roof of the mouth. On a few occasions he was disoriented. Members of the hospital staff who were familiar with the silent or inapparent type of bronchogenic cancer keenly searched the lungs to no avail. The

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