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From the Department of Obstetrics and Gynecology. University of Iowa Hospitals, Iowa City. Iowa
Abstract
A case is presented of a patient with secondary amenorrhea and viriltzalion with markedly elevated arinary 17-ketosteroids and plasma androgens. Differential adrenal and ovarian suppression indicated adrenal androgenic hyperfunction as well as a semi-autonomous ovarian source of androgen production. An arrhenoblastoma was removed, and the adrenal disorder responded to long-term dexamethasone suppression. This is an unusual case of two distinct audrogenic disorders, including partially supressiblc arrhenoblastoma, occurring in the same patient.
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