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Stuart Factor (Factor X) Deficiency Associated with Renal and Adrenal Cortical Insufficiency

Ann Intern Med. 1966;64(6):1285-1291. doi:10.7326/0003-4819-64-6-1285
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Occurrence of multiple primary malignant neoplasms is rare (1-3). A diligent search of the literature has failed to reveal the association of renal and adrenal cortical carcinoma. A case with such association is presented. In addition, the patient exhibited a mild deficiency of Stuart factor (Factor X), which disappeared after removal of the tumors.

CASE REPORT: Mrs. V. H., a 54-year-old white woman, was first seen because of microscopic hematuria and pyuria detected in a routine urinalysis during the course of an upper respiratory infection. The patient had been treated for duodenal ulcer 2 years previously. There had been loss


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