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Adrenal Venography in Patients with Virilization.

Jose E. Yanez, M.D.; Stewart R. Reuter, M.D.; and A. James Blair Jr., M.D., F.A.C.P.
Ann Intern Med. 1969;70(5):1065. doi:10.7326/0003-4819-70-5-1065_1
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Adrenal venography is becoming an essential diagnostic aid in the assessment of adrenal disease. We have used it in evaluating 36 patients with virilization—by which we mean women with male hair distribution, frequently associated with menstrual irregularities, acne, and obesity but not necessarily showing defeminization. Their ages ranged from 16 to 77 years, and their weight ranged from 112 to 264 lb.

Twenty-six patients had a normal adrenal venous pattern while seven had adrenal hypertrophy. Three had patterns suggestive of adrenal tumor; one was confirmed at surgery. In patients with normal adrenals 11 had elevated urinary 17-ketosteroids. In those patients


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