Journal
NEW ENGLAND JOURNAL OF MEDICINE
Volume 386, Issue 8, Pages 781-787Publisher
MASSACHUSETTS MEDICAL SOC
DOI: 10.1056/NEJMcpc2115848
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A 68-year-old man with metastatic melanoma presented with fatigue, weight loss, and hyperglycemia. He was previously diagnosed with hypothyroidism.
A Man with Fatigue, Weight Loss, and Hyperglycemia A 68-year-old man with metastatic melanoma was evaluated in the oncology clinic because of fatigue and weight loss. Hypothyroidism had been noted 4 months earlier; increased thirst and nocturia had developed 2 weeks earlier. The blood glucose level was 505 mg per deciliter (reference range, 70 to 110). Management decisions were made.
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