Abstract:A 60-year-old female farmer and resident of the hinterlands of Rio Grande do Sul (southern Brazil) had a history of treatment for depression (sertraline, 50mg daily) and widespread pain. Clinical and laboratory examinations revealed mild gastritis, gastric mucosal atrophy, and osteoporosis. She reported continued use of fludrocortisone and prednisone for the treatment of Addison's disease, which had been diagnosed previously.A total abdominal ultrasound revealed the presence of two solid nodular lesions: one m… Show more
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