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The case of a 71.year-old male veteran who had remittent fever (IOI-103°F) for six weeks is described in detail. The underlylng cause for this perpfexing symptom remained undiscovered until his death, despite exhaustive investigations. Autopsy revealed a necrotizing primary adenocarcinoma of the ri~ht adrenal gland, with metastasis to the right cerebellar hemisphere. Only one other similar case has been described before in the literature.

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To the Editor, Adult-onset Still's disease is a rare entity with varied clinical manifestations. We encountered two cases of adult-onset Still's disease (AOSD) with bizarre pigmentation and grouped papules.Case 1 was a 28-year-old man with recurrent itchy papules over trunk and extremities for past 3 months. Case 2 was a 24-year-old man who presented with high-grade fever without chills and with poly-arthralgia for 1.5 months and itchy papules over trunk and ex-