When IIS is configured to require windows authentication, there is currently no way within the node.js application to determine the name of the authenticated user. This is to provide a mechanism to access that username. One possibility is to use X-* HTTP request headers to convey this information from iisnode to node.exe on a per-request basis.
This is from http://tomasz.janczuk.org/2011/08/using-url-rewriting-with-nodejs.html?showComment=1321821547800#c8998354757283280788.