Abstract
A 45-year-old female visited our medical out-patient department with a history of gradual increase in the thickness of her skin and prominence of lower jaw and forehead in the past 10 years. Hormonal assay revealed unsuppressed growth hormone levels (7.86 ng/ml) with oral glucose load at 1 hour. Magnetic resonance imaging (MRI) of brain showed pituitary macroadenoma. Perimetric examination revealed visual field defects. Clinical, hormonal, imaging, and perimetric studies together confirmed the diagnosis of pituitary macroadenoma with acromegaly and pressure effects.
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