Abstract
A 24-year-old man presented with blurry vision and bitemporal hemianopia for the past month. He also reported recent fatigue, depression, and decreased libido but denied any changes in glove or shoe size, hyperhidrosis, skin tags, galactorrhea, gynecomastia, muscle weakness, alopecia, heat/cold intolerance, abnormal weight changes, or palpitations. He reported no family history of pituitary adenoma, hyperparathyroidism, or pancreatic tumors. Physical examination was notable for mildly increased frontal bossing and jaw protrusion as noted in his driver’s license along with prominent thenar hypertrophy bilaterally.
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