long-term: harm eyes,
Case #2
A 43-year-old female presents to your office complaining of headaches, pain in her joints, and enlarged
shoe, glove, and hat size. Physical examination is significant for a prominent jaw, increased soft tissue in
palm and sole, and a large tongue. Laboratory workup is significant for hyperglycemia.
• What is the most likely diagnosis?
• Which endocrine gland and hormone is responsible for these clinical findings?
• For this patient and the hormone involved, what is the mechanism of action for this class of
hormone? Be specific.
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