When Vision & Features Change

A 34-year-old man with DKA presents with Blurry Vision and changing features. Explore the diagnostic journey behind these unusual endocrine symptoms.

Somatotropic pituitary adenoma


A 34-year-old man was admitted to the hospital with diabetic ketoacidosis. He reported having had blurry vision, increasing shoe size, and a change in his facial features over the past several years. On exam, he was found to have bitemporal hemianopsia. Which of the following is the most likely cause of his presentation?

What is the most likely diagnosis?

Anabolic steroid use
Beckwith–Wiedemann syndrome
Nelson’s syndrome
Pachydermoperiostosis
Somatotropic pituitary adenoma

Acromegaly, Bitemporal Hemianopsia, Growth Hormone, IGF-1, Somatotropic pituitary adenoma

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