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Case 39 

Case 39
Chapter:
Case 39
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0039
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date: 16 September 2019

A 31-year-old man is referred by endocrinologists. His GP had found hypertension. He was referred for investigation of the underlying cause and was found to have coarse facial features, thickening of the skin around the hands, and a large jaw. After direct questioning he admitted that his appearance had changed somewhat over the last few years but he assumed that he was ageing normally.

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