case_images: PMC9830955_01
case_images: Skin furrowing and thickening, biliteral eyelids ptosis (A), digital clubbing of the fingers (B), radiographic examination showed cortical thickening in the long bones (C), contrast-enhanced magnetic resonance imaging of the pituitary revealed a hypointense signal on T2-weighted images (3x5mm) (D).
case_images: CCID-16-47-g0001.jpg
case_images: PMC9830955_01_CCID-16-47-g0001.jpg
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case_images: On physical examination, thickening and furrowing of the facial skin, biliteral eyelid ptosis (Figure 1A), digital clubbing (Figure 1B) and enlargement of the wrist, elbow, knee, and ankle joints were observed. Radiographic examination of the long bones showed cortical thickening (Figure 1C). T2-weighted images (Figure 1D). The patient received diagnoses of a complete form of PDP and a nonfunctional pituitary microadenoma.