Image of the Week: When a tight wedding ring suggests a rare diagnosis

A 42-year-old man presents with a long history of headaches, impaired vision, and fatigue. He mentions his wedding ring no longer fits and he has joint pain. Swollen hands and feet, coarse facial features, and a bitemporal hemianopsia are noted on examination. Investigations reveal a diagnosis of acromegaly secondary to a pituitary macroadenoma and he is referred for surgery. Its ...