A 34-year-old man presented with gradual onset facial puffiness and lethargy for 6 months. There was no history of headache, visual disturbance, seizures or sexual dysfunction. On examination, he had… Click to show full abstract
A 34-year-old man presented with gradual onset facial puffiness and lethargy for 6 months. There was no history of headache, visual disturbance, seizures or sexual dysfunction. On examination, he had mild facial puffiness and pallor. There was no goitre by neck palpation. Systemic examination showed
               
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