A 32-Year-Old Man Comes to the Office Due to Vision

A 32-year-old man comes to the office due to vision problems.  Over the last 6 weeks, he has had several "near-misses" while driving, having been nearly hit by cars coming from both the right and left sides.  He also reports frequent headaches.  The patient has no prior medical conditions and takes no medications.  He does not use tobacco, alcohol, or illicit drugs.  Physical examination reveals deficits in the bilateral temporal visual fields.  Extraocular movements are bilaterally intact, and the remainder of the neurological examination shows no abnormalities.  Which of the following additional findings is most likely to be present in this patient?

A) Decreased libido
B) Enlarged jaw bone
C) Excessive urination
D) Heat intolerance
E) Skin hyperpigmentation
F) Skin thinning

Correct Answer:

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