The Endocrine Society
                                    
                                                                
                                                                            
                                            Abstract
                  The coexistence of a pituitary macroadenoma co-secreting growth hormone (GH) and adrenocorticotropic hormone (ACTH) with bilateral adrenal adenomas autonomously producing cortisol and androgens represents an extremely rare and diagnostically complex clinical entity. We describe a 54-year-old woman who presented with acral enlargement, hirsutism, hyperpigmentation, and poorly controlled diabetes and hypertension. Hormonal evaluation revealed concurrent elevations in GH,...
                                        
                                                                        
                                        
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