A 51-year-old man is complaining of paresthesias in his hands and feet. He has noted over the years that his hands have gotten larger. On physical exam, he is noted to have a very deep voice, and his forehead and jaw protrude. His hands and feet are large. Acromegaly is suspected. What other manifestation could occur with acromegaly that is one of the primary causes of death?
a. Cardiomyopathy.
b. Hyperhidrosis.
c. Kyphosis.
d. Impaired glucose tolerance.