Acromegaly

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Acromegaly


  • oversecretion of growth hormone
  • overgrowth of cancellous bone
  • protruding jaw
  • thickening of phalanges
  • thickening of skin
  • overgrowth of visceral organs

Examination

  • Observation
    • coarse facial features
    • prominent supra-orbital ridges
    • broad nose
    • large jaw / prognathism
    •  ↑ interdental seperation
    • large tongue
    • large hands + thick skin
    • large head
  • I would like to examine
    • Visual fields
    • Hands
      • evidence of Carpal Tunnel Syndrome
    • Urine
      • glycosuria → associated diabetes

Treatment

  • medical
    • bromocriptine
    • octreotide
  • surgery
    • trans-sphenoidal surgery
  • Radiotherapy
    • external
 

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