Acromegaly (Growth Hormone Excess)

Etiology

  • Age ~40
  • Typically pituitary tumor

Symptoms

  • Fatigue
  • Weakness
  • Joint pain
  • Headache
  • Infertility
  • Menstrual irreg
  • Increase in hat or shoe size as an adult
  • Increased height
  • Sweating & body odor
  • Visual loss afffecting temporal fields

Physical Exam Findings

  • Enlarging hands
  • Characteristic appearance of face w/prominent brow and jaw
  • Increasing shoe size
  • Enlarging tongue
  • Increased space between teeth

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