TY - CHAP M1 - Book, Section TI - Acromegaly A1 - Smith, Mindy A. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 60-year-old man presents to his family physician with severe headache and weakness (Figure 237-1). He also noted enlargement of his hands (Figure 237-2), which made him remove his wedding ring when it became too tight, and feet (his shoe size had increased). He said his voice seemed to be deeper and his hands feel doughy and sweaty. Laboratory testing reveals an elevated insulin-like growth factor (IGF)-1, and there is a failure of growth hormone (GH) suppression following an oral glucose load confirming the diagnosis of acromegaly. Computed tomography (CT) scan of the head demonstrates a pituitary adenoma. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164350266 ER -