RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57685743
T1 Chapter 228. Acromegaly
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57685743
RD 2024/04/20
AB A  60-year-old  man  presents  to  his  family  physician  with  severe  headache  and  weakness  (Figure  228-1).  He  also  noted  enlargement  of  his  hands  (Figure  228-2),  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)-I,  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.