Acromegaly

Published on 27/02/2015 by admin

Filed under Anesthesiology

Last modified 27/02/2015

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3. Acromegaly

Definition

Acromegaly is the abnormal enlargement of limbs and facial features as a result of hypersecretion of growth hormone after maturity. The disease is usually the result of a pituitary tumor.

Incidence

The incidence of acromegaly is estimated to be 3:1,000,000 to 4:1,000,000.

Etiology

More than 95% of growth hormone–releasing hormone (GHRH) independent cases of acromegaly are the result of growth hormone (GH)–secreting pituitary adenoma. These adenomas are either macroadenomas (>1 cm) or microadenomas (<1 cm). Macroadenomas predominate, accounting for more than 80% of the tumors.

Signs and Symptoms

• Arthritis
• Bitemporal hemianopia
• Congestive heart failure
• Enlarged thyroid
• Enlarging extremities
• Facial feature coarsening
• Frontal bossing
• Headaches
• Hypercalciuria
• Hyperhidrosis
• Hyperphosphatemia
• Hypertriglyceridemia
• Increased incidence of CHF
• Increased incidence of colonic polyps
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