Acromegaly

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

Aug 5, 2016 | Posted by in ANESTHESIA | Comments Off on Acromegaly

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