Pituitary

Everything you wanted to know about Acromegaly

Clinical Features

The word Acro stands for peripheral parts and megaly means enlarged. Peripheral parts get enlarged giving rise to this facial appearance. Same happens with hands and feet.

Photograph of a patient with Acromegaly
Picture showing hands of a patient, middle one is of a Doctor
SymptomsSigns
Increased sweatingEnlarged hands / feet
HeadachesEnlarged jaw (prognathism) and tongue
Tiredness, lethargyThickening of the skin, skin tags
Joint painsExcessive sweating
Change in ring or shoe sizeLimited joint mobility & pain
Weight gainHair, excessive on females

Treatment of Acromegaly

Surgery of the Pituitary tumour is the treatment of choice, some cases do respond partially with Bromocriptine. There is a medicine available last few years called Somatostatin has good success, usually given once a month, but this is very costly treatment.

Sometimes we do recommend this treatment if after surgery Growth Hormone level does not come down. Radiation also give if residual tumour is left after surgery.

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