Acromegaly
Definition
Acromegaly is a hormonal disorder that results when the pituitary gland
produces excess growth hormone (GH). It most commonly affects middle-aged adults
and can result in serious illness and premature death. Once recognized,
acromegaly is treatable in most patients, but because of its slow and often
insidious onset, it frequently is not diagnosed correctly.
The name acromegaly comes from the Greek words for "extremities" and
"enlargement" and reflects one of its most common symptoms, the
abnormal growth of the hands and feet. Soft tissue swelling of the hands
and feet is often an early feature, with patients noticing a change in ring or
shoe size. Gradually, bony changes alter the patient's facial features: the brow
and lower jaw protrude, the nasal bone enlarges, and spacing
of the teeth increases.