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Check IGF-1: Hi. If we suspect acromegaly on clinical grounds, we check an IGF-1 (and I also get an IGFBP-3); I get a GH, but it's seldom helpful at the screening stage). If IGF-1 is elevated, then a growth hormone suppression test is done. If that's abnormal, we then do a pituitary MRI. Acromegaly tumors are usually big and easy to see. Good luck! ...Read more
Was always tall but now almost 40 & am growing taller. What's wrong? No acromegaly symptoms other than height grow. Would Marfans been Dx by this age?
Many: Adults do not gain height once the bones are completely mineralized, but the bones can grow in width. So wider hands or feet are classic symptoms. Facial bones may enlarge and lead to coarsening of facial features; the jaw may enlarge and protrude. People with acromegaly may also have headaches, diabetes, sleep apnea, heart problems, carpal tunnel, arthritis, & higher risk for cancer. ...Read more
Acromegaly: Acromegaly causes overgrowth of many bones including the skull, face and limbs due to an excess of growth hormone, usually caused by a pituitary tumor. When the disease is properly treated (with surgery), there will be partial but not complete improvement in the peculiar appearance due to overgrown bones; there will be more marked improvement in the aches and pain of acromegaly. ...Read more
Acromegaly: Patient's extremities usually get larger than they used to be. People who are wearing rings can tell those become tighter. Facial features become more prominent, but mostly the extremities enlarge in size. Some complain of visual troubles due to pituitary tumors causing pressure on the optic nerves. ...Read moreSee 2 more doctor answers
Read online that some pituitary issues can make adults over 35 grow couple inches taller w/no other symptoms. Besides acromegaly what issues cause it?
Differential diagnosis for increase in height in an adult over age 35? No other real symptoms and no symptoms for acromegaly.
Are arm/leg tingling & dizziness esp in public places symptoms of acromegaly? No other issues like enlarged features, fatigue, oily skin, voice change
Why ask about zebras: B"sd conceivably, due to consequences of soft tissue enlargement. Unless there is some hidden genetic or polyendrocrine syndrome agenda, acromegally would not be among the first things most would think of. In any case a normal IGF-1 level can be relied on to eliminate the possiblity of excess growth hormone. ...Read more