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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?
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
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
Is it true that 30-somethings with acromegaly WON'T grow any taller @ this age? Is that true even for those with just mild symptoms of the disease?
It Depends: If you got acromegaly as an adult after growth stopped this is true. However, if not treated there can be serious side effects (hearing loss, chronic headaches, arthritis, type 2 DM & others). If it was acquired as a child & not treated this is correctly termed Pituitary Gigantism & can have same symptoms. In this case the growth plates may remain open & cont growth theoretic poss, but very rare! ...Read moreSee 1 more doctor answer
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: 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
Differential diagnosis for increase in height in an adult over age 35? No other real symptoms and no symptoms for acromegaly.
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