Sx
Uncontrolled HTN
Increase in ring size/hand size/feet size
Sweaty hands/increased oiliness of skin
Headaches
Visual changes
Visual field deficits
Skin tags
Capal tunnel syndrome
Workup
Free testosterone
PRL
TSH
Fasting glucose tolerance test showing suppression of GH and IGF-1
Dx
The most specific test/gold standard:
Measure GH levels following an oral glucose load
Give 75 g of oral glucose and most normal individuals will suppress serum GH levels to below 1 mcg/dL, whereas patients with acromegaly are unable to suppress or sometimes paradoxically increase serum GH levels
Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.
The Compendium platform was created by David Kwinter, MD, CCFP(EM).
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.