|
Acromegaly
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.
Overgrowth of bone and cartilage
often leads to arthritis. When
tissue thickens, it may trap nerves,
causing carpal tunnel syndrome,
characterized by numbness and
weakness of the hands. Other
symptoms of acromegaly include
thick, coarse, oily skin; skin tags;
enlarged lips, nose and tongue;
deepening of the voice due to
enlarged sinuses and vocal cords;
snoring due to upper airway
obstruction; excessive sweating and
skin odor; fatigue and weakness;
headaches; impaired vision;
abnormalities of the menstrual cycle
and sometimes breast discharge in
women; and impotence in men. There
may be enlargement of body organs,
including the liver, spleen, kidneys
and heart.
The most serious health consequences
of acromegaly are diabetes mellitus,
hypertension, and increased risk of
cardiovascular disease. Patients
with acromegaly are also at
increased risk for polyps of the
colon that can develop into cancer.
When GH-producing tumors occur in
childhood, the disease that results
is called gigantism rather than
acromegaly. Fusion of the growth
plates of the long bones occurs
after puberty so that development of
excessive GH production in adults
does not result in increased height.
Prolonged exposure to excess GH
before fusion of the growth plates
causes increased growth of the long
bones and increased height.
Content Courtesy : www.niams.nih.gov
Note : Information herein is
provided for informational purposes
only and is not a substitute for
professional medical advice. You
should not use this information for
diagnosing or treating a medical or
health condition. If you have or
suspect you have a medical problem,
promptly contact your professional
healthcare provider. Please consult
your healthcare provider before
beginning any course of
supplementation or treatment.
|