Acromegaly: A Case StudyFaraz Farishta1* and Mohammed Salman Hadi2
- *Corresponding Author:
- Dr. Faraz Farishta
Maxcure Medicti Hospital
Tel: 91 9885035977
E-mail: [email protected]
Received: September 21, 2015; Accepted: October 27, 2015; Published: October 31, 2015
Citation: Farishta F, Hadi MS (2015) Acromegaly: A Case Study. J Diabetes Metab 6:621. doi:10.4172/2155-6156.1000621
Copyright: © 2015 Farishta F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A 35 year old BHEL field worker presented with increased shoe size and tightness of ring, change in facial appearance, voice change, tingling and numbness in hands and snoring since 6 months. On examination his BP was 160/100, elongated head, prominent supra orbital ridges, Enlarged nose, lips, ear, widely spaced teeth, husky voice. Nape of neck was hyper pigmented. His systemic examination (including visual perimetry) was unremarkable. His Lab investigations were GH: 29.8 (0-3NG/ML), IGF: 811 (115-307 ng/mL). T3/T4/TSH/HBA1C/FBS/PLBS/Cortisol/ Prolactin-were within normal limits. USG Abdomen and Pelvis: Non obstructive left renal calculi (7 mm), borderline prostatomegaly, 2D-Echo-EF-60%, minimal septal hypertrophy. MRI brain showed pituitary adenoma. Treatment options for acromegaly were discussed with the patient. Patient was started on somatostatin analogue and referred to neurosurgery team for further management.