Case contributed by Dr Paresh K Desai

AP radiograph of the hand shows ungal tufting, widening of the bases of distal phalanges, metacarpal osteophytes on radial aspect (metacarpal hooks) and soft tissue hypertrophy.


Lateral radiograph of skull reveals enlarged sella with double flooring, thickened skull vault, pneumosinus dilatans and prognathism.

Case Discussion

Acromegaly is the result of excessive growth hormone (GH) production in skeletally mature patients, most commonly from an adenoma of the pituitary.

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Case information

rID: 5743
Published: 20th Mar 2009
Last edited: 14th Dec 2019
Inclusion in quiz mode: Included

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