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MediSur
On-line version ISSN 1727-897X
Abstract
RIVAS ALPIZAR, Elodia M.; CUELLAR HERNANDEZ, Consuelo C. and ZERQUERA TRUJILLO, Gisela. Acromegaly. About a case. Medisur [online]. 2021, vol.19, n.6, pp. 1015-1020. Epub Dec 30, 2021. ISSN 1727-897X.
Acromegaly is a clinical syndrome caused by excessive secretion of growth hormone that affects virtually all organs and tissues. It has a low incidence (30 to 60 cases per million inhabitants) and a high level of suspicion is required, which is why its diagnosis continues to be late despite the fact that patients physically initiate signs and symptoms between five and ten years prior to the diagnosis. A 57-years-old female patient treated at the Endocrinology Service of the Gustavo Aldereguia Lima Hospital in Cienfuegos with clinical manifestations of acral growth, hypertension and diabetes mellitus it is presented. She underwent an oral glucose tolerance test measuring growth hormone that confirmed hormonal excess, magnetic resonance imaging contrasted with gadolinium that reported pituitary macroadenoma. She was diagnosed as acromegaly from a growth hormone-producing pituitary tumor. The importance of early diagnosis is undoubted, since its association with comorbidities such as hypertension and diabetes is very important, which results in a decrease in hope and quality of life.
Keywords : acromegaly; case report.