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Gigantism



Endocrine glands
Endocrine glands


Gigantism

Alternative Names:

Giantism
Symptoms:
  • Excessive growth during childhood.
  • Frontal bossing and a prominent jaw
  • Thickening of the facial features
  • Disproportionately large hands and feet with thick fingers and toes
  • Increased perspiration
  • Weakness
  • Secretion of breast milk
  • Irregular menstruation
  • Headache
  • Delayed onset of puberty
  • Double vision or difficulty with peripheral vision

Signs and tests:
  • An increase in insulin growth factor-I (IGF-I) levels
  • A failure to suppress serum growth hormone (GH) levels after an oral glucose challenge (maximum 75g)
  • A CT or MRI scan of the head showing pituitary tumor
  • High prolactin levels

Other hormone levels may be low due to damage to the pituitary, including thyroid hormone, testosterone (boys), estradiol (girls), or cortisol.




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