QuestionSBA
QuestionChoice
Gigantism produces similar symptoms to acromegaly - however, it is defined as a condition that affects children.

When these symptoms affect an adult (our patient is 45), it is known as acromegaly.
10001843
b
Gigantism
QuestionChoice
Eczema is an autoimmune dermatological condition that results in dry, scaly skin that is pruritus (itchy).

It would not result in sleep apnoea, coarsening of facial features or soft tissue hypertrophy.
10001844
c
Eczema
QuestionChoice
Cushing's Syndrome is caused by an increased level of serum cortisol. You would expect to see a patient complaining of symptoms such as weight gain, stretch marks, and a red and puffy face.

These symptoms are not observed in this patient.
10001846
e
Cushing's Syndrome
QuestionChoice
This patient is presenting with symptoms of acromegaly - most likely due to a pituitary adenoma secreting excess Growth Hormone (GH).

Acromegaly results in symptoms such as frontal bossing (prominent forehead), enlarged nose, prognathism (protruding jaw), and macroglossia (enlarged tongue).

Due to the enlarged features, it can cause sleep apnoea (when a patient has episodes where they cannot breathe whilst sleeping). At night the muscles in the patient's neck relax, and the weight of the enlarged features results in a collapse of the patient's airway.
10001842
a
Acromegaly
QuestionChoice
Hypothyroidism is characterised by a decrease in serum thyroxine levels. This would result in symptoms such as fatigue, cold intolerance (i.e. being cold all the time, despite hot weather), weight gain and constipation.
10001845
d
Hypothyroidism
Concept
Chapter
2693
3979
Acromegaly
Topic
133
Endocrinology
12915
A 45-year-old man presents to General Practice with a coarsening of facial features, and sleep apnoea and reports his wedding ring no longer fits.

Which of the following conditions is the most likely diagnosis?
a