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Gigantism

Table 4
Kevin Knox, Kaley
Miller, Hailey Ray, Ashley
Spaulding
Symptoms
• Pretty big people (usually two
  standard deviations above
  normal height should be)

• Delayed puberty
• Double vision or difficulty
  with side vision
•   Headaches
•   Increased sweating
•   Irregular periods (females)
•   Large hands and feet with
    large fingers and toes
• Release of breast milk
• Thickening of facial
  features
• Weakness
• Bulging forehead
Causes
• ***Excess of growth
  hormone ***(Acromegaly)
• Most commonly:
  Noncancerous(adenoma)
  tumor of the pituitary gland
• Carney complex
Possible solutions

• Medications that
  reduce growth
  hormone release
  such as somatostain
  analogs
• Dopamine aganoists
  but they are the
  least effective
Radiation
therapy can be
used to bring the
growth hormone
level back to
normal but it
take 5 to 10 years
to take full effect
and often effects
other pituitary
hormones
• Removal of tumor on pituitary through
  endonasal surgery (through nose)
Exams and Tests
• CT or MRI scans
• Failure to suppress serum growth hormone
  (GH) levels after an oral glucose challenge
  (maximum 75g)
• High prolactin levels
• Increased insulin growth factor-I (IGF-I) levels
Miscellaneous
• Female to male ratio of 1:2 (twice as common in
  males)
• Commonly occurs with Acromegaly
• App

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Gigantism

  • 1. Gigantism Table 4 Kevin Knox, Kaley Miller, Hailey Ray, Ashley Spaulding
  • 2. Symptoms • Pretty big people (usually two standard deviations above normal height should be) • Delayed puberty • Double vision or difficulty with side vision
  • 3. Headaches • Increased sweating • Irregular periods (females) • Large hands and feet with large fingers and toes
  • 4. • Release of breast milk • Thickening of facial features • Weakness • Bulging forehead
  • 5. Causes • ***Excess of growth hormone ***(Acromegaly) • Most commonly: Noncancerous(adenoma) tumor of the pituitary gland • Carney complex
  • 6. Possible solutions • Medications that reduce growth hormone release such as somatostain analogs • Dopamine aganoists but they are the least effective
  • 7. Radiation therapy can be used to bring the growth hormone level back to normal but it take 5 to 10 years to take full effect and often effects other pituitary hormones
  • 8. • Removal of tumor on pituitary through endonasal surgery (through nose)
  • 9. Exams and Tests • CT or MRI scans • Failure to suppress serum growth hormone (GH) levels after an oral glucose challenge (maximum 75g) • High prolactin levels • Increased insulin growth factor-I (IGF-I) levels
  • 10. Miscellaneous • Female to male ratio of 1:2 (twice as common in males) • Commonly occurs with Acromegaly • App