Differentials
acromegaloidism or pseudo-acromegaly
SIGNS / SYMPTOMS
INVESTIGATIONS
SIGNS / SYMPTOMS
Clinical features do not reliably differentiate the condition from acromegaly.
INVESTIGATIONS
Insulin-like growth factor 1 normal.
Random growth hormone (GH) <1 microgram/L (<1 nanogram/mL).
Oral glucose tolerance test (OGTT) nadir GH <1 microgram/L (<1 nanogram/mL).
Fasting blood sugar and/ or OGTT glucose levels may be markedly elevated.
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