Application Question
Medium difficulty • Concept in a practical situation
Question 1
Applied ConceptA doctor suspects a patient has a growth hormone disorder. The patient is 35 years old with enlarged hands, feet, and facial features but is of normal height. What disorder is this, what is its cause, and which gland is implicated?
- The patient is likely suffering from acromegaly, which occurs due to excess secretion of growth hormone (GH) in adults, especially in middle age.
- At this age, the long bones have already fused, so excess GH does not cause overall height increase but instead causes disfigurement of extremities and facial features.
- The implicated gland is the pituitary gland (specifically the pars distalis/anterior pituitary), which over-secretes GH.
- The condition can lead to serious complications and premature death if unchecked; it is hard to diagnose in early stages and often goes undetected for years until external features become noticeable.