Acromegaly Symptoms without Pituitary Adenoma in an Adolescent

Abstract

The diagnosis of acromegaly requires a glucose-suppressed growth hormone (GH) nadir greater than 1 μg/1 associated with clinical symptoms and signs. Here, we present a patient who has acromegalic clinical findings associated with a nadir GH level <1 μg/l during an oral glucose tolerance test. © Freund Publishing House Ltd., London.