Acromegaly with Predisposition towards Cardiac Failure

Abstract

Acromegaly is a rare disease caused by excess secretion of growth hormone. Most cases are due to pituitary macro or
microadenoma. It usually occurs sporadically but some can be familial due to AIP gene mutation1. We report a case of
45 year old gentleman with chief complaints of breathlessness since 15 days, increase shoe size, large hands and feet,
protruded jaw, which eventually turned out to be acromegaly based on typical clinical appearance, hormonal features
with chest xray showing features of cardiomegaly. Patient was managed conservatively, and discharged with stable
vitals. Prompt and early intervention in such cases can prevent further progression of disease.