The features of acromegaly (frontal bossing, enlarging hands and feet, changes in the prominence of the lower jaw) are so subtle and progress so slowly that patients and family members often miss them.
The features of acromegaly (frontal bossing, enlarging hands and feet, changes in the prominence of the lower jaw) are so subtle and progress so slowly that patients and family members often miss them. To confirm a suspicion of this diagnosis, ask the patient to show you his or her driver's license, which often has a photograph that is several years old. If a driver's license is not available, another old photo can serve the purpose.
-- Mohammed M. Basha, MD
Gainesville, Fla