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What is acromegalyHow is it diagnosedCharacteristicsSupport & ResourcesVideosMaterials

Click here for Somavert® (pegvisomant) Prescribing Information. 

A brief introduction to acromegalyPathology

Acromegaly is a chronic disease of adulthood resulting from excessive secretion of growth hormone (GH) and the subsequent elevation of insulin-like growth factor-I (IGF-I).1 It is usually caused by a benign tumour in the anterior pituitary gland.2

Prevalence

Acromegaly is equally prevalent in men and women, with a worldwide estimate of 50-70 cases per million,1,3 although more recent studies have estimated this number to be higher,4 and an annual incidence of 3-4 cases per million.3

Mortality

The mean age of diagnosis is approximately 40 years,1 and diagnosis takes an average of 7-10 years from onset of symptoms.5 If left untreated or unsuccessfully treated, acromegaly is associated with increased mortality and risk of metabolic and cardiovascular complications;1,3 the mortality rate for patients with uncontrolled acromegaly is approximately 2–3 times higher than that of the general population.6

Signs and symptoms

Acromegaly affects virtually all organs and tissues, causing metabolic, cardiovascular, neurological and musculoskeletal morbidities.6 The clinical signs can result from chronic exposure to the effects of GH and IGF-I and/or a secondary effect of the mass of the tumour.3

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References:Aron DC, Findling JW, Tyrrell JB. Hypothalamus and pituitary. In: Greenspan FS, Gardner DG., editors. Basic and clinical endocrinology. 6th ed. Lange Medical Books/ McGraw-Hill Medical Publishing Division; 2001. p. 100-162.Melmed S, Kleinberg D. Anterior pituitary. In: Larsen PR, Kronenberg HM, Melmed S et al., editors. Williams textbook of endocrinology. 10th ed. Philadelphia, Pennsylvania: Saunders (Elsevier); 2003. p. 180-238.Freda PU. Acromegaly diagnostic pitfalls. The Endocrinologist. 2004; 14(5):277-287.Fernandez, Alberto et al. Prevalence of pituitary adenomas: a community-based, cross-sectional study in Banbury (Oxfordshire, UK). Clinical endocrinology. 2010; 72(3): 377-82. Abreu, Alin et al. Challenges in the diagnosis and management of acromegaly: a focus on comorbidities. Pituitary. 2016; 19(4): 448-57.Clemmons DR, Chihara K, Freda PU et al. Optimizing control of acromegaly: integrating a growth hormone receptor antagonist into the treatment algorithm. J Clin Endocrinol Metab. 2003; 88(10):4759-4767.
PP-SOM-GBR-1238. July 2023
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