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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
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
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
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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PP-UNP-GBR-7812. January 2024