ECE2024 Eposter Presentations Pituitary and Neuroendocrinology (214 abstracts)
Hypoaccousia revealing acromegaly: a case report
Hajar Azagouagh 1 , Karimi Meryem 1 , Nawal Moussaid 1 , Rifai Kaoutar 1 , Iraqi Hind 1 & Mohamed Elhassan Gharbi 1
1Chu Ibn Sina, Endocrinology, Rabat
Introduction: Acromegaly is a rare disease defined by the clinical expression of hyperfunction of the somatotropic axis with unchecked secretion of growth hormone. It has many complications, which is why early diagnosis is essential.ObservationWe report the case of a 47-year-old patient, with a history of chronic smoking and renal lithiasis operated on in 2018. His history of illness goes back 3 months to the onset of hypoacusis, which prompted the patient to consult an ENT specialist, He then referred the patient to the endocrinology department, where the diagnosis of acromegaly was made in view of the dysmorphic acrofacial syndrome with elevated IGF1 levels, and we completed it with a hypothalamic-pituitary MRI scan showing a pituitary micro-adenoma measuring 7*8*8 mm. Resection surgery was proposed to our patient.
Discussion and conclusion: Because of its insidious nature, acromegaly is often diagnosed late, exposing the patient to the risk of morbidity and mortality, but it may be preceded by abnormalities such as hypoacusis. Complications account for the full severity of the disease, notably cardiovascular, metabolic and neoplastic complications. Thinking about the secondary origin of hypoacusis could lead to earlier diagnosis and better management of acromegaly.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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