Hypertension and Type 2 Diabetes Mellitus Secondary to Acromegaly, A Rare Endocrine Disease: A Case Report

Abstract

Background: Acromegaly is a rare endocrine disorder that emanates from excessive release of growth hormone leading to the production of insulin-like growth factor I (IGF-I) which causes most of the clinical features of the disease. Methods: A case report study of Acromegaly that presented in the Niger Delta University Teaching Hospital, Bayelsa State, Nigeria. Results: Random Blood Sugar -25mmol/dl, Fasting Blood Sugar-17.8mmol/dl, HbAIc-13.0%, Prolactin-6.64ng/ml, Cortisol- 12.5ug/dl, FSH-0.20Miu/ml, Testosterone-0.35ng/ml, TSH-1.26Uiu/ml, Growth Hormone; Insulin-like Growth Factor 1->1600ng (115-307). Her Blood Pressure was 180/120 mmHg. Heart sounds were S4, 1 and 2.Echocardiogram revealed concentric LVH, no regional wall motion abnormality. Perimetry showed inferior nasal defect of the Left eye. Conclusion: This case report reiterates the need for more health education and public enlightenment on clinical entities such as Acromegaly, with an emphasis on debunking some of the myths and social stigma associated with this chronic progressive disfiguring and disabling disease in our environment.