Patient's question:
My wife is fourteen years old this year, and for some unknown reason, she has grown to be 1.8 meters tall. I suspect she might have gigantism, and I want to take her to the hospital for some specific and thorough examinations. I would like to know what kind of thorough examinations are required for gigantism?Doctor's answer:
Calcium and phosphorus levels showed a significant increase in measured trace amounts of serum calcium and phosphorus, along with increased urinary calcium and phosphorus. Persistent or significant hypercalcemia may be associated with other multiple endocrine neoplasia conditions, such as hyperparathyroidism. X-ray examinations revealed skull expansion, thickening of the skull plates. Most sellae were expanded, with severe anterior and posterior bed fractures. Sinus expansion, weak occipital. Osteosclerosis at the ends of long bones and clustered fibrosis at the tops of the toes. CT scans are beneficial for detecting microadenomas.