This case is presented to highlight the impact of obesity and irregular healthcare utilization on the diagnosis of acromegaly. A new patient (32-year old obese white male) with no regular primary care physician presented for annual preventive exam. Primary care physician suspected acromegaly due to large hand size, but facial features were hidden by facial fat disbursement. Patient presented the following year with significant weight loss (106 lbs) revealing considerable enlargement of facial features. Laboratory analysis and MRI revealed secretory pituitary macro-adenoma with significant impact on multiple hormone levels. Patient’s lack of consistent primary care physician and obesity hindered early diagnosis of acromegaly.
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