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Evaluation of the metabolic characteristics of patients with Acromegaly

Year 2015, Volume: 6 Issue: 4, 382 - 386, 03.01.2016
https://doi.org/10.5799/ahinjs.01.2015.04.0553

Abstract

Objective: Acromegaly is a syndrome characterized by growth hormone (GH) and insulin like growth factor-1 (IGF-1) over secretion. It was aimed to sharing detected metabolic disorders of the patients with acromegaly who have been under follow-up at our clinic.

Methods: One hundred five patients, who were diagnosed as acromegaly in our clinic between 2010 and 2015, were enrolled to the study. The age, gender, involvement feature additional systemic and metabolic diseases were recorded and laboratory findings.

Results: A total of 105 patients included in the study, 56 women (53.3%) and 49 men (46.7%), respectively. Patient’s’ ages ranged 23-78 (mean 42.1±16.7). 34 patients (32.3%), hypertension in 20 (19.04%), diabetes mellitus, and is 11 (10.4%) had impaired glucose tolerance.

Conclusion: Somatic disfigurement (hand and foot enlargement etc.) is the major characteristic of the disease but the prognosis is determined by cardiovascular, respiratory and metabolic complications. In acromegaly, hypertension and diabetes are common, cardiovascular disease is the principal cause of death. We believe that our study will contribute to the determination of our country’s data. J Clin Exp Invest 2015; 6 (4): 382-386

Key words: Acromegaly, hypertension, diabetes

References

  • Melmed S. Medical progress: Acromegaly. N Engl J Med 2006;355:2558-2565.
  • Thorner MO, LeeVance M, Laws ER Jr, et al. The anterior
  • pituitary. W Textbook of Endocrinol 1998;128:249-340.
  • Acromegaly: Epidemiology, etiology and classification in: Acromegaly and its management In: Haris AG. Lipp Raven NY 1996;22:17-20.
  • Ho KY, WeisSberger AJ. Characterisation of 24 hour GH secretion in acromegaly: Implications for diagnosis and therapy. Clin Endocrinol 1994;41:75-83.
  • Baumann G. Growth hormone and its disorders. I: Principles
  • and Practices of Endocrinology and Metabolism, In: Becker KL, ed. Lipincott Williams & Wilkins 2001;20:129-145.
  • Melmed S. Acromegaly. NEJM 1990;322:966-977.
  • Barkan AL, Burman P, Clemmons DR, et al. Glucose homeostasis and safety in patients with acromegaly converted from long-acting octreotide to pegvisomant.J Clin Endocrinol Metab 2005;90:5684-5691.
  • Parkinson C, Drake WM, Wieringa G, et al. Serum lipoprotein
  • changes following IGF-1 normalization using a growth hormone receptor antagonist in acromegaly. Clin Endocrinol 2002;56:303-311.
  • Tan KC, Shiu SW, Janus ED, et al. Subfractions in acromegaly:
  • relation to growth hormone and insulin-like growth factor-I. Atherosclerosis 1997;129:59-65.
  • Colao A, Marzullo P, Ferone D, et al. Cardiovascular effects of depot longacting somatostatin analog Sandostatin LAR in acromegaly. J Clin Endocrinol Metab 2000;85:3132-3140.
  • Colao A, Vitale G, Pivonello R, et al. The heart: an end-organ of GH action. Eur J Endocrinol 2004;15:93-101.
  • Mestron A, Webb SM, Astorga R, et al. Epidemiology,clinical characteristics, outcome, morbidity and mortality in acromegaly based on the Spanish Acromegaly Registry (Registro Espanol de Acromegalia, REA). Eur J Endocrinol 2004;151:439-446.
  • Hekimsoy Z, Özmen B. Acromegali. Turk J Endocrinol Metabol 2003;7:69-75.
  • Chen YL, Wei CP, Lee CC, Chang TC. Diabetic ketoacidosis
  • in a patient with acromegaly. J Formos Med Assoc 2007;106:788-791.
  • Smith TR, Elmendorf JS, David TS. Growth hormone-induced
  • insulin resistance: role of the insulin receptor, IRS-1, GLUT-1, and GLUT-4. Am J Physiol 1997;272:1071-1080.
  • Hekimsoy Z, Ozmen B, Ulusoy S. Homocysteine levels in acromegaly patients. Neuro Endocrinol Lett 2005;26:811-814.
  • Ronconi V, Giacchetti G, Mariniello B, et al. Reduced nitric oxide levels in acromegaly: cardiovascular implications. Blood Press 2005;14:227-232.
  • Absoch A, Tyrrell JB, Lamborn KR, et al. Transsphonidal
  • microsurgery for growth hormone-secreting pituitary adenomasinitial outcome and long-term results. J Clin Endocrinol Metab 1998;83:3411-3418.
  • Melmed S. Acromegaly and cancer: not a problem. J Clin Endocrinol Metab 2001;86:2929-2934.20. Sacca AL, Cittadini A, Fazio S. Growth hormone and the heart. Endocrine Rev 1994;15:555-572.
  • Nabarro JDN. Acromegaly. Clin Endocrinol 1987;26:481-512.
  • Lam KS, Pang RW, Janus ED, et al. Serum apolipoprotein (a) correlates with groth hormone levels in Chinese patients with acromegaly. Atherosclerosis 1993;104:183-188.
Year 2015, Volume: 6 Issue: 4, 382 - 386, 03.01.2016
https://doi.org/10.5799/ahinjs.01.2015.04.0553

Abstract

References

  • Melmed S. Medical progress: Acromegaly. N Engl J Med 2006;355:2558-2565.
  • Thorner MO, LeeVance M, Laws ER Jr, et al. The anterior
  • pituitary. W Textbook of Endocrinol 1998;128:249-340.
  • Acromegaly: Epidemiology, etiology and classification in: Acromegaly and its management In: Haris AG. Lipp Raven NY 1996;22:17-20.
  • Ho KY, WeisSberger AJ. Characterisation of 24 hour GH secretion in acromegaly: Implications for diagnosis and therapy. Clin Endocrinol 1994;41:75-83.
  • Baumann G. Growth hormone and its disorders. I: Principles
  • and Practices of Endocrinology and Metabolism, In: Becker KL, ed. Lipincott Williams & Wilkins 2001;20:129-145.
  • Melmed S. Acromegaly. NEJM 1990;322:966-977.
  • Barkan AL, Burman P, Clemmons DR, et al. Glucose homeostasis and safety in patients with acromegaly converted from long-acting octreotide to pegvisomant.J Clin Endocrinol Metab 2005;90:5684-5691.
  • Parkinson C, Drake WM, Wieringa G, et al. Serum lipoprotein
  • changes following IGF-1 normalization using a growth hormone receptor antagonist in acromegaly. Clin Endocrinol 2002;56:303-311.
  • Tan KC, Shiu SW, Janus ED, et al. Subfractions in acromegaly:
  • relation to growth hormone and insulin-like growth factor-I. Atherosclerosis 1997;129:59-65.
  • Colao A, Marzullo P, Ferone D, et al. Cardiovascular effects of depot longacting somatostatin analog Sandostatin LAR in acromegaly. J Clin Endocrinol Metab 2000;85:3132-3140.
  • Colao A, Vitale G, Pivonello R, et al. The heart: an end-organ of GH action. Eur J Endocrinol 2004;15:93-101.
  • Mestron A, Webb SM, Astorga R, et al. Epidemiology,clinical characteristics, outcome, morbidity and mortality in acromegaly based on the Spanish Acromegaly Registry (Registro Espanol de Acromegalia, REA). Eur J Endocrinol 2004;151:439-446.
  • Hekimsoy Z, Özmen B. Acromegali. Turk J Endocrinol Metabol 2003;7:69-75.
  • Chen YL, Wei CP, Lee CC, Chang TC. Diabetic ketoacidosis
  • in a patient with acromegaly. J Formos Med Assoc 2007;106:788-791.
  • Smith TR, Elmendorf JS, David TS. Growth hormone-induced
  • insulin resistance: role of the insulin receptor, IRS-1, GLUT-1, and GLUT-4. Am J Physiol 1997;272:1071-1080.
  • Hekimsoy Z, Ozmen B, Ulusoy S. Homocysteine levels in acromegaly patients. Neuro Endocrinol Lett 2005;26:811-814.
  • Ronconi V, Giacchetti G, Mariniello B, et al. Reduced nitric oxide levels in acromegaly: cardiovascular implications. Blood Press 2005;14:227-232.
  • Absoch A, Tyrrell JB, Lamborn KR, et al. Transsphonidal
  • microsurgery for growth hormone-secreting pituitary adenomasinitial outcome and long-term results. J Clin Endocrinol Metab 1998;83:3411-3418.
  • Melmed S. Acromegaly and cancer: not a problem. J Clin Endocrinol Metab 2001;86:2929-2934.20. Sacca AL, Cittadini A, Fazio S. Growth hormone and the heart. Endocrine Rev 1994;15:555-572.
  • Nabarro JDN. Acromegaly. Clin Endocrinol 1987;26:481-512.
  • Lam KS, Pang RW, Janus ED, et al. Serum apolipoprotein (a) correlates with groth hormone levels in Chinese patients with acromegaly. Atherosclerosis 1993;104:183-188.
There are 28 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Faruk Kılınç This is me

Zafer Pekkolay This is me

Nevzat Gözel This is me

Hikmet Soylu This is me

Ahmet Yılmaz This is me

Yaşar Yıldırım This is me

Fatih Şahpaz This is me

Alpaslan Tuzcu This is me

Publication Date January 3, 2016
Published in Issue Year 2015 Volume: 6 Issue: 4

Cite

APA Kılınç, F., Pekkolay, Z., Gözel, N., Soylu, H., et al. (2016). Evaluation of the metabolic characteristics of patients with Acromegaly. Journal of Clinical and Experimental Investigations, 6(4), 382-386. https://doi.org/10.5799/ahinjs.01.2015.04.0553
AMA Kılınç F, Pekkolay Z, Gözel N, Soylu H, Yılmaz A, Yıldırım Y, Şahpaz F, Tuzcu A. Evaluation of the metabolic characteristics of patients with Acromegaly. J Clin Exp Invest. January 2016;6(4):382-386. doi:10.5799/ahinjs.01.2015.04.0553
Chicago Kılınç, Faruk, Zafer Pekkolay, Nevzat Gözel, Hikmet Soylu, Ahmet Yılmaz, Yaşar Yıldırım, Fatih Şahpaz, and Alpaslan Tuzcu. “Evaluation of the Metabolic Characteristics of Patients With Acromegaly”. Journal of Clinical and Experimental Investigations 6, no. 4 (January 2016): 382-86. https://doi.org/10.5799/ahinjs.01.2015.04.0553.
EndNote Kılınç F, Pekkolay Z, Gözel N, Soylu H, Yılmaz A, Yıldırım Y, Şahpaz F, Tuzcu A (January 1, 2016) Evaluation of the metabolic characteristics of patients with Acromegaly. Journal of Clinical and Experimental Investigations 6 4 382–386.
IEEE F. Kılınç, Z. Pekkolay, N. Gözel, H. Soylu, A. Yılmaz, Y. Yıldırım, F. Şahpaz, and A. Tuzcu, “Evaluation of the metabolic characteristics of patients with Acromegaly”, J Clin Exp Invest, vol. 6, no. 4, pp. 382–386, 2016, doi: 10.5799/ahinjs.01.2015.04.0553.
ISNAD Kılınç, Faruk et al. “Evaluation of the Metabolic Characteristics of Patients With Acromegaly”. Journal of Clinical and Experimental Investigations 6/4 (January 2016), 382-386. https://doi.org/10.5799/ahinjs.01.2015.04.0553.
JAMA Kılınç F, Pekkolay Z, Gözel N, Soylu H, Yılmaz A, Yıldırım Y, Şahpaz F, Tuzcu A. Evaluation of the metabolic characteristics of patients with Acromegaly. J Clin Exp Invest. 2016;6:382–386.
MLA Kılınç, Faruk et al. “Evaluation of the Metabolic Characteristics of Patients With Acromegaly”. Journal of Clinical and Experimental Investigations, vol. 6, no. 4, 2016, pp. 382-6, doi:10.5799/ahinjs.01.2015.04.0553.
Vancouver Kılınç F, Pekkolay Z, Gözel N, Soylu H, Yılmaz A, Yıldırım Y, Şahpaz F, Tuzcu A. Evaluation of the metabolic characteristics of patients with Acromegaly. J Clin Exp Invest. 2016;6(4):382-6.