What was the GH level if you have done one? If the diabetes is well controlled, then normal GH and IGF1 make it unlikely to be acromegaly.
Regards
Mohammad
Dr. M A Al-Jubouri, MB ChB, MSc, FRCP Edin, FRCPath
Consultant Chemical Pathologist
--- On Mon, 5/9/11, Reynolds Tim <[log in to unmask]> wrote:
> From: Reynolds Tim <[log in to unmask]>
> Subject: An acromegaly question.
> To: [log in to unmask]
> Date: Monday, 5 September, 2011, 17:00
>
>
>
>
>
> An acromegaly question.
>
>
>
>
>
>
> A question for the wisdom
> cloud:
>
>
> I have been asked about
> diagnosis of acromegaly in a patient with type II diabetes
> who has some facial changes consistent with acromegaly.
> IGF-1 is 165 (RR 59-302).
>
> As the patient is usually
> hyperglycaemic, and OGTT guidelines often state that OGTT
> should not be performed if basal (t=0) glucose > 7mmol/L,
> would the cloud carry out an OGTT, or decide that the plumb
> normal IGF-1 suggests that this is not
> acromegaly.
>
> TIM
>
>
>
>
> **************************************************************************************
>
>
> Prof. Tim
> Reynolds
>
>
> Consultant
> Chemical Pathologist
>
>
> Burton
> Hospitals NHS Foundation Trust
>
>
> work tel:
> 01283 511511 ext 4035
>
>
> work fax:
> 01283 593064
>
>
> work email:
> [log in to unmask]
>
>
> work URL:
> www.burtonhospitals.nhs.uk
>
>
> This
> e-mail, and any files transmitted with it, are confidential
> and intended solely for the use of the individual to whom it
> is addressed. If you are not the intended recipient please
> destroy this message, delete any copies held on your
> systems, and notify the sender immediately. You should not
> retain copy or use this e-mail for any purpose, nor disclose
> all or any part of its content to any other person. If you
> have received this e-mail in error, please notify me on
> 01283 511511 Ext 4035
>
> [Picture of tree not
> available] Please consider the environment before
> printing this e-mail
>
>
>
>
>
>
> ------ACB discussion List Information--------
> This is an open discussion list for the academic and
> clinical community working in clinical biochemistry.
> Please note, archived messages are public and can be viewed
> via the internet. Views expressed are those of the
> individual and they are responsible for all message content.
> ACB Web Site
> http://www.acb.org.uk
> Green Laboratories Work
> http://www.laboratorymedicine.nhs.uk
> List Archives
> http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
> List Instructions (How to leave etc.)
> http://www.jiscmail.ac.uk/
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|