Answer BOF 13

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BOF 13

A 65-year-old male presents with a history of headaches and visual disturbance. On examination he has a distinctive facies with prominent supraorbital ridges, a large nose and prognathos. He has thickening of his skin and soft tissues. His hands are large and spade like and his feet too are large. On examination of his visual fields he is noted to have a bitemporal hemianopia.

In this patient daytime somnolence and sleep apnoea could occur due to:

a)      Macroglossia

b)      Prognathos

c)      Thoracic kyphosis

d)      Enlargement of the paranasal sinuses

e)      Goitre

Answer:

a)

In acromegaly macroglossia may lead to sleep apnoea and daytime somnolence. All the other features may occur in acromegaly but do not result in sleep apnoea.

Last Updated: 19/02/06

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