It looks like agromegaly but it is not.
Donnelly
S
S
Cardiology Department, Mater Misericordiae Hospital, Dublin.
Sugrue
D
D
D000172:Acromegaly / Q000473:pathology*; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010004:Osteoarthropathy, Primary Hypertrophic / Q000235:genetics / Q000473:pathology*