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