title: Acromegaly symptoms without pituitary adenoma in an adolescent.
abstract: The diagnosis of acromegaly requires a glucose-suppressed growth hormone (GH) nadir greater than 1 microg/l associated with clinical symptoms and signs. Here, we present a patient who has acromegalic clinical findings associated with a nadir GH level < 1 microg/l during an oral glucose tolerance test.
authors.affiliation: Department of Pediatric Endocrinology, Ondokuz Mayis University Medical Faculty, Kurupelit, Samsun, Turkey. aylaguven@yahoo.com
authors.forename: Ayla
authors.initials: A
authors.lastname: Güven
authors.forename: Tolga
authors.initials: T
authors.lastname: Ozgen
authors.forename: Umit
authors.initials: U
authors.lastname: Belet
authors.forename: Murat
authors.initials: M
authors.lastname: Aydin
mesh_terms: D000172:Acromegaly / Q000097:blood* / Q000188:drug therapy / Q000209:etiology; D000293:Adolescent; D004359:Drug Therapy, Combination; D019066:Facies; D005951:Glucose Tolerance Test; D006727:Hormone Antagonists / Q000008:administration & dosage; D019382:Human Growth Hormone / Q000097:blood*; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D008279:Magnetic Resonance Imaging; D008297:Male; D008687:Metformin / Q000008:administration & dosage; D015282:Octreotide / Q000008:administration & dosage; D010911:Pituitary Neoplasms / Q000175:diagnosis
chemical_list: D006727:Hormone Antagonists; D007004:Hypoglycemic Agents; D019382:Human Growth Hormone; D008687:Metformin; D015282:Octreotide