title: Enlarged hands and feet - Not always acromegaly.
abstract: Pachydermoperiostosis maybe mistaken for acromegaly as it can present with progressive enlargement of hands and feet. We describe a 32 year old male with enlargement of hands and feet and extensive keloid formation. Family history was positive for similar complaints. X ray imaging showed normal heel pad thickness with acroosteolysis and subperiosteal new bone formation in hands and feet. IGF-1 was normal and glucose suppressed GH values were normal.
authors.affiliation: Department of Endocrinology, Gauhati Medical College, Guwahati, India.
authors.forename: Vikrant
authors.initials: V
authors.lastname: Ghatnatti
authors.forename: Dipti
authors.initials: D
authors.lastname: Sarma
authors.forename: Uma
authors.initials: U
authors.lastname: Saikia
keywords: Pachydermoperiostosis; acro-osteolysis; acromegaly
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