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.

Keywords

• Pachydermoperiostosis
• acromegaly
• acro-osteolysis