Pituitary gigantism

A rare endocrine disease characterized by unusually tall stature (with rapid growth velocity), occurring before closure of the epiphyseal growth plates, due to excessive growth hormone (GH) caused by a GH-secreting pituitary tumor or from pituitary hyperplasia. Additional associated features may include pubertal delay, visual defects, headache, excessive appetite, hyperhidrosis and menstrual irregularity, as well as variable manifestations characteristic of acromegaly, such as prognathism, coarse facial features and large hands/feet in adolescents.



Input patient's signs and symptoms


Narrow down the case reports



Total: 22 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
4
(4.0%)
17629784
Management of type 2 diabetes mellitus associated with pituitary gigantism.
Ali O, Banerjee S, Kelly DF, Lee PD.
Pituitary. 2007;10(4):359-64.
Diabetes mellitus
GH1 IGF1
Adenoma Antineoplastic Agents Combined Modality Therapy Diabetes Mellitus, Non-Insulin-Dependent Ergolines Gigantism Homo sapiens Human Growth Hormone Hypoglycemic Agents Insulin Insulin, Long-Acting Male Pituitary Neoplasms
4
(4.0%)
16061823
Pegvisomant therapy in pituitary gigantism: successful treatment in a 12-year-old girl.
Rix M, Laurberg P, Hoejberg AS, Brock-Jacobsen B.
Eur J Endocrinol. 2005;153(2):195-201.
Tall stature
GHR IGF1
Adenoma Body Height Child Females Gigantism Growth Hormone Receptor Homo sapiens Human Growth Hormone Insulin-Like Growth Factor I Magnetic Resonance Imaging Pituitary Neoplasms
4
(4.0%)
15516776
Long-term effects of octreotide on pituitary gigantism: its analgesic action on cluster headache.
Otsuka F, Mizobuchi S, Ogura T, Sato K, Yokoyama M, Makino H.
Endocr J. 2004;51(5):449-52.
Headache
GH1
Adenoma Adult Analgesics, Opioid Antineoplastic Agents, Hormonal Cluster Headache Gigantism Homo sapiens Male Pain Measurement Pituitary Neoplasms Self Administration
4
(4.0%)
11081147
Transsphenoidal surgery for pituitary gigantism and galactorrhea in a 3.5 year old child.
Flitsch J, Ludecke DK, Stahnke N, Wiebel J, Saeger W.
Pituitary. 2000;2(4):261-7.
Diabetes insipidus
GH1 IGF1 IGFBP3
Child, Preschool Dopamine Agonists Females Galactorrhea Gigantism Homo sapiens Human Growth Hormone Magnetic Resonance Imaging Pituitary Neoplasms Postoperative Complications Prolactinoma
4
(4.0%)
10614552
Pituitary gigantism causing diabetic ketoacidosis.
Alvi NS, Kirk JM.
J Pediatr Endocrinol Metab. 1999;12(6):907-9.
Tall stature
GH1
Adenoma Child Diabetic Ketoacidosis Gigantism Growth Hormone Homo sapiens Insulin Male Pituitary Neoplasms
4
(4.0%)
10478817
Myocardial infarction with Moyamoya disease and pituitary gigantism in a young female patient.
Ahn YK, Jeong MH, Bom HS, Park JC, Kim JK, Chung DJ, Chung MY, Cho JG, Kang JC.
Jpn Circ J. 1999;63(8):644-8.
Myocardial infarction
Adult Angioplasty, Balloon, Coronary Carotid Arteries Chest Pain Dyspnea Females Gigantism Homo sapiens Moyamoya Disease Myocardial Infarction Tomography, Emission-Computed, Single-Photon
4
(4.0%)
8550769
Growth hormone (GH) secretory dynamics in a case of acromegalic gigantism associated with hyperprolactinemia: nonpulsatile secretion of GH may induce elevated insulin-like growth factor-I (IGF-I) and IGF-binding protein-3 levels.
Yoshida T, Shimatsu A, Sakane N, Hizuka N, Horikawa R, Tanaka T.
J Clin Endocrinol Metab. 1996;81(1):310-3.
Hypoglycemia
GH1 IGF1 IGFBP3
Acromegaly Adult Gigantism Growth Hormone Homo sapiens Hyperprolactinemia Insulin-Like Growth Factor Binding Protein 3 Insulin-Like Growth Factor I Male
4
(4.0%)
8394228
Severe peripheral neuropathy and elevated plantar pressures causing foot ulceration in pituitary gigantism.
Jennings AM, Robinson A, Kandler RH, Betts RP, Ryder RE, Cullen DR.
Clin Endocrinol (Oxf). 1993;39(1):113-8.
Diabetes mellitus
Adult Foot Foot Ulcer Gigantism Homo sapiens Male Peripheral Nervous System Diseases Sweating
4
(4.0%)
6420141
A case of pituitary gigantism who had two episodes of diabetic ketoacidosis followed by complete recovery of diabetes.
Kuzuya T, Matsuda A, Sakamoto Y, Yamamoto K, Saito T, Yoshida S.
Endocrinol Jpn. 1983;30(3):329-34.
Diabetic ketoacidosis
GH1 INS
C-Peptide Diabetic Ketoacidosis Gigantism Growth Hormone Homo sapiens Hypophysectomy Insulin Male Pituitary Hormones, Anterior
4
(4.0%)
1593354
Pituitary gigantism caused by growth hormone excess from infancy.
Gelber SJ, Heffez DS, Donohoue PA.
J Pediatr. 1992;120(6):931-4.
Visual loss
GH1 PRL
Adenoma Child, Preschool Gigantism Growth Hormone Homo sapiens Male Optic Atrophy Pituitary Neoplasms Vision Disorders
        

Phenotype(s) retrieved from Orphanet

    Total: 20

HPO ID Term Frequency
HP:0000098 Tall stature Very frequent (99-80%)
HP:0000280 Coarse facial features Very frequent (99-80%)
HP:0000303 Mandibular prognathia Very frequent (99-80%)
HP:0000845 Growth hormone excess Very frequent (99-80%)
HP:0000975 Hyperhidrosis Very frequent (99-80%)
HP:0001176 Large hands Very frequent (99-80%)
HP:0001639 Hypertrophic cardiomyopathy Very frequent (99-80%)
HP:0001712 Left ventricular hypertrophy Very frequent (99-80%)
HP:0001833 Long foot Very frequent (99-80%)
HP:0002007 Frontal bossing Very frequent (99-80%)
HP:0005616 Accelerated skeletal maturation Very frequent (99-80%)
HP:0005978 Type II diabetes mellitus Very frequent (99-80%)
HP:0011407 Proportionate tall stature Very frequent (99-80%)
HP:0011760 Pituitary growth hormone cell adenoma Very frequent (99-80%)
HP:0012411 Premature pubarche Very frequent (99-80%)
HP:0030269 Increased serum insulin-like growth factor 1 Very frequent (99-80%)
HP:0000141 Amenorrhea Frequent (79-30%)
HP:0000870 Prolactin excess Frequent (79-30%)
HP:0006767 Pituitary prolactin cell adenoma Frequent (79-30%)
HP:0100829 Galactorrhea Occasional (29-5%)


Phenotype(s) retrieved from case reports

    Total: 9

HPO ID Term # of case reports
HP:0001953 Diabetic ketoacidosis 2
HP:0000252 Microcephaly 1
HP:0000819 Diabetes mellitus 1
HP:0001658 Myocardial infarction 1
HP:0002315 Headache 1
HP:0009830 Peripheral neuropathy 1
HP:0012199 Cluster headache 1
HP:0030799 Scaphocephaly 1
HP:0100829 Galactorrhea 1


Causative gene(s) retrieved from Orphanet

    Total: 0

Gene Symbol Gene Name Entrez Gene ID