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Bogusławska A, Gilis-Januszewska A, Magdid K, Godlewska M, Olszewska M, Nowak AJ, Starzyk J, Korbonits M, Hubalewska-Dydejczyk A. One Fourth of Adult Patients With Acromegaly Have Tall Stature With Similar Frequency in Males And Females. J Endocr Soc 2021. [PMCID: PMC8090662 DOI: 10.1210/jendso/bvab048.1319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction: Tall stature (TS) is a manifestation of growth hormone (GH) excess, with higher prevalence reported for males. The aim of this study was (i) to evaluate the relationship between height of patients with GH excess related to midparental height (MPH) and population mean height; (ii) to test whether TS patients with acromegaly come from tall families. Methods: Single-centre, observational study on 101 consecutive adult patients with acromegaly and no family history of pituitary adenoma. Patients were analysed in two subgroups depending on height using country-specific data: 1) normal stature and 2) TS group, defined as either height above gender-specific 97 percentile or as >1.5 country-specific standard deviation (SD) from MPH. Results: Twenty-four percent of acromegaly patients (13 females/11 males) met one or both of the TS criteria. TS patients were significantly younger at the diagnosis (mean±SD, 33.6±13.4 vs 50.6±12.3 years) and at first symptoms (median 27.5, range 23-42 vs 41 (33-54) years) with greater tumour size and higher basal GH concentration than normal stature patients (p<0.01). The TS criteria based on the 1.5 SD above MPH identified more TS patients than the above 97 percentile height (92% vs 38%) and especially increased the diagnosis of TS in women (92% vs 31%). There was no difference in height of family members of acromegaly patients with or without TS. Height of family members were not taller than the population mean. Conclusion: One fourth of adult patients with acromegaly have TS with similar frequency in males and females. Based on our data TS patients with acromegaly do not come from tall families.
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Affiliation(s)
- Anna Bogusławska
- Department of Endocrinology, Jagiellonian University, Medical College, Krakow, Poland, Krakow, Poland
| | | | - Kesson Magdid
- Centre for Endocrinology, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
| | - Magdalena Godlewska
- Department of Endocrinology, Jagiellonian University, Medical College, Krakow, Poland, Krakow, Poland
| | - Marta Olszewska
- Department of Paediatrics, Jagiellonian University, Collegium Medicum, Cracow, Poland, Krakow, Poland
| | - Andrzej Jerzy Nowak
- Department of Endocrinology, Jagiellonian University, Medical College, Krakow, Poland, Krakow, Poland
| | - Jerzy Starzyk
- Department of Paediatric and Adolescent Endocrinology, Paediatric Institute, Jagiellonian University Medical College, Cracow, Poland, Krakow, Poland
| | - Marta Korbonits
- Centre for Endocrinology, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
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