In an adult, continued growth of the mandibular condyles, an increase in size of the bones and soft tissues of the hands, feet, supraorbital ridges and air sinuses suggest

2 explanations

1. 

   maria911

   thank you

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2. 

   sharatpani

   Pituiatary adenoma with increased levels of growth hormone results in acromegaly. Description is more fitting with that of acromegaly than gigantism (which is uniform increase in growth) GH secreting adenoma (acromegaly): Presentation includes headaches, vision changes, an increase in ring or shoe size, arthritis, carpal tunnel syndrome, and excessive sweating. Clinically patients have coarse facial features, frontal bossing, enlarged nose, prognathism, enlarged tongue, and skin tags. Other comorbidities like hypertension, cardiomyopathy, obstructive sleep apnea, and multiple colonic polyps may be present at the time of diagnosis. https://www.ncbi.nlm.nih.gov/books/NBK554451/

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