19 آبان 1400
A 37-year-old man presented with a 4-year history of excessive sweating, headaches, and joint pain. His wife had also noticed increasing skin folds on his scalp. What is the most likely diagnosis?
1. Acromegaly
2. Amyloidosis
3. Systemic sclerosis
4. Hypogonadism
5. Sarcoidosis
2. Amyloidosis
3. Systemic sclerosis
4. Hypogonadism
5. Sarcoidosis
پاسخ صحیح:
Acromegaly
The correct answer is acromegaly, which was confirmed after laboratory evaluation and imaging. The patient underwent transsphenoidal resection of the pituitary adenoma. The thickening and furrowing of his scalp, called cutis verticis gyrata, was treated with soft-tissue fillers in an attempt to create a smoother appearance of the scalp, but the injections had only partial effect.
