Question 80 · LEK · Acromegaly

A 36-year-old patient with type 2 diabetes and recently diagnosed arterial hypertension complains about changes in the face appearance and an enlargement of the feet. Which of the following tests should be carried out first of all?

  1. A. growth hormone at 8 a.m.
  2. B. growth hormone at any time of the day.
  3. C. FGF-23 (fibroblast growth factor 23).
  4. D. IGF-I (insulin-like growth factor 1).
  5. E. IGF-2 (insulin-like growth factor 2).
Hint

GH is secreted in pulses, so initial screening relies on a stable marker that integrates GH secretion over time.

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