Question 494 · LEK · Acromegaly
A 58-year-old female, during diagnostics for abnormal blood glucose levels, reported noticing a substantial increase in her shoe size. Upon further questioning she admitted that her family noticed a change in her facial features. In this case we need to determine the level of:
- A. insulin-like growth factor type 1.
- B. β₂-microglobulin.
- C. anti-myeloperoxidase antibodies.
- D. transforming growth factor beta.
- E. free testosterone.
Hint
Larger feet and coarser facial features with abnormal glucose suggest excess of a pituitary hormone; screen with its stable peripheral mediator.
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