Page 273 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Somatotropin Excess                Stress,
                                  Magnetic resonance image kindly supplied by R. Santen, Düsseldorf Univ., Endocrinology Clinic  NREM sleep,

                                               hypoglycemia,
                                               amino acids




                Pituitary adenoma
                                                 Rare:
              6         7
                                                   Ectopic adenoma
                                                                       Somatotropin
          Compression of  Gonadotropin
          optic chiasma  deficiency
           Visual field  Amenorrhea,
           defects    loss of libido
                      and impotence                1  Iatrogenic
                                   Somatotropin
                                                  Before epiphyseal fusion:  Plate 9.4
                                                    Gigantism
          Glucose
          absorption   4
          reduced                                   Hyperphosphatemia

         Hyperglycemia                             5


           Visceromegaly                  2
                         Secretion of
                         sweat and sebum
                                                     Calciuria
                              3
                 Carpal tunnel
                 syndrome                      Acromegaly

                                 Macroglossia




         Risk of
         angina pectoris
                                                   Enlargement of
                                                   cheek bones,
                                                   hands and feet
           Hypertension
                                                                      263
       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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