so i found out that in acromegaly, most often due to an adenoma of the pituitary, there is also prolactin excess. why? both GROWTH H AND PROLACTIN ARE FROM THE ACIDOPHILS IN THE PITUITARY
YES YES ONE IMPORTANT POINT TO NOTE, THYROTOXICOSIS CAN LEAD TO OSTEOPOROSIS!!!!!
ok why im stressing this out because when we students say that in thyrotoxicosis there is osteoporosis, one of the residents in the endocrinology dept( btw im in endocrinology dept this week! yeay) denied this statement . so i disagree!( maybe he forgot about it..)
to put it in a simple way, thyroid hormone is essential for skeletal bone development in childhood and for bone preservation through adulthood.
Thyroid hormones are essential for skeletal development and bone maintenance. Childhood hypothyroidism causes growth arrest with delayed bone maturation, whereas thyrotoxicosis accelerates growth and advances bone age. In adults, thyrotoxicosis causes osteoporosis and increased susceptibility to fracture
suck this fact in like a vacuum;
pretibial myxedema is a NON PITTING OEDEMA
IT CAN HAPPEN IN GRAVES DISEASE(late) OR OCCASIONALLY in 1ry hypothyroidism, hashimoto’s thyroiditis
hypertension can happen in acromegaly
Growth hormone has antinatriuretic actions and may lead to sodium retention and volume expansion