Acromegaly accompanied by Turner syndrome with 47,XXX/45,X/46,XX mosaicism

Intern Med. 2009;48(6):447-53. doi: 10.2169/internalmedicine.48.1157. Epub 2009 Mar 16.

Abstract

A 33-year-old woman was hospitalized for examination of edematous laryngopharynx. She was acromegalic. A pituitary adenoma with elevated serum levels of growth hormone (GH) and insulin-like growth factor-I (IGF-I) was detected, indicating acromegaly caused by GH-secreting pituitary adenoma. Multiple pigmented nevi were also noted without overt short stature and cubitus valgus. Chromosome analysis revealed that she had contracted Turner syndrome with 47,XXX/45,X/46,XX mosaicism. Transsphenoidal resection of the tumor decreased serum GH and IGF-I levels, but the edema was not improved. Both premature ovarian failure and hypertension appeared after surgery. This case may indicate the important relationships between GH/IGF-I and Turner syndrome.

Publication types

  • Case Reports

MeSH terms

  • Acromegaly / etiology
  • Acromegaly / genetics*
  • Adenoma / blood
  • Adenoma / complications
  • Adenoma / diagnosis
  • Adult
  • Chromosomes, Human, X / genetics*
  • Diagnosis, Differential
  • Female
  • Growth Hormone / blood
  • Humans
  • In Situ Hybridization, Fluorescence
  • Magnetic Resonance Imaging
  • Mosaicism*
  • Pituitary Neoplasms / blood
  • Pituitary Neoplasms / complications
  • Pituitary Neoplasms / diagnosis
  • Turner Syndrome / complications
  • Turner Syndrome / genetics*

Substances

  • Growth Hormone