GuidelinesEML (Adult Hospital STG)
Acromegaly
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition
ICD-10 Code: E22.0
DESCRIPTION
- Acromegaly is a disorder caused by growth hormone (GH) hypersecretion usually due to a pituitary adenoma, with associated morbidities, and increased mortality.
- This condition should be managed at a tertiary centre.
- Transsphenoidal adenomectomy is the accepted form of primary therapy.
- Radiotherapy post operatively may be required. In addition, adjunctive medical therapy may be required in specific circumstances.
Investigations
- If the diagnosis is suspected, screening should be done in consultation with a specialist.
REFERRAL
- All patients with suspected acromegaly to a hospital with endocrine and neurosurgery facilities.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2024 Edition