Definition
Growth hormone (GH) controls the growth of soft tissue and bone. Elevated GH causes an excess of bone and soft tissue growth. In adults, this can cause a rare disorder called acromegaly. It can cause serious complications and early death if not treated.
In young children, bone fusion and growth is still occurring. Excess GH can cause a similar condition called gigantism.
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Causes
The pituitary gland is a small gland located at the base of the brain. It produces many hormones, including GH.
In most cases, the elevation of GH is caused by a benign tumor of this gland. In a small number of cases, malignant tumors of other organs (pancreas, adrenal, lung) may be the source of excess GH.
Risk Factors
Risk factors that increase your chance of developing acromegaly include:
- Family history (rare)
- Age: 40-45 years old
Symptoms
Symptoms usually develop slowly over time.
In children, the bones are elongated and cause soft tissue swelling. If not treated, children can grow to a height of 7-8 feet.
Symptoms and complications in adults may include:
-
Abnormally large growth and deformity of the:
- Hands (rings no longer fit)
- Feet (need a bigger size shoe)
- Face (protrusion of brow and lower jaw)
- Jaw (teeth do not line up correctly when the mouth is closed)
- Lips
- Tongue
- Carpal tunnel syndrome
-
Skin changes, such as:
- Thickened, oily, and sometimes darkened skin
- Severe acne
- Excessive sweating and unpleasant body order due to enlargement of the sweat glands
- Deepening voice due to enlarged sinuses, vocal cords, and soft tissues of the throat
- Fatigue and weakness in legs and arms
- Sleep apnea
- Arthritis and other joint problems, especially in the jaw
- Hypothyroidism
- Abnormally large liver, kidney

