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Acromegaly

Jack's story

Jack sought help for his impaired vision. What he found was the answer to changes in his body he'd barely noticed creeping up on him, all caused by a tumor on his pituitary gland.

Patient organizations offer understanding

In January 2008, while driving to graduate school, Jack began noticing something was wrong with his vision. “I would look straight ahead and the car in front of me would not be there. If I turned my head, I could see it – but not directly ahead.”

An eye examination led to a referral to a neuro-ophthalmologist who suspected a brain tumor, and an MRI confirmed a tumor on Jack’s pituitary gland. 

“I didn’t know enough to connect the dots until the specialist asked me things like: Have you gained weight? Have your hands gotten bigger? Is your body changing shape? And suddenly it all made sense”, Jack tells.

For several years, Jack’s body had been changing gradually. He had assumed weight gain was linked to lifestyle changes. “I had turned 30, stopped smoking, and thought it was just because I was eating more. But my hands, feet, wrists and ankles were getting larger. My forehead looked bigger. My teeth weren’t straight anymore. Everything was changing – but so slowly that I couldn’t keep up with it.”

Jack was diagnosed with acromegaly. “I had never heard about it. I was terrified – but also relieved. Finally, there was an explanation for what was happening to my body.”

The tumor had grown large enough to press on his optic nerves, causing the visual disturbances. Within a week, Jack underwent his first surgery, followed by six weeks of daily MRI-guided radiation. He also started medical treatment.

Living with acromegaly has meant coming to terms with lasting changes to his body. 

“Your body changes in ways you don’t expect. It’s not just medical – it affects how you see yourself. In a way, it’s a kind of body dysmorphia. Over time, I’ve gotten used to this secondary version of myself.”

Connect with others

For many years, Jack felt alone with his diagnosis. That changed when he connected with patient organizations. “Acromegaly is rare, and for a long time I felt like I was the only one going through this. People sympathize, but they don’t understand your process. Meeting others who’ve been through the same thing – that’s incredibly meaningful.”

Today, he is supported by a care team in Arkansas where he lives with his wife and three children. Recently, he marked his 50th birthday by walking the Camino de Santiago in northern Spain. “It’s been a long road, almost 18 years since my diagnosis but I feel like I’m in a good place right now.” And his advice to newly diagnosed patients is clear:

“Connect with others. You’re going to need people who understand, who can help you normalize what you’re going through – and guide you on what to do next.”

Symptoms

  • Enlarged hands and feet 
  • Altered facial features
  • Joint problems
  • Muscle weakness and fatigue
  • Anxiety and depression
  • Headaches
  • Soft tissue swelling
  • Excessive sweating
  • Sleep apnea
  • Visual disturbances

Diagnosis

Diagnosis is usually made by an endocrinologist, often a pituitary specialist (neuroendocrinologist), although referral may be made by doctors from a range of medical specialties. In patients with symptoms of acromegaly, diagnosis includes the measurement of growth hormone levels and magnetic resonance imaging (MRI) to detect a tumor in the pituitary gland.

Treatment

Surgery and/or medical treatment, sometimes in combination with radiotherapy.

Explore more

Learn more about acromegaly. 

See disease overview