Acromegalic gigantism is rare, particularly in children.1.2 This case is reported to cite the heretofore unreported, to our knowledge, association of a slipped capital femoral epiphysis with endogenous growth hormone excess, to discuss the possible cause-and-effect relationship, and to review briefly some of the subtle presenting features in gigantism.
Report of a Case.—A white girl was initially hospitalized in May 1976, at age 13 years and 11 months, for the pinning of a slipped right capital femoral epiphysis. The right leg pain began six weeks prior to admission, after the patient fell on a stairway. Some of her physical findings suggested growth hormone excess. After a short interval, she was readmitted for a pituitary evaluation and pituitary surgery.
There was a history of excess perspiration, but no history of headaches, visual difficulties, weakness, fatigability, or hirsutism. Menarche had not occurred. She had been tall since early childhood although
REEVES GD, GIBBS M, PAULSHOCK BZ, ROSENBLUM H, Najjar S. Gigantism With Slipped Capital Femoral Epiphysis. Am J Dis Child. 1978;132(5):529-530. doi:10.1001/archpedi.1978.02120300089022