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Acromegaly: appearance in the 24th year of disease

Patient, 49 years of age. There has been continued progression of facial changes since her photograph at the age of 42, and the right esotropia (divergent squint) is worse. (Gibson case “MC” and Geddes case “EAS 07.”) (Source: Geddes AC. Report upon an acromegalic skeleton. J Anat Physiol 1911;45[Pt 3]:256-92. Public domain.)

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