Systemic complications of acromegaly and the impact of the current treatment landscape: an update

MR Gadelha, L Kasuki, DST Lim… - Endocrine reviews, 2019 - academic.oup.com
Acromegaly is a chronic systemic disease with many complications and is associated with
increased mortality when not adequately treated. Substantial advances in acromegaly …

40 YEARS OF IGF1: Insulin-like growth factors: actions on the skeleton

S Yakar, H Werner, CJ Rosen - Journal of molecular …, 2018 - jme.bioscientifica.com
The discovery of the growth hormone (GH)-mediated somatic factors (somatomedins),
insulin-like growth factor (IGF)-I and-II, has elicited an enormous interest primarily among …

Challenges in the diagnosis and management of acromegaly: a focus on comorbidities

A Abreu, AP Tovar, R Castellanos, A Valenzuela… - Pituitary, 2016 - Springer
Introduction Acromegaly is a rare, insidious disease resulting from the overproduction of
growth hormone (GH) and insulin-like growth factor 1 (IGF-1), and is associated with a range …

Bone turnover, bone mineral density, and fracture risk in acromegaly: a meta-analysis

G Mazziotti, E Biagioli, F Maffezzoni… - The Journal of …, 2015 - academic.oup.com
Context: GH excess causes an increase in bone turnover, but the consequences in terms of
skeletal fragility have long been uncertain due to the heterogeneity of studies dealing with …

Pituitary diseases and bone

G Mazziotti, S Frara, A Giustina - Endocrine reviews, 2018 - academic.oup.com
Neuroendocrinology of bone is a new area of research based on the evidence that pituitary
hormones may directly modulate bone remodeling and metabolism. Skeletal fragility …

Vertebral fractures in patients with acromegaly: a 3-year prospective study

G Mazziotti, A Bianchi, T Porcelli… - The Journal of …, 2013 - academic.oup.com
Context: Cross-sectional studies showed an elevated prevalence of vertebral fractures in
acromegaly. However, no data are available on incident vertebral fractures in this clinical …

High prevalence of vertebral fractures associated with preoperative GH levels in patients with recent diagnosis of acromegaly

S Frara, M Melin Uygur, L di Filippo… - The Journal of …, 2022 - academic.oup.com
Context Osteopathy and morphometric vertebral fractures (VFs) are emerging complications
in acromegaly. However, the prediction of VFs in this clinical setting is still a matter of …

Progression of vertebral fractures despite long-term biochemical control of acromegaly: a prospective follow-up study

K Claessen, HM Kroon, AM Pereira… - The Journal of …, 2013 - academic.oup.com
Background: In active acromegaly, pathologically elevated GH and IGF-1 levels are
associated with increased bone turnover and a high bone mass, the latter being sustained …

Management of endocrine disease: bone disorders associated with acromegaly: mechanisms and treatment

G Mazziotti, AGA Lania, E Canalis - European journal of …, 2019 - academic.oup.com
Growth hormone (GH) and insulin-like growth factor-I (IGF-I) exert physiological actions on
the skeleton throughout life, by stimulating longitudinal bone growth in children, the …

Bone and joint disorders in acromegaly

KMJA Claessen, G Mazziotti, NR Biermasz… - …, 2016 - karger.com
Acromegaly is a chronic, progressive disease caused by a growth hormone (GH)-producing
pituitary adenoma, resulting in elevated GH and insulin-like growth factor 1 concentrations …