Caption:
Boy 17 years of age with acromegaly. Showing: eversion of the lips; prognathism (1/2 inch); lower jaw large. Irregular teeth; high palatal arch; narrow. Deformity of the head with frontal prominence. Total blindness, probably congenital. Exophthalmus; divergent strabismus; lateral nystagmus. Mentality good. Acromegaly is a disorder that results from excess growth hormone after the growth plates have closed. The initial symptom is typically enlargement of the hands and feet. There may also be enlargement of the forehead, jaw, and nose. Other symptoms may include joint pain, thicker skin, deepening of the voice, headaches, and problems with vision. Acromegaly is typically due to the pituitary gland producing too much growth hormone. Image taken from Acromegaly by Guy Hinsdale, 1898 (cropped and cleaned).