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Acromegaly discovered during a routine out-patient surgical procedure: a case report

Overview of attention for article published in Journal of Medical Case Reports, June 2017
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1 tweeter

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Title
Acromegaly discovered during a routine out-patient surgical procedure: a case report
Published in
Journal of Medical Case Reports, June 2017
DOI 10.1186/s13256-017-1338-8
Pubmed ID
Authors

Chukwudi O. Chiaghana, Julia M. Bauerfeind, Cheri A. Sulek, J. Christopher Goldstein, Caleb A. Awoniyi

Abstract

Acromegaly is a rare syndrome in which there is unregulated hypersecretion of growth hormone. The anesthetic management of patients with this disorder is particularly challenging due to pre-existing cardiovascular and respiratory dysfunction, as well as recognized difficulties with airway management. Because of the insidious progression of the disease and the presence of nonspecific signs and symptoms, diagnosis is often made late when characteristic acromegalic features become apparent. We report the management of a 35-year-old African American man with previously undiagnosed acromegaly, who underwent a general anesthetic for same day surgery. Subtle physical features and difficult endotracheal intubation raised our suspicion for the diagnosis of acromegaly. Following an uncomplicated postoperative course he underwent workup for the disease, which was confirmed. In addition, brain magnetic resonance imaging showed a pituitary adenoma. A subsequent transsphenoidal hypophysectomy was performed successfully. This case underscores the notable absence of recognizing the clinical presentation of acromegaly in this patient by his primary care physician, and the value of thorough history taking, vigilance, and observation in making a new diagnosis that has the potential to alter a patient's health care and mitigate impending morbidity and/or mortality.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 22 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 5 23%
Student > Doctoral Student 4 18%
Other 2 9%
Student > Master 2 9%
Student > Ph. D. Student 1 5%
Other 2 9%
Unknown 6 27%
Readers by discipline Count As %
Medicine and Dentistry 9 41%
Neuroscience 2 9%
Agricultural and Biological Sciences 2 9%
Business, Management and Accounting 1 5%
Biochemistry, Genetics and Molecular Biology 1 5%
Other 0 0%
Unknown 7 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 July 2017.
All research outputs
#10,189,669
of 11,483,620 outputs
Outputs from Journal of Medical Case Reports
#1,502
of 1,786 outputs
Outputs of similar age
#219,929
of 261,067 outputs
Outputs of similar age from Journal of Medical Case Reports
#35
of 46 outputs
Altmetric has tracked 11,483,620 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,786 research outputs from this source. They receive a mean Attention Score of 3.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 46 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.