What Are the Symptoms of Acromegaly?

Symptoms of acromegaly take time to develop in adults. The most common sign of acromegaly is enlarged face, hands, and feet.  People with this rare endocrine disorder will find that their shoe size may increase over time throughout adulthood and their rings no longer fit like they used to. Acromegaly is very rare in children, but leads to a condition called gigantism where the child will grow exponentially larger than normal.

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People with acromegaly will find that their shoe size increases over time throughout adulthood and their rings no longer fit like they used to. It is very rare in children, presenting as a condition called gigantism where the child will grow exponentially larger than normal.

Since we look at ourselves daily, recognizing this rare disease can be challenging making detection challenging. The most easily recognizable signs of acromegaly are gradual changes in the shape of your face, such as a protruding lower jaw and brow, an enlarged nose, thickened lips, and wider spacing between your teeth.


The symptoms of acromegaly vary from person to person and it can affect people in different ways. Usually, physical changes due to acromegaly develop over time, such as rings not fitting on fingers or tight-fitting gloves. Feet grow larger to the point of needing to increase shoe size. Facial changes and spreading out of the teeth are also common effects of acromegaly.

Others will experience visual changes or have more generalized symptoms such as aching joints, tiredness, headaches or mood swings that are often blamed on other factors at first.


Symptoms may be incorrectly attributed to the onset of menopause in women aged 40 or older. Gradual weight gain, excessive sweating, low quality of sleep, and disruptive snoring are other features of acromegaly to watch for.

Acromegaly usually develops slowly, early signs may not be obvious for years. Even your family members may not initially notice the gradual physical changes that occur with this disorder, but early diagnosis is important so that you can start getting proper care. Acromegaly can lead to serious complications if it’s not treated.

Symptoms vary from one person to another, but these are the most common symptoms.

  • a large jaw and tongue
  • gaps between the teeth
  • a more prominent brow
  • swollen hands
  • large feet
  • rough and oily skin
  • numb hands and feet
  • tingling in hands and feet
  • heavy sweating
  • headaches
  • a deeper voice
  • impaired vision
  • skin tags
  • low sex drive

A symptom is a feeling or experience that a person can have and report to a healthcare professional, such as frequent headaches, joint aches or excessive sweating.

A sign is something that a healthcare professional will discover during an examination such as high blood pressure, changes in the jawline, or having unusually thick skin.

When to see a doctor

If you have any symptoms associated with acromegaly, contact your doctor for an evaluation.

In addition to physical symptoms, living with a rare disease can be emotionally very traumatic. Symptoms such as loss of libido, exhaustion and changing body image can be stressful, particularly as there may be some time before correct diagnosis and discussion of treatment. Even after this, anxiety about anticipated surgery so close to the brain and an understanding that recovery can take a while for some people can be difficult to cope with.

The physical manifestations of acromegaly usually develop slowly over time. Gradual changes in your physical appearance from bone changes will affect the face by enlarging the brow, nose, forehead, and jawline. Your teeth may become misaligned and gaps will appear in between your teeth. Your voice might become deeper as your vocal cords thicken.

Friends or relatives who haven’t seen you in a while or a new healthcare professional is usually the first to notice physical changes suggesting that you may have acromegaly. If you suspect you are experiencing any signs or symptoms of acromegaly, comparing your current appearance with an older photograph may help you see if in fact, your appearance has changed.

A sign is something that a healthcare professional will discover during an examination such as high blood pressure, changes in the jawline, or having unusually thick skin.

Acromegaly symptoms checklist

If you suspect you have any symptoms or signs of acromegaly, here is a checklist you can use to discuss with your healthcare provider.

  • Has your shoe size changed?

  • Have you noticed any change in the size of your hands?

  • Have you or your dentist noticed any changes to your bite or jaw shape?

  • Have your teeth become more spaced out or misaligned?

  • Does your tongue feel too big for your mouth or bigger than it should?

  • Have you noticed any changes in your voice? Has it become deeper or huskier?

  • Have you regularly had trouble sleeping or do often feel tired in the day?

  • Do you snore excessively at night?

  • Do you have temporary episodes where you stop breathing (i.e., sleep apnea)?

  • Have you noticed any changes in your field of vision?

  • Have you found that you sweat a lot more than before?

  • Have you experienced joint pain on a regular basis?

  • Have you experienced any low mood that you cannot really explain?

  • Has the normal pattern of your periods changed?

  • Do you feel so tired on a regular basis that it has stopped you doing things?

  • Have you stopped doing or avoided doing any activity because it is too painful?

  • Have you had regular or painful headaches?

  • Has your skin become thicker and more oily?

Managing Acromegaly Symptoms

Caring for acromegaly involves so much more than blood work.  Communicating how acromegaly affects your quality of life may be challenging, but this information is important for your health care team to ensure they are addressing all aspects of your disease. 

This symptom tracker may be a useful way to document your symptoms and serve as a reference at your next appointment. This is a tool to help you to prepare for your next appointment and is not intended to serve as medical advice. If at any time you experience severe symptoms, immediately contact your physician.

Download the Acromegaly Symptom Tracker

Acromegaly Symptom Tracker

Treatment Options

Learn about the treatment options for acromegaly.

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Causes of Acromegaly

Learn about the different causes of acromegaly.

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Acromegaly Diagnosis

Learn how acromegaly is diagnosed and required tests.

Learn More

References:

National Library of Medicine (1996, October 18) Real-world Comorbidities and Treatment Patterns of Patients With Acromegaly in Two Large US Health Plan Databases [Website]. Retrieved May 2020.

National Library of Medicine (1996, October 18) Patterns of Pharmacologic Treatment in US Patients With Acromegaly [Website]. Retrieved June 2020.

Acromegaly Care (2015, November 02) Managing Symptoms – Acromegaly Care [Website]. Retrieved April 2020.