Original MICA image-reading exercise, unscored. No clinical narrative absent from the source is added.
- Describe visible findings before proposing an interpretation.
- Suggest an interpretation and at least one image limitation.
- Which clinical findings or investigations would complement this observation?
Reveal the explained reading
Generalised lipodystrophy and acromegaloid appearance
- Observation
- Prominent musculature accompanies unusual fat distribution.
- Limitation
- A photograph cannot quantify fat mass.
Morphological description
Prominent musculature accompanies unusual fat distribution.
Interpretation and diagnostic limits
The source reports an unusual association with true acromegaly.
Differential diagnoses
Acromegaloid appearance does not prove GH excess.
Pitfalls
A photograph cannot quantify fat mass.
Take-home message
Distinguish visible phenotype from hormonal diagnosis.
Sources
Documentary review: 2026-10-14
Media source & rights
- Author
- Guerreiro, Vanessa; Bernardes, Irene; Pereira, Josué; Silva, Roberto Pestana; Fernandes, Susana; Carvalho, Davide; Freitas, Paula
- Original source
- Guerreiro et al. · Figure 1 · CC BY 4.0
- Licence
- CC BY 4.0
- Changes
- Complete figure retained; proportional resize and WebP conversion, no clinical alteration.
- Dimensions
- 685 × 227 px
- Check
- 2026-10-14