Intended for healthcare professionals


Spade phalanx sign of acromegaly

BMJ 2020; 368 doi: (Published 27 February 2020) Cite this as: BMJ 2020;368:m691
  1. Julia Lake, endocrinology fellow,
  2. Sushela Chaidarun, PhD associate professor
  1. Dartmouth-Hitchcock Medical Center–Endocrinology, Lebanon, New Hampshire, USA
  1. Correspondence to J Lake julia.c.w.lake{at}

This is a radiograph (fig 1) of the spade phalanx sign of acromegaly. The patient was a 32 year old woman with a history …

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