A hormonal disorder causing abnormal growth of hands, feet, and facial features due to excess growth hormone.
For the 100% level, records that document increased intracranial pressure are central. Visual field testing showing a defect, imaging of the pituitary or brain, ophthalmology reports, and cardiology records confirming cardiomegaly or blood pressure readings confirming hypertension all speak directly to those criteria. Records showing arthropathy — such as joint imaging or rheumatology notes — and lab results showing glucose intolerance or diabetes round out the evidence needed.
For the 60% level, the same types of records apply: joint imaging or clinical notes documenting arthropathy, blood pressure records or treatment for hypertension, and lab results such as fasting glucose or HbA1c showing glucose intolerance.
For the 30% level, physical examination findings or imaging that document enlargement of the hands, feet, face, or long bones are most relevant. Your own statements, and those of people who know you, describing visible physical changes can also support what the medical records show.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.
