Health Analysis of Mid Adult Man - Case Study

Pathophysiology
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The mid-adult age is the age of health problems for a few individuals. Among the
conditions that are associated with mid-adult age include disorders of the
musculoskeletal, respiratory, genitourinary, central nervous system, endocrine and the
integumentary system. The assignment will cover a case scenario of a 29 years old
man Mr Bryan, who came into the hospital, claiming that he has had the following
presenting history for the past three years. Progressive increase of his hands and feet,
erectile dysfunction, rough face and fatigue with minimal excretion making him
unable to play football anymore. Moreover, Mr Brian still experiences muscle
weakness, joint stiffness, loss of vision and sexual dysfunction, which is getting him
depressed as it is affecting his marriage relationship.
From the evaluation of both the subjective and objective cues collected, Mr
Bryan has been diagnosed with acromegaly; a hormonal disorder. It mostly presents
in middle-adult aged people. Acromegaly can occur as a result of excessive growth
hormone production resulting in an abnormal increase in bone size (Capatina & Wass,
2015). The excess growth hormones secretion in adults can be due to benign of the
pituitary gland while in few people non-pituitary tumours in other parts of the body
like pancreas cause this disorder (Mayo Clinic, 2019).
Cutaneous changes resulted from excess secretion of growth hormones’ action
on skin cells and adnexa; therefore, and the skin tags are benign and not malignant.
Skin puffiness resulting from the accumulation of dermal glycosaminoglycan and
oedema prominently found on the face, hands and feet; thus, we have to look for any
during observations. In most cases, skin can be oily due to a lot of sebum secretion,
pigmented skin tags, acanthosis nigricans and psoriasis are encountered on people
with this disorder hence a clue to this disorder and its early treatment and
management (Degirmentepe et al., 2017).

Although Mr Brian is not at risk of skin malignancies, he is at an increased
risk of having colorectal adenomas and cancer (Yorinari et al., 2020). Dhorakowska
and Grossman (2019) argue that patients with acromegaly are at high risk of
developing adenomas of the colony due to increased levels of the growth hormone
and insulin-like growth factor 1. There is a connection between high insulin levels in
acromegaly individual; however type 2 diabetes is related to colorectal carcinomas.
Moreover, diabetes mellitus is frequently the patients with colon polyps in the study
by Gonzalez et al., but they did not rule out diabetes as an independent risk factor
(Dhorakowska & Grossman, 2019).
In people with thick skin, we have to consider chronic inflammatory skin
disorders like psoriasis and atopic dermatitis (eczema). Psoriasis is a chronic skin
condition which is believed to be caused by an immune system problem, that
increases the rate of skin cells life cycle, making them build up on the skin surface.
Extra cells make the skin patchy and scaly, causing pain and itching. It can be either
plaque, nail, guttate, inverse, pustular, erythrodermic psoriasis or/and psoriatic
arthritis depending on its manifestation area. Although it is chronic, it often comes
and goes. Since there is no cure for it, its symptoms can be managed by taking
lifestyle measures like moisturising, squirting smoking and managing stress. Atopic
dermatitis is a condition that makes your skin red and itchy caused by gene variation
preventing kin from protecting retaining moisture and sebum secretion. It is long-
lasting and comes periodically accompanied by asthma characterised by dry thick,
scaly skin, small raised bumps, raw, sensitive swollen skin and red patches (Mayo
Clinic, 2018).
Arthritis is a musculoskeletal disease condition characterised by joint
swollenness. The swelling joints can be either on one or many of them—welling of