A 52‑year‑old female presented with a history of snoring and excessive daytime sleepiness for 3 years. On evaluation with polysomnography, she was confirmed as a case of severe obstructive sleep apnea syndrome (OSAS). Macroglossia and enlargement of fingers and toes aroused suspicion; extending the evaluation to be ultimately confirmed as a case of acromegaly; changing the management protocols.
Acromegaly, though a rare endocrine disorder which results from excessive secretion of growth hormone in adults, has a high prevalence of OSAS. We report one such rare case of acromegaly which initially presented to us as a case of OSAS.