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OCR: ematurely, Degenerative arthropathy oc weight-bearing particularly in the spine and The joints enlarge rtilaginous joints such as the hips and k due to synovial overgrowth nd, ak despite their thickening. Myopathy is freq paradoxically, these patients e cardiomegaly muscular appearance. Acromegalic patients may al ease, the related either to coronary art acromegaly, or to y-five per cent of incidence of which is increas hypertension which occurs i e of these, acromegalic patients. In the a rimary cardiomegaly may be related sually 'essential' cardiomyopathy. Hypertensi but may be caused by a coexis mour. phaeochromocytoma or Con