Difficult venepuncture – it was all in the head!

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Abstract

Aim:

To emphasise the importance of careful observations and demonstrate that significant conditions may, on occasion, be detected during blood donation.

Background:

Venepunctures, the bread and butter of blood donor services, can be difficult procedures. We describe an unusual presentation of a relatively rare disease detected during routine blood donations because of difficult venepunctures.

Methods:

Case report.

Results:

A growth hormone-secreting pituitary adenoma was diagnosed, and successfully treated, following the initial observation of hard-to-puncture skin during blood donations.

Conclusions:

Seemingly trivial abnormalities may prove clinically important. One presentation of acromegaly is hard-to-puncture skin.

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