Modified Symptom Score of Verhelst et al for a Patient with Acromegaly

Symptoms monitored by Verhelst et al:

(1) headache

(2) paresthesias

(3) arthralgia

(4) hyperhydrosis

(5) carpal tunnel syndrome

Each of these symptoms was scored from 0 to 3.

Symptoms monitored by Stewart et al were similar except that tiredness was monitored instead of carpal tunnel symptoms.

In the implementation the symptom score uses the 5 symptoms of Verhelst et al plus tiredness (total of 6 symptoms)

total symptom score =

= SUM(points for all 6 symptoms)

Interpretation:

• minimum score: 0

• maximum score: 18

• The higher the score the more severe the symptoms.

The total score can be rescaled for 0 to 100:

adjusted score over range of 0 to 100 =

= 100 * (total score) / 18