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Gigantism occurs when growth hormone hypersecretion occurs before the fusion of the long bone epiphysis and is characterized by tall stature. Acromegaly occurs when GH hypersecretion occurs after the fusion of the epiphysis leading to large extremities and characteristic facies. It is a rare disorder resulting from increased levels of growth hormone before the fusion of the growth plate which usually occurs at some point soon after puberty. Gigantism is a very rare condition that happens when a child or adolescent has high levels of growth hormone in their body , which causes them to grow very tall. Gigantism is treatable, but early diagnosis is crucial to prevent excessive height and other complications. Gigantism is abnormal growth due to an excess of growth hormone (GH) during childhood.