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Clawing toes in American acromegalic giant Johann (John) Aasen

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Photograph of the American acromegalic giant Johann (John) Aasen (1890-1938, final height of 218.4 cm) while hospitalized in Lane Hospital in San Francisco because of recurrent bilateral foot ulcers, November 2, 1936. Recorded height at admission was 213.4 cm. Note the foot deformities (clawing toes). A penetrating ulcer on the bottom of the left foot is not shown. Photograph from the private collection of Warren A Raymond. (Source: de Herder WW, Raymond WA. Neuropathic foot ulcers in the tallest patients with acromegalic gigantism: a common and significant problem. Historical overview. Pituitary 2023;26[4]:333-9. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0. This photograph was also partly reproduced in: Gray H. The Minneapolis giant. Ann Intern Med 1937;10:1669-82.)