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Italian term or phrase:grossolano - in this context
"Nella maggior parte dei pazienti si verifica un aumento di dimensioni delle mani, dei piedi e della testa, l’allargamento della mascella, la lingua aumenta di volume e i lineamenti del viso diventano grossolani."
Do they really mean, course, rough, gross here, or can it also mean simply enlarged, i.e. the facial features become enlarged.
Explanation: I think there may well be swelling but they're just saying the features become coarse here.
What are the symptoms of acromegaly?
Symptoms of acromegaly vary depending on how long the patient has had the disease. The following are the most common symptoms. However, each individual may experience symptoms differently:
* swelling of the hands and feet
* facial features become coarse as bones grow
* body hair becomes coarse as the skin thickens and/or darkens
* increased perspiration accompanied with body odor
* protruding jaw