Disorders leading to GH as a consequence of systemic disease include sarcoidosis, Crohn's disease, pyoderma gangrenosum, syphilis, tuberculosis, pituitary adenomas, Langerhans cell histiocytosis, granulomatosis with polyangiitis, and foreign body granulomas secondary to Rathke's cleft cyst rupture. Here, GH1 is linked to granulomatosis with polyangiitis.