We present results of ultrasonic measurements on a single crystal of the distorted diamond-chain compound azurite Cu 3 (CO 3 ) 2 (OH) 2 . Pronounced elastic anomalies are observed in the temperature dependence of the longitudinal elastic mode c 22 which can be assigned to the relevant magnetic interactions in the system and their couplings to the lattice degrees of freedom. From a semiquantitative analysis of the magnetic contribution to c 22 the magnetoelastic coupling G = ∂J 2 /∂ b can be estimated, where J 2 is the intradimer coupling constant and b the strain along the intrachain b axis. We find an exceptionally large coupling constant of |G| ∼ 3650 K highlighting an extraordinarily strong sensitivity of J 2 against changes of the b-axis lattice parameter. These results are complemented by measurements of the hydrostatic pressure dependence of J 2 by means of thermal expansion and magnetic susceptibility measurements performed both at ambient and finite hydrostatic pressure. We propose that a structural peculiarity of this compound, in which Cu 2 O 6 dimer units are incorporated in an unusually stretched manner, is responsible for the anomalously large magnetoelastic coupling.