Multiple endocrine neoplasia type 2 history and symptoms: Difference between revisions

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{{CMG}}; {{AE}} {{Ammu}}
{{CMG}}; {{AE}} {{Ammu}}
==Overview==
==Overview==
==History==
The hallmark of multiple endocrine neoplasia type 2 is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
==Diagnosis==
The current clinical criterea for detecting Multiple endocrine neoplasia type 2 is as follows:<ref name=Genetics>{{cite web | title = Genetics-University of Washington, Seattle) | url =http://www.ncbi.nlm.nih.gov/books/NBK1116/}}</ref>
{| style="border: 2px solid #DCDCDC; font-size: 90%; width: 60%;" align=left
! style="padding: 0 5px; font-size: 120%; background: #4479BA" align=left| ''{{fontcolor|#FFF|Clinical criterea for diagnosis of Multiple endocrine neoplasia type 2}}''
|-
! style="padding: 0 5px; font-size: 95%; background:  #DCDCDC" align=left| '''2 or more specific endocrine tumors (medullary carcinoma, pheochromocytoma or parathyroid hyperplasia)'''
|-
! style="padding: 0 5px; font-size: 95%; background:  #DCDCDC" align=left | '''Familial medullary thyroid carcinoma is diagnosed in families with four or more cases of medullary thryoid cacrinoma without pheochromocytoma and parathyroid adenoma'''
|-
! style="padding: 0 5px; font-size: 95%; background:  #DCDCDC" align=left | '''Multiple endocrine neoplasia type 2b is diagnosed if there is early onset of medullary throid carcinoma, mucosal neuromas of lips and tongue, disctinctive facial features with enlarged lips and marfanoid body habitus'''}}
|}
<br><br><br><br><br><br><br><br><br>


==Symptoms==
==History and Symptoms==
===Multiple endocrine neoplasia type 2b===
* Tall, thin, "[[Marfan syndrome|marfanoid]]" body build, in which long [[bone]]s are disproportionately elongated.
The most common clinical features of MEN2B are:
* Masses beneath [[mucosal]] surfaces in the [[mouth]], [[lip]]s, and [[eye]]s. Numerous yellowish-white, sessile, painless [[Nodule (medicine)|nodules]] on the [[lip]]s or [[tongue]], with deeper lesions having normal coloration. There may be enough [[neuroma]]s in the [[body]] of the [[lip]]s to produce enlargement and a "blubbery [[lip]]" appearance. Similar [[Nodule (medicine)|nodules]] may be seen on the [[sclera]] and [[eyelid]]s
* Tall, thin, "[[Marfan syndrome|marfanoid]]" body build, in which long bones are disproportionately elongated
* Low [[muscle]] [[mass]], sometimes with [[myopathy]]
* Masses beneath mucosal surfaces in the mouth, lips, and eyes. Numerous yellowish-white, sessile, painless nodules on the lips or tongue, with deeper lesions having normal coloration. There may be enough [[neuroma]]s in the body of the lips to produce enlargement and a "blubbery lip" appearance. Similar nodules may be seen on the [[sclera]] and eyelids.
* [[Weight loss]]
* Low muscle mass, sometimes with myopathy
* [[Delayed puberty]]
* Gastrointestinal complaints, especially constipation
* [[Sweating]]
* A nodule, [[lump]], or swelling in the neck
*[[Hand]] [[tremor]]
* [[Pain]] in the front of the neck
* [[Sleeping difficulty]]
* [[Hoarseness]] or other voice changes
* [[Lethargy]]
* Trouble swallowing
 
* Breathing problems
===Gastrointestinal Symptoms===
* [[Dysphagia|Trouble swallowing]]
* [[Diarrhea]]
* [[Abdominal pain]]
* [[Constipation]]
* [[Nausea]]
* [[Anorexia|Decreased appetite]]
 
===Respiratory Symptoms===
*[[Breathing]] problems
* Continuous [[cough]]
* Continuous [[cough]]
* [[Cough]] with [[blood]]
===Cardiovascular Symptoms===
* [[Chest pain]]
* [[Palpitations]]
* [[Palpitations]]
* [[Anxiety]] often resembling that of a [[panic attack]]
* [[Anxiety]] often resembling that of a [[panic attack]]
* [[Diaphoresis]]
* [[Diaphoresis]]
===Neurologic Symptoms===
* [[Headaches]]
* [[Headaches]]
* [[Pallor]]
*[[Irritability]]
* [[Weight loss]]
* Nervousness
* [[Craniosynostosis]]
* [[Confusion]]
* Dry eyes or lack of tears, which is an especially helpful sign in children
 
* Delayed puberty
===Ophthalmology Symptoms===
==Referance==
* [[Dry eye]]s or lack of [[tears]], which is an especially helpful [[Medical sign|sign]] in children.
{{Reflist}}
 
==References==
{{reflist|2}}
 
[[Category:Endocrinology]]
[[Category:Oncology]]
[[CAtegory:Diseases]]
[[Category:Medicine]]
[[Category:Endocrinology]]
[[Category:Up-To-Date]]
{{WS}}
{{WH}}
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Endocrinology]]
[[Category:Surgery]]

Latest revision as of 12:13, 24 June 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

The hallmark of multiple endocrine neoplasia type 2 is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

Gastrointestinal Symptoms

Respiratory Symptoms

Cardiovascular Symptoms

Neurologic Symptoms

Ophthalmology Symptoms

References

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