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

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{{CMG}}; {{AE}} {{Ammu}}
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==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>
==History and Symptoms==
{| style="border: 2px solid #DCDCDC; font-size: 90%; width: 60%;" align=left
* Tall, thin, "[[Marfan syndrome|marfanoid]]" body build, in which long [[bone]]s are disproportionately elongated.
! style="padding: 0 5px; font-size: 120%; background: #4479BA" align=left| ''{{fontcolor|#FFF|Clinical criterea for diagnosis of Multiple endocrine neoplasia type 2}}''
* 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
|-
* Low [[muscle]] [[mass]], sometimes with [[myopathy]]
! style="padding: 0 5px; font-size: 95%; background:  #DCDCDC" align=left| '''2 or more specific endocrine tumors (medullary carcinoma, pheochromocytoma or parathyroid hyperplasia)'''
* [[Weight loss]]
|-
* [[Delayed puberty]]
! 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'''
* [[Sweating]]
|-
*[[Hand]] [[tremor]]
! 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'''}}
* [[Sleeping difficulty]]
|}
* [[Lethargy]]
==Symptoms==
 
===Multiple endocrine neoplasia type 2b===
===Gastrointestinal Symptoms===
The most common clinical features of MEN2B are:
* [[Dysphagia|Trouble swallowing]]
* Tall, thin, "[[Marfan syndrome|marfanoid]]" body build, in which long bones are disproportionately elongated
* [[Diarrhea]]
* 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.
* [[Abdominal pain]]
* Low muscle mass, sometimes with myopathy
* [[Constipation]]
* Gastrointestinal complaints, especially constipation
* [[Nausea]]
* A nodule, [[lump]], or swelling in the neck
* [[Anorexia|Decreased appetite]]
* [[Pain]] in the front of the neck
 
* [[Hoarseness]] or other voice changes
===Respiratory Symptoms===
* Trouble swallowing
*[[Breathing]] problems
* 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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