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Multiple facial angiofibromas and collagenomas in patients with multiple endocrine neoplasia type 1.
Arch Dermatol. 1997 Jul; 133(7):853-7.AD

Abstract

OBJECTIVES

To evaluate patients with multiple endocrine neoplasia type 1 (MEN 1) for cutaneous manifestations.

DESIGN

Survey during a 3-year period.

SETTING

The National Institutes of Health, a tertiary referral research hospital in Bethesda Md.

PATIENTS

A consecutive sample of 32 individuals with previously diagnosed MEN1 who were not preselected for the presence of skin lesions were examined for cutaneous abnormalities. None of the patients or family members were diagnosed as having tuberous sclerosis.

INTERVENTIONS

Lesions were identified by clinical appearance, photographed, and confirmed histologically.

MAIN OUTCOME MEASURE

To determine the frequency of skin lesions in patients with MEN1.

RESULTS

Multiple facial angiofibromas were observed in 28 (88%) of the patients with MEN1, with 16 patients (50%) having 5 or more. Angiofibromas were clinically and histologically identical to those in individuals with tuberous sclerosis. Collagenomas were observed in 23 patients (72%). Also observed were cafe au lait macules in 12 patients (38%), lipomas in 11 patients (34%), confetti-like hypopigmented macules in 2 patients (6%), and multiple gingival papules in 2 patients (6%).

CONCLUSIONS

Multiple angiofibromas, collagenomas, lipomas, confetti-like hypopigmented macules and multiple gingival papules are cutaneous manifestations of MEN1 and should be looked for in both family members of patients with MEN1 and individuals with hyperparathyroidism of other MEN1-associated tumors. Multiple angiofibromas can no longer be considered pathognomonic for tuberous sclerosis. The observation of angiofibromas in individuals without tuberous sclerosis necessitates further biochemical testing for MEN1.

Authors+Show Affiliations

Dermatology Branch, National Cancer Institute, National Institutes of Health Bethesda, MD, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

9236523

Citation

Darling, T N., et al. "Multiple Facial Angiofibromas and Collagenomas in Patients With Multiple Endocrine Neoplasia Type 1." Archives of Dermatology, vol. 133, no. 7, 1997, pp. 853-7.
Darling TN, Skarulis MC, Steinberg SM, et al. Multiple facial angiofibromas and collagenomas in patients with multiple endocrine neoplasia type 1. Arch Dermatol. 1997;133(7):853-7.
Darling, T. N., Skarulis, M. C., Steinberg, S. M., Marx, S. J., Spiegel, A. M., & Turner, M. (1997). Multiple facial angiofibromas and collagenomas in patients with multiple endocrine neoplasia type 1. Archives of Dermatology, 133(7), 853-7.
Darling TN, et al. Multiple Facial Angiofibromas and Collagenomas in Patients With Multiple Endocrine Neoplasia Type 1. Arch Dermatol. 1997;133(7):853-7. PubMed PMID: 9236523.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multiple facial angiofibromas and collagenomas in patients with multiple endocrine neoplasia type 1. AU - Darling,T N, AU - Skarulis,M C, AU - Steinberg,S M, AU - Marx,S J, AU - Spiegel,A M, AU - Turner,M, PY - 1997/7/1/pubmed PY - 1997/7/1/medline PY - 1997/7/1/entrez SP - 853 EP - 7 JF - Archives of dermatology JO - Arch Dermatol VL - 133 IS - 7 N2 - OBJECTIVES: To evaluate patients with multiple endocrine neoplasia type 1 (MEN 1) for cutaneous manifestations. DESIGN: Survey during a 3-year period. SETTING: The National Institutes of Health, a tertiary referral research hospital in Bethesda Md. PATIENTS: A consecutive sample of 32 individuals with previously diagnosed MEN1 who were not preselected for the presence of skin lesions were examined for cutaneous abnormalities. None of the patients or family members were diagnosed as having tuberous sclerosis. INTERVENTIONS: Lesions were identified by clinical appearance, photographed, and confirmed histologically. MAIN OUTCOME MEASURE: To determine the frequency of skin lesions in patients with MEN1. RESULTS: Multiple facial angiofibromas were observed in 28 (88%) of the patients with MEN1, with 16 patients (50%) having 5 or more. Angiofibromas were clinically and histologically identical to those in individuals with tuberous sclerosis. Collagenomas were observed in 23 patients (72%). Also observed were cafe au lait macules in 12 patients (38%), lipomas in 11 patients (34%), confetti-like hypopigmented macules in 2 patients (6%), and multiple gingival papules in 2 patients (6%). CONCLUSIONS: Multiple angiofibromas, collagenomas, lipomas, confetti-like hypopigmented macules and multiple gingival papules are cutaneous manifestations of MEN1 and should be looked for in both family members of patients with MEN1 and individuals with hyperparathyroidism of other MEN1-associated tumors. Multiple angiofibromas can no longer be considered pathognomonic for tuberous sclerosis. The observation of angiofibromas in individuals without tuberous sclerosis necessitates further biochemical testing for MEN1. SN - 0003-987X UR - https://www.unboundmedicine.com/medline/citation/9236523/Multiple_facial_angiofibromas_and_collagenomas_in_patients_with_multiple_endocrine_neoplasia_type_1_ L2 - https://jamanetwork.com/journals/jamadermatology/fullarticle/vol/133/pg/853 DB - PRIME DP - Unbound Medicine ER -