Multiple endocrine neoplasia type 1 presenting as rosacea.
We present a case of malignant carcinoid initially diagnosed as rosacea. This patient was later found to have an additional functioning parathyroid tumour. Although a pituitary tumour was not identified, the association represents a probable case of multiple endocrine neoplasia type 1 (MEN 1). This autosomal dominant syndrome is characterized by tumours of the pancreas, parathyroid and pituitary. Inoperable carcinoid tumour is best treated with a long-acting somatostatin analogue, octreotide. A diagnosis of MEN 1 has important connotations for the proband's first-degree relatives, who should be entered into an appropriate screening programme.
Creamer
J D
JD
St John's Dermatology Centre, St Thomas' Hospital, London, UK.
Whittaker
S J
SJ
Griffiths
W A
WA
D000368:Aged; D002276:Carcinoid Tumor / Q000150:complications*; D005260:Female; D006801:Humans; D018761:Multiple Endocrine Neoplasia Type 1 / Q000150:complications*; D010282:Parathyroid Neoplasms / Q000150:complications*; D012393:Rosacea / Q000209:etiology*