Faculty of Medicine, Wroclaw Medical University, Poland.
Department of Basic Medical Sciences, Wroclaw Medical University, Poland.
Pediatr Endocrinol Diabetes Metab. 2020;26(4):211-215. doi: 10.5114/pedm.2020.97462.
Multiple endocrine neoplasia 2B (MEN 2B) is a rare syndrome caused by mutation of the RET proto-oncogene. Early-onset medullary thyroid carcinoma (MTC), marfanoid habitus, and mucosal neuromas occur in most cases, and some patients develop pheochromocytoma in later life. We present a case of a 16-year-old girl diagnosed with MEN 2B syndrome with an atypical course of the disease. Our patient had no family history of MTC and presented short stature instead of marfanoid features. Rare ophthalmological manifestations also occurred. The example of this patient proves that rare endocrinological syndromes should be taken into consideration when diagnosing unclear symptoms, even if not all of the typical manifestations are present.
多发性内分泌腺瘤 2B 型(MEN 2B)是一种由 RET 原癌基因突变引起的罕见综合征。大多数情况下,会出现早发的甲状腺髓样癌(MTC)、马凡体型和黏膜神经瘤,部分患者在晚年还会发生嗜铬细胞瘤。我们报告了一例 16 岁女孩,被诊断为 MEN 2B 综合征,其疾病过程不典型。我们的患者没有 MTC 的家族史,表现为身材矮小而不是马凡体型特征。还出现了罕见的眼部表现。该患者的例子证明,在诊断不明确的症状时,即使并非所有典型表现都存在,也应考虑罕见的内分泌综合征。