Written beforeA 14-year-old child is taken to the doctor's office because he has painless nodules on his lips and tongue. The lesions first developed some months ago and have grown in size. Following the detection of a thyroid tumor 5 years ago, the patient had complete thyroidectomy and is now on thyroid hormone replacement. The patient is tall and thin, with excessively lengthy arms and legs, according to physical examination. His fingers are similarly long and slender, and he has joint laxity. His eyes are OK, and an oral examination reveals many tiny, soft, flesh-colored papules on his lips and tongue. TSH levels in the blood are normal. This patient most likely has which of the following conditions?

Question

Written beforeA 14-year-old child is taken to the doctor's office because he has painless nodules on his lips and tongue. The lesions first developed some months ago and have grown in size. Following the detection of a thyroid tumor 5 years ago, the patient had complete thyroidectomy and is now on thyroid hormone replacement. The patient is tall and thin, with excessively lengthy arms and legs, according to physical examination. His fingers are similarly long and slender, and he has joint laxity. His eyes are OK, and an oral examination reveals many tiny, soft, flesh-colored papules on his lips and tongue. TSH levels in the blood are normal.   This patient most likely has which of the following conditions?

Quizplus · Accepted Answer

Eductional Objective: Medullary thyroid cancer, pheochromocytoma, marfanoid habitus, and oral and intestinal mucosal neuromas are all symptoms of multiple endocrine neoplasia type 2B.

Written BeforeA 14-Year-Old Child Is Taken to the Doctor's Office