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These two unrelated patients—a 14-year-old boy (left) and a 23-year-old woman (right)—have the same disease.

117&118. multiple endocrine neoplasia, type iib (men- iib)

An inherited, autosomal dominant disease characterized by medullary thyroid carcinoma, pheochromocytoma, and mucosalneuromas, associated at times with prognathism, puffy lips, and bony abnormalities. Both of these patients had surgically treated medullary thyroidcarcinoma, neuromas of the tongue and lips, and prognathism. Neither, however, had any evidence, as yet, of adrenal disease.

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Source:  OpenStax, Images of memorable cases: 50 years at the bedside. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10449/1.7
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