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Confetti-like hypopigmented macules

MedGen UID:
377093
Concept ID:
C1851705
Finding
HPO: HP:0007449

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVConfetti-like hypopigmented macules

Conditions with this feature

Multiple endocrine neoplasia, type 1
MedGen UID:
9957
Concept ID:
C0025267
Neoplastic Process
Multiple endocrine neoplasia type 1 (MEN1) includes varying combinations of more than 20 endocrine and non-endocrine tumors. Endocrine tumors become evident either by overproduction of hormones by the tumor or by growth of the tumor itself. Parathyroid tumors are the most common MEN1-associated endocrinopathy; onset in 90% of individuals is between ages 20 and 25 years with hypercalcemia evident by age 50 years; hypercalcemia causes lethargy, depression, confusion, anorexia, constipation, nausea, vomiting, diuresis, dehydration, hypercalciuria, kidney stones, increased bone resorption/fracture risk, hypertension, and shortened QT interval. Pituitary tumors include prolactinoma (the most common), which manifests as oligomenorrhea/amenorrhea and galactorrhea in females and sexual dysfunction in males. Well-differentiated endocrine tumors of the gastro-entero-pancreatic (GEP) tract can manifest as Zollinger-Ellison syndrome (gastrinoma); hypoglycemia (insulinoma); hyperglycemia, anorexia, glossitis, anemia, diarrhea, venous thrombosis, and skin rash (glucagonoma); and watery diarrhea, hypokalemia, and achlorhydria syndrome (vasoactive intestinal peptide [VIP]-secreting tumor). Carcinoid tumors are non-hormone-secreting and can manifest as a large mass after age 50 years. Adrenocortical tumors can be associated with primary hypercortisolism or hyperaldosteronism. Non-endocrine tumors include facial angiofibromas, collagenomas, lipomas, meningiomas, ependymomas, and leiomyomas.

Recent clinical studies

Diagnosis

Arnold AW, Kern JS, Itin PH, Pigors M, Happle R, Has C
Dermatology 2012;224(4):331-9. Epub 2012 Jun 19 doi: 10.1159/000339328. PMID: 22722384
Darling TN, Skarulis MC, Steinberg SM, Marx SJ, Spiegel AM, Turner M
Arch Dermatol 1997 Jul;133(7):853-7. PMID: 9236523

Clinical prediction guides

Darling TN, Skarulis MC, Steinberg SM, Marx SJ, Spiegel AM, Turner M
Arch Dermatol 1997 Jul;133(7):853-7. PMID: 9236523

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