Painful Hip Leading to the Diagnosis of MEN 2B Syndrome

Context. MEN 2B syndrome is characterized by the presence of medullary thyroid cancer, pheochromocytoma, mucosal neuromas, marfanoid features, and skeletal abnormalities like kyphoscoliosis, joint laxity, pes cavus, and slipped capital femoral epiphysis (SCFE) in a minority; we present the case of a...

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Main Authors: Mehtab Ahmad, Imran Rizvi, Amit Jain, Noorin Zaidi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/567060
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author Mehtab Ahmad
Imran Rizvi
Amit Jain
Noorin Zaidi
author_facet Mehtab Ahmad
Imran Rizvi
Amit Jain
Noorin Zaidi
author_sort Mehtab Ahmad
collection DOAJ
description Context. MEN 2B syndrome is characterized by the presence of medullary thyroid cancer, pheochromocytoma, mucosal neuromas, marfanoid features, and skeletal abnormalities like kyphoscoliosis, joint laxity, pes cavus, and slipped capital femoral epiphysis (SCFE) in a minority; we present the case of a young female who was brought to medical attention due to painful hip because of SCFE. Case Report. A 16-year-old female presented to orthopedics out-patient department (OPD) with complaints of pain around the left hip and walking with a limp for the last two months. MRI of hip confirmed the presence of SCFE of the left hip. General examination detected thyroid swelling which was found to be a medullary thyroid cancer and imaging of abdomen confirmed the presence of bilateral pheochromocytoma, also present were neuromas of tongue and lips. Thus, a diagnosis of MEN 2B syndrome was made. Conclusion. SCFE can sometimes be the presenting feature of MEN 2B syndrome. Physicians should keep this in mind as it can lead to early diagnosis of a potentially lethal illness.
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spelling doaj-art-cfaa3adab6c74c56bf3ca848f00040df2025-02-03T05:52:20ZengWileyCase Reports in Endocrinology2090-65012090-651X2012-01-01201210.1155/2012/567060567060Painful Hip Leading to the Diagnosis of MEN 2B SyndromeMehtab Ahmad0Imran Rizvi1Amit Jain2Noorin Zaidi3Department of Radiodiagnosis, J.N. Medical College, Aligarh 202002, IndiaDepartment of General Medicine, J.N. Medical College, Aligarh 202002, IndiaDepartment of Radiodiagnosis, J.N. Medical College, Aligarh 202002, IndiaDepartment of Pathology, J.N. Medical College, Aligarh 202002, IndiaContext. MEN 2B syndrome is characterized by the presence of medullary thyroid cancer, pheochromocytoma, mucosal neuromas, marfanoid features, and skeletal abnormalities like kyphoscoliosis, joint laxity, pes cavus, and slipped capital femoral epiphysis (SCFE) in a minority; we present the case of a young female who was brought to medical attention due to painful hip because of SCFE. Case Report. A 16-year-old female presented to orthopedics out-patient department (OPD) with complaints of pain around the left hip and walking with a limp for the last two months. MRI of hip confirmed the presence of SCFE of the left hip. General examination detected thyroid swelling which was found to be a medullary thyroid cancer and imaging of abdomen confirmed the presence of bilateral pheochromocytoma, also present were neuromas of tongue and lips. Thus, a diagnosis of MEN 2B syndrome was made. Conclusion. SCFE can sometimes be the presenting feature of MEN 2B syndrome. Physicians should keep this in mind as it can lead to early diagnosis of a potentially lethal illness.http://dx.doi.org/10.1155/2012/567060
spellingShingle Mehtab Ahmad
Imran Rizvi
Amit Jain
Noorin Zaidi
Painful Hip Leading to the Diagnosis of MEN 2B Syndrome
Case Reports in Endocrinology
title Painful Hip Leading to the Diagnosis of MEN 2B Syndrome
title_full Painful Hip Leading to the Diagnosis of MEN 2B Syndrome
title_fullStr Painful Hip Leading to the Diagnosis of MEN 2B Syndrome
title_full_unstemmed Painful Hip Leading to the Diagnosis of MEN 2B Syndrome
title_short Painful Hip Leading to the Diagnosis of MEN 2B Syndrome
title_sort painful hip leading to the diagnosis of men 2b syndrome
url http://dx.doi.org/10.1155/2012/567060
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AT noorinzaidi painfulhipleadingtothediagnosisofmen2bsyndrome