Question 471 · LEK · Multiple endocrine neoplasia syndromes
A 38-year-old male patient with pituitary adenoma undergoing bromocriptine treatment presents to the internal medicine ward to investigate hypercalcaemia. Abdominal ultrasonography revealed multiple stones up to 5 mm in the area of the renal pelvis in both kidneys and a focal lesion in the left adrenal gland area with a dimension of 10 mm. Select the suspected diagnosis:
- A. multiple endocrine neoplasia type 1.
- B. multiple endocrine neoplasia type 2.
- C. autoimmune polyendocrine (polyglandular) syndrome type 1.
- D. autoimmune polyendocrine (polyglandular) syndrome type 2.
- E. autoimmune polyendocrine (polyglandular) syndrome type 3.
Hint
List the glands involved — pituitary, parathyroids (hypercalcaemia with kidney stones) and adrenal — and recall which syndrome combines pituitary tumours with hyperparathyroidism.
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