Cutaneous Lichen Amyloidosis and Familial Medullary Thyroid Carcinoma
- Jorge P. Ferrer, MD;
- Irene Halperin, MD; and
- Josep Palou, MD
Excerpt
To the Editor: Gagel and colleagues (1) recently described an association of hereditary cutaneous amyloidosis with multiple endocrine neoplasia type 2a. We recently encountered an identical skin lesion in a case of hereditary medullary thyroid carcinoma that we believe confirms the hypothesis that the simultaneous appearance of these rare diseases is not a mere coincidence.
A 30-year-old woman was evaluated at our clinic in the setting of a familial-medullary-thyroid-carcinoma screening program. She was asymptomatic except for slight interscapular pruritus of several years duration. Physical examination revealed a right thyroid nodule, 0.8 cm in diameter, and a 2-by-3-cm papular and pigmented
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