Question

A 34-year-old man comes to the office due to oral and perioral nodules. The nodules appeared several months ago, and the patient reports that they are similar to other lesions that were removed 10 years earlier. He has a history of total thyroidectomy 5 years ago following the discovery of a palpable thyroid mass. On examination. the patient is tall and slender with disproportionately long arms and legs. His fingers are also long and thin. Oral inspection shows several small, flesh-colored nodules on his lips and tongue. This patient most likely suffers from which of the following conditions?

A. Ehlers-Danlos syndrome
B. Marfarn syndrome
C. Multiple endocrine neoplasia type 1
D. Multiple endocrine neodasia type 2B
E. Neurofibromatosis type 1
F. Neurofibromatosis type 2

Answer 1

The patient most likely suffers from Marfan syndrome, a genetic disorder that affects the connective tissues in the body.

Step-by-step explanation:

The patient in the given scenario most likely suffers from Marfan syndrome.

Marfan syndrome is a genetic disorder that affects the connective tissues in the body. It is caused by a mutation in the FBN1 gene, which leads to the production of abnormal fibrillin-1 protein. The characteristic features of Marfan syndrome include tall stature, disproportionately long limbs and fingers, and involvement of various body systems such as the skeletal, cardiovascular, and ocular systems.

In this case, the patient's tall and slender body type, long arms and legs, and long and thin fingers are consistent with the physical features seen in Marfan syndrome. Additionally, the presence of oral and perioral nodules, along with a history of previous nodules and total thyroidectomy, further supports the diagnosis of Marfan syndrome.