Case presentation-MEN1 15.10.1399

22 years old man

 Born & live in Tehran

 Source of history: patient ,reliable

 Chief complaint :weight gain

22 years old man with diagnosis of MEN1 in his father complain of 24 kg weight gain in 2 years ago  He noticed some changes in the hand & foot size(increased shoes size)  Headache +,visual impairment –  Oily skin +,increased sweeting –  Snoring +  Induced galactorrhea  Libido change?  No beard growth , no male pattern hair growth on the body (he mention starting testicular growth at 13 y/o that was arrested in 16 y/o)  Skin thinning –  Easy bruising -  Muscle weakness