A 14-Year-Old Boy Is Brought to the Office Due to Painless

A 14-year-old boy is brought to the office due to painless nodules on his lips and tongue.  The lesions appeared several months ago and have been progressively enlarging.  The patient underwent total thyroidectomy 5 years ago following the discovery of a thyroid mass and takes thyroid hormone replacement.  On physical examination, the patient is tall and slender with disproportionately long arms and legs.  His fingers are also long and thin, and joint laxity is present.  Eye examination is normal and oral inspection reveals several small, soft, flesh-colored papules on his lips and tongue.  Serum TSH is within normal limits.  This patient most likely has which of the following conditions?

A) Ehlers-Danlos syndrome
B) Marfan syndrome
C) Multiple endocrine neoplasia type 1
D) Multiple endocrine neoplasia type 2B
E) Neurofibromatosis type 1
F) Neurofibromatosis type 2

Correct Answer:

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