raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:276152

Multiple endocrine neoplasia type 4

Synonyms: MEN4

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Adult
Status
active

Multiple endocrine neoplasia type 4 (MEN4) is a very rare form of MEN, an inherited cancer syndrome, characterized by parathyroid and anterior pituitary tumors, possibly associated with adrenal, renal, and reproductive organ tumors.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMultiple endocrine neoplasia type 4MEN4
frNéoplasie endocrinienne multiple type 4MEN4 · NEM4
deNeoplasie, endokrine multiple, Typ 4= en
esNeoplasia endocrina múltiple tipo 4
itNeoplasia endrocina multipla tipo 4= en
nlMultipele endocriene neoplasie type 4= en
ptNeoplasia endócrina múltipla tipo 4
plZespół mnogiej gruczolakowatości wewnątrzwydzielniczej typu 4= en
csMnohočetná endokrinní neoplázie, typ 4= en
ukМножинні ендокринні неоплазії, тип 4= en
zh多发性内分泌肿瘤4型= en
trÇoklu endokrin neoplazi tip 4= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM610755Evalidated
ICD-10D44.8NTBTattributedvalidated
ICD-112F7A.0NTBTindexvalidated
MONDO0012552Evalidated
MeSHC567059Evalidated
UMLSC1970712Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CDKN1BDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:1785ENSG0000011127660077812p13.1cyclin dependent kinase inhibitor 1B25416039[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

39 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000818Abnormality of the endocrine system
HP:0003165Elevated circulating parathyroid hormone level
HP:0003072Hypercalcemia
HP:0000843Hyperparathyroidism
HP:0002897Parathyroid adenoma
HP:0008208Parathyroid hyperplasia
Frequent (79-30%)
HP:0012091Abnormality of pancreas physiology
HP:0008256Adrenocortical adenoma
HP:0010615Angiofibromas
HP:0002014Diarrhea
HP:0000845Elevated circulating growth hormone concentration
HP:0002574Episodic abdominal pain
HP:0100633Esophagitis
HP:0008283Fasting hyperinsulinemia
HP:0000825Hyperinsulinemic hypoglycemia
HP:0012197Insulinoma
HP:0100634Neuroendocrine neoplasm
HP:0004398Peptic ulcer
HP:0002893Pituitary adenoma
HP:0011760Pituitary growth hormone cell adenoma
HP:0011761Pituitary null cell adenoma
HP:0006767Pituitary prolactin cell adenoma
HP:0030445Pulmonary carcinoid tumor
HP:0006772Renal angiomyolipoma
HP:0001031Subcutaneous lipoma
HP:0000854Thyroid adenoma
HP:0002044Zollinger-Ellison syndrome
Occasional (29-5%)
HP:0100570Carcinoid tumor
HP:0030079Cervix cancer
HP:0007449Confetti-like hypopigmented macules
HP:0010783Erythema
HP:0012334Extrahepatic cholestasis
HP:0003118Increased circulating cortisol level
HP:0030688Increased glucagon level
HP:0012030Increased urinary cortisol level
HP:0006780Parathyroid carcinoma
HP:0008291Pituitary corticotropic cell adenoma
HP:0010788Testicular neoplasm
Very rare (<4-1%)
HP:0100522Thymoma

Run the differential on the 6 obligate / very frequent terms

Annotation source: 17030811[PMID]_24819502[PMID]_22129891[PMID]_20824794[PMID]_17519308[PMID]_20980721[PMID]_17014705[PMID]_23645327[PMID]

7

Sources for this card