Derm Dx: Papules and multiple endocrine neoplasia type 1

A 32-year-old white woman with a history of multiple endocrine neoplasia type 1 presents with multiple oval hypopigmented papules on her trunk and limbs. She notes that the papules initially appeared around puberty and have increased in number and size gradually. Dermatologic examination reveals multiple oval to round hypopigmented papules measuring 5 to 15 mm on her abdomen, chest, and ...