“…The initial clinical manifestations of some of the MEN 1-associated functioning endocrine neoplasms may include the presence of important skin changes, such as calcinosis cutis due to long-standing primary hyperparathyroidism, flushing during paroxysms of Verner-Morrison syndrome, and necrolytic migratory erythema as part of the glucagonoma syndrome (1)(2)(3). Only facial angiofibromas, collagenomas, and lipomas, however, are regarded as direct cutaneous manifestations of MEN 1 genetic status because, in all 3 of these lesions, MEN 1 loss of heterozygosity has been detected within the neoplastic cell population (4)(5)(6).…”