A late diagnosis of MEN 1 Syndrome in a young patient initially pre-senting with nephrolithiasis

Background:Multiple Endocrine Neoplasms Type 1 (MEN 1), originally called Wermer Syndrome, is a rare hereditary condition caused by mutations in the MEN1 tumor suppressor gene.It is characterized by tumors of the parathyroid glands, the anterior pituitary gland and pancreatic islet cells.Hyperparathyroidism is the most common manifestation of this syndrome.MEN1 can also be associated with other endocrine and non -endocrine tumors.