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Should an otherwise fit 19 year old male be investigated for carcinoid syndrome whose only symptoms are facial flushing and palpitations when he drinks alcohol?

Associated tags: alcohol, Cancer, carcinoid syndrome, Dermatology, diagnosis, facial flushing, investigations

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Question answered:13/11/07 Warning! this question is over two years old.

Unfortunately, the NLH Q&A Service is not qualified to advise clinicians on a particular course of action. Our role is to try and locate specific literature to help support the clinical decision.

GP Notebook has a section on facial flushing [1] which has four main categories of causes of flushing:

“neoplastic
inflammatory
drug-induced facial flushing
others”

The page (URL below) links to possible causes of each of these.

eMedicine has a chapter on malignant carcinoid syndrome [2] which might be of interest. This includes an extensive section on the clinical picture.

Given our inability to advise it may be appropriate to discuss any investigation/referral concerns with a local oncologist.

References

1) http://www.gpnotebook.co.uk/simplepage.cfm?ID=1080754200
2) http://www.emedicine.com/med/topic2649.htm

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