MEN1 and lipoma: Lipomas were the first clinical manifestation of MEN1 in 7 cases (4.83% of affected patients) with a mean age of onset of 21.9 + 11.5 years (range 9–39 years); 3 were index cases (mean age 33.7 + 6.2 years; range 25–39 years) and 4 were relatives (mean age 13.0 + 4.3 years; range 9–20 years).