Snapshot A 32-year-old woman presents to the clinic with complaint of diarrhea for the past three months. She states that her diarrhea has been watery and not greasy, and she has not seen any blood in the toilet bowl. Upon further questioning, she states that she has also experienced wheezing and skin peeling on her hands and feet. On physical examination, the patient's face and neck appears as seen in the image. Introduction Overview login to view 2 more bullets Epidemiology login to view 4 more bullets Pathophysiology login to view 5 more bullets Associated conditions login to view 3 more bullets Presentation Symptoms login to view 6 more bullets Physical exam login to view 8 more bullets Imaging CT login to view 3 more bullets In-111 octreotide scan login to view 2 more bullets Studies Labs login to view 4 more bullets Differential VIPoma login to view 6 more bullets Treatment Surgical login to view 4 more bullets Medical login to view 3 more bullets Complications Carcinoid heart disease incidence login to view 1 more bullet risk factors login to view 1 more bullet treatment login to view 1 more bullet