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A common presentation in primary care. a sensation of warmth accompanied by visible reddening of the skin
increased cutaneous blood flow due to transient vasodilatation
mostly affects the face but may also involve neck , ears , chest , epigastrium , arms
most cases are benign but it is important to be aware of the potentially life threatening conditions that may cause the patient to experience flushing
epidemiological data is hard to obtain
about 80 % of post-menopausal women experience hot flushes
65 % of men receiving treatment for prostate cancer ( medical or surgical castration ) would experience flushing
flushing can also be manifestation of carcinoid syndrome in 20 % to 30 % of patients with midgut neuroendocrine tumours ( NET's )
carcinoid tumours ( rare tumours ) are neuroendocrine tumours that derive from a primitive stem cell and can differentiate into a variety of adult endocrine secreting cells -can produce a variety of peptides , hormones and neurotransmitters
most NE tumors arise in the GI tract ( 70 % ) followed by respiratory tract
patients with carcinoid tumors may be asymptomatic or present with vague GI complaints
Carcinoid Sndrome ( CS ) are a group of symptoms which...
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