We want to thank the authors for responding to our paper and for apprising readers as to the effects of the new information technologies in Asian educational settings. We think Miyake has characterized our argument very accurately and succinctly. As she points out the equity issues we raise are exacerbated in Asia because the resources available through new technologies are mostly in English. B...

Abstract MEN1 is an autosomal dominant syndrome characterized by involvement of several endocrine and non-endocrine organs. The most common organs that are affected include pituitary, parathyroid, and/or pancreas. In 10-30% patients, no germline mutations in the menin gene identified, presenting a diagnostic challenge. This case raises question possible MEN4 syndrome, which shares similar pheno...