“…Some studies have indicated a familial trend. 8,9 The systemic nature of MAP means that multiple organs can be involved, including the skin which seems to be the onset system and presents in almost all patients, gastrointestinal tract, nervous system, lung, myocardium and adrenal gland. 1 Skin lesions are distinctive, typically scattered on the trunk and extremities, with the face, soles of the feet, scalp and palms of the hands seldom involved.…”