Abstract

Peutz-Jeghers syndrome is a rare autosomal dominant disorder of hamartomatous polyposis of the gastrointestinal tract, with pigmentation around lips and macules on the buccal mucosa that typically manifests itself as recurrent colicky abdominal pain and intestinal obstruction due to intussusception. Here we report a case of a 16-year-old girl who presented with abdominal pain, vomiting and previous history of laparotomy for intussusception. Multiple well demarcated black pigmented macules on lips, perioral region, buccal mucosa, digits, palms and soles were noted. She was diagnosed as a case of Peutz-Jeghers syndrome and managed conservatively. DOI: http://dx.doi.org/10.3329/jemc.v4i3.20958 J Enam Med Col 2014; 4(3): 184-187

Highlights

  • Peutz-Jeghers syndrome (PJS), known as hereditary intestinal polyposis syndrome, is an autosomal dominant genetic disease characterized by the development of benign hamartomatous polyps in the gastrointestinal tract, presence of hyperpigmented macules on the lips and oral mucosa and susceptibility to multiple cancers.[1]

  • A clinical diagnosis of PJS may be made when any one of the following conditions is present in a single individual: two or more histologically confirmed PeutzJeghers (PJ) polyps; any number of PJ polyps detected in an individual who has a family history of PJS in a close relative; characteristic mucocutaneous pigmentation in an individual who has a family history of PJS in a close relative or any number of PJ polyps in an individual who has characteristic mucocutaneous pigmentation.[3]

  • We report a case of a 16-year-old girl who presented with abdominal pain, vomiting and previous history of laparotomy for intussusceptions and subsequently was diagnosed as a case of PJS

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Summary

Introduction

Peutz-Jeghers syndrome (PJS), known as hereditary intestinal polyposis syndrome, is an autosomal dominant genetic disease characterized by the development of benign hamartomatous polyps in the gastrointestinal tract, presence of hyperpigmented macules on the lips and oral mucosa (melanosis) and susceptibility to multiple cancers.[1]. Peutz-Jeghers syndrome (PJS), known as hereditary intestinal polyposis syndrome, is an autosomal dominant genetic disease characterized by the development of benign hamartomatous polyps in the gastrointestinal tract, presence of hyperpigmented macules on the lips and oral mucosa (melanosis) and susceptibility to multiple cancers.[1] It has an incidence of approximately 1 in 120000 births.[2]

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