Abstract
A 15-year-old woman presented with maxillary odontogenic pain. Extraorally: multiple bluish and dark brown mucocutaneous maculae in periocular, perinasal, perioral skin, and in fingers of both hands. Intraorally: multiple dark brown maculae in gingival, palatine, labial, and bilateral buccal mucosa. She referred occasional abdominal pain. Patient was referred to oral and maxillofacial pathology because Peutz-Jeghers syndrome was suspected. She was also evaluated by pediatric, clinical genetics, and gastroenterology. Genetic-molecular tests, abdominal and pelvic ultrasound, endoscopy, and colonoscopy were requested. A nonspecific growth was detected in the left ovary, so the patient was referred to gynecology. The case is currently being followed, but due to the COVID-19 pandemic, not all complementary tests have been performed. Diagnosis and management of Peutz-Jeghers syndrome must be multidisciplinary by the presence of gastrointestinal polyps and higher risk for developing cancer. Dental surgeons are in a favorable position to make the initial suspicion of the disease.
Published Version
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