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Journal List > Korean J Gastroenterol > v.62(4) > 1007149

Um, Kim, Pyo, Lee, Koo, and Huh: A Case of Crohn's Disease Accompanied by Peutz-Jeghers Syndrome

Abstract

Peutz-Jeghers syndrome is an autosomal dominant inherited disorder characterized by multiple gastrointestinal hamartomatous polyps and mucocutaneous pigmentation. Peutz-Jeghers syndrome has an incidence of approximately 1 in 25,000 to 300,000 births. Crohn's disease is a chronic inflammatory bowel disease that typically manifests as regional enteritis with its incidence ranging from 3.1 to 14.6 cases per 100,000 person-years in North America. Herein, we report a case of a 30-year-old male patient who had both Peutz-Jeghers syndrome and Crohn's disease. We believe that this is the first case in Korea and the second report in the English literatures on Peutz-Jeghers syndrome coincidentally accompanied by Crohn's disease.

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References

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Fig. 1.
Pigmentations are noted on the lips and facial skin.
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Fig. 2.
Endoscopic findings. (A) Multiple polyps of variable sizes are observed in the stomach. Longitudinal ulcer (B) and hamartomatous polyps (C) are also found in the colon.
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kjg-62-243f3.tif
Fig. 3.
(A) Histologic examination of a resected polyp demonstrates branching bundles of smooth muscle fibers covered by hyperplastic mucosa compatible with hamartoma which is typical of a Peutz-Jeghers syndrome polyp (H&E, ×10). (B) Chronic inflammatory lesion with granuloma (arrow), suggestive Crohn's disease, is also observed (H&E, ×100).
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kjg-62-243f4.tif
Fig. 4.
Follow-up colonoscopy after treatment shows resolution of previously noted ulcerative lesions.
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