[Skip to Content]
[Skip to Content Landing]
Article
November 1974

Sporadic Peutz-Jeghers Syndrome in Early ChildhoodA Diagnostic Dilemma

Author Affiliations

USA; USA; USA
From the departments of general surgery (Drs. Yosowitz and Hobson), and pediatrics (Dr. Ruymann), Walter Reed Army Medical Center, Washington, DC.

Am J Dis Child. 1974;128(5):709-712. doi:10.1001/archpedi.1974.02110300119018
Abstract

The sporadic case of Peutz-Jeghers syndrome presenting during childhood poses a continuing challenge. Mucocutaneous pigmentation represents the most reliable diagnostic sign and should be sought in any child who complains of episodic abdominal pain. Recurrent iron deficiency anemia points to gastrointestinal blood loss, even when periodic stool examinations are negative for occult blood. A conservative surgical approach is advocated with local excision of symptomatic and accessible polyps. The risk of a gastrointestinal malignant neoplasm in adults with Peutz-Jeghers syndrome may be slightly greater than in the general population, and in women there is an increased incidence of ovarian tumors. These factors, combined with the unpredictable appearance of new polyps, make continued follow-up of individuals and families with Peutz-Jeghers syndrome necessary.

×