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Peutz-Jeghers Syndrome with Facial Freckling
An 8-year-old girl with a history of small bowel polyps presents with facial freckles, particularly on her face, upper lip, buccal mucosa, and fingertips, consistent with Peutz-Jeghers syndrome.
Comment:
Peutz-Jeghers syndrome is characterized by mucocutaneous pigmentation and multiple hamartomatous polyps, often involving the small bowel. The pigmentation, particularly on the lips and fingertips, is a hallmark feature, while the polyps can predispose to complications such as intussusception.
Ashley Davidoff MD TheCommonVein.net (139511) (001SB).
Peutz-Jeghers Syndrome with Jejuno-Jejunal Intussusception
A 10-year-old girl presents with acute abdominal pain.
Clinical examination reveals freckles on her face and upper lip, freckles in her buccal mucosa, and on her fingertips, consistent with Peutz-Jeghers syndrome.
Small bowel follow-through reveals multiple filling defects within a dilated jejunum in the left upper quadrant, consistent with small bowel polyps. The findings are characteristic of Peutz-Jeghers syndrome, . Ashley Davidoff MD (00513) (001SB).

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