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Published on: December 16, 2021
Combined juvenile polyposis syndrome and hereditary hemorrhagic telangiectasia (JPS/HHT) with MRI and endoscopic
Andrew D Chung1, Koenraad J Mortelé1
1Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, USA.
Insights
Juvenile polyposis syndrome (JPS) and hereditary hemorrhagic telangiectasia (HHT) can co-occur due to shared SMAD4 gene involvement. This report details the first MRI findings for this rare combined diagnosis.
Area of Science:
- Genetics
- Radiology
- Gastroenterology
Background:
- Juvenile polyposis syndrome (JPS) and hereditary hemorrhagic telangiectasia (HHT) are distinct genetic disorders.
- A subset of patients with JPS and HHT share SMAD4 gene mutations, suggesting a potential overlap.
- Understanding this overlap is crucial for comprehensive patient management.
Observation:
- This case report presents a patient with the rare co-occurrence of JPS and HHT.
- The study focuses on the magnetic resonance imaging (MRI) findings in this patient.
- The MRI was performed to assess the disease burden.
Findings:
- This is the first reported case in radiologic literature detailing MRI findings in a patient with coexisting JPS and HHT.
- The MRI findings provide insights into the manifestation of this combined genetic condition.
- Detailed radiologic characteristics are presented for this rare dual diagnosis.
Implications:
- This work highlights the importance of considering combined JPS and HHT in clinical practice.
- Radiologic findings can aid in diagnosing and managing patients with this rare comorbidity.
- Further research into the SMAD4 gene's role in both conditions is warranted.
Abstract:
Juvenile polyposis syndrome (JPS) may coexist with hereditary hemorrhagic telangiectasia (HHT) due to implication of the SMAD4 gene in a subset of both diseases. To the best of our knowledge, we present the first case in the radiologic literature on the MRI findings in a patient with this rare combined diagnosis undergoing workup for burden of disease.
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