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.

Clinical Imaging
|December 7, 2018
PubMed

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.

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