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Cronkhite-Canada Syndrome- The first case from Pakistan: a case report.
Hassan Tanvir Ramzi1, Yumna Zainab1, Sana Manzoor1
1Department of Medicine, Ibne Siena Hospital and Research Institute, Multan, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|March 18, 2023
Summary
Cronkhite-Canada syndrome causes gastrointestinal polyps and other symptoms like hair loss and nail changes. Oral corticosteroids effectively improved a patient's condition in this case.
Area of Science:
- Gastroenterology
- Dermatology
- Endocrinology
Background:
- Cronkhite-Canada syndrome (CCS) is a rare disorder characterized by diffuse gastrointestinal polyposis.
- CCS presents with unique extradigestive manifestations including nail dystrophy, hyperpigmentation, and alopecia.
- The syndrome is associated with increased risk of malignancy and other autoimmune conditions.
Observation:
- A 51-year-old male presented with abdominal pain and significant weight loss.
- Physical examination revealed dystrophic nails, alopecia, and cutaneous hyperpigmentation.
- Endoscopic and colonoscopic evaluations confirmed the presence of multiple gastrointestinal polyps.
Findings:
- The patient's clinical presentation and diagnostic findings were consistent with Cronkhite-Canada syndrome.
- The patient's manifestations included diffuse polyposis, nail changes, alopecia, hyperpigmentation, abdominal pain, and weight loss.
- The case highlights the characteristic features of this rare syndrome.
Implications:
- Early diagnosis and management of Cronkhite-Canada syndrome are crucial to prevent complications.
- Treatment strategies for CCS involve addressing gastrointestinal polyposis and associated symptoms.
- This case underscores the importance of recognizing the extradigestive signs of CCS for timely intervention and improved patient outcomes.
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