Perioral pigmentation: what is your diagnosis?

Dermatol Online J. 2008 Nov 15;14(11):16.

Abstract

Pigmented spots in the skin and mucosa (lentigines) can be found in various diseases called familial lentiginosis syndromes; Peutz-Jeghers syndrome (PJS) is one of them. It is characterized by the association of mucocutaneous melanin pigmentation and hamartomatous gastrointestinal polyps. Patients with PJS are at increased risk of intussusception and cancer development (gastrointestinal and non-gastrointestinal tumors). We present a 5-year-old girl with pigmented macules of perioral and perinasal skin, lips, and buccal mucosa and review lentiginoses and the surveillance of PJS.

Publication types

  • Case Reports

MeSH terms

  • AMP-Activated Protein Kinase Kinases
  • Child, Preschool
  • Exons / genetics
  • Facial Dermatoses / etiology*
  • Facial Dermatoses / genetics
  • Facial Dermatoses / pathology
  • Female
  • Humans
  • Intestinal Neoplasms / prevention & control
  • Intestinal Polyps / genetics
  • Introns / genetics
  • Melanosis / etiology*
  • Melanosis / genetics
  • Melanosis / pathology
  • Mouth Mucosa / pathology*
  • Mutation
  • Peutz-Jeghers Syndrome / complications
  • Peutz-Jeghers Syndrome / diagnosis*
  • Peutz-Jeghers Syndrome / genetics
  • Protein Serine-Threonine Kinases / genetics

Substances

  • Protein Serine-Threonine Kinases
  • STK11 protein, human
  • AMP-Activated Protein Kinase Kinases