Department of Internal Medicine, Dhulikhel Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Department of Public Health and Community Programs, Dhulikhel Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
JNMA J Nepal Med Assoc. 2022 May 5;60(249):473-477. doi: 10.31729/jnma.7407.
Cronkhite-Canada Syndrome is a rare disease characterised by diffuse gastrointestinal polyposis, abdominal pain, diarrhoea, cutaneous and mucosal hyperpigmentation, alopecia, and onychodystrophy. Here we report a case of a 40-year-old female with Cronkhite-Canada Syndrome, who presented with the complaints of diffuse abdominal pain, blood mixed stools, and diarrhoea associated with tenesmus. She had nausea and reduced appetite and lost 10 kgs in 3 months. She had hair fall (alopecia), atrophic changes of nails (onychodystrophy), and hyperpigmentation of the skin in fingers, tongues, and lips. Histopathological biopsy of the gastric and colonic biopsy revealed polypoid edematous mucosa and the colonic biopsies showed scattered dilated glands with inflammatory exudate and mucin. She got Entamoeba histolytica and COVID-19. She received respective antibiotics and protein diets that helped relieve the symptoms. After 4 weeks of steroids, her symptoms improved drastically. Corticosteroids, treating co-infection along with nutritional counselling can be helpful to relieve the symptoms.
alopecia; case reports; cronkhite-canada syndrome; hyperpigmentation.
Cronkhite-Canada 综合征是一种罕见的疾病,其特征为弥漫性胃肠道息肉病、腹痛、腹泻、皮肤和黏膜色素沉着、脱发和甲营养不良。我们在此报告一例 Cronkhite-Canada 综合征的 40 岁女性患者,其主诉为弥漫性腹痛、血便和伴有里急后重的腹泻。她有恶心和食欲不振,并在 3 个月内体重减轻了 10 公斤。她有脱发(脱发)、指甲萎缩性改变(甲营养不良)以及手指、舌头和嘴唇皮肤的色素沉着。胃和结肠活检的组织病理学活检显示息肉样水肿的黏膜,结肠活检显示散在扩张的腺体伴有炎症渗出物和黏蛋白。她感染了溶组织内阿米巴原虫和 COVID-19。她接受了相应的抗生素和蛋白质饮食治疗,有助于缓解症状。在使用类固醇 4 周后,她的症状明显改善。皮质类固醇、治疗合并感染以及营养咨询可以有助于缓解症状。
脱发;病例报告;Cronkhite-Canada 综合征;色素沉着。