Tong Qin
Department of Digestive Nutrition, Hunan Children's Hospital, Changsha 410007, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2024 Oct 15;26(10):1122-1126. doi: 10.7499/j.issn.1008-8830.2404054.
Peutz-Jeghers syndrome (PJS) is an autosomal dominant genetic disorder characterized by mucocutaneous pigmentation and multiple hamartomatous polyps, which leads to an increased susceptibility to tumors. The clinical incidence is rare, and the only currently identified pathogenic gene is the serine/threonine kinase 11/liver kinase B1 () located on the short arm of chromosome 19 (19p13.3). This condition can lead to various complications, such as gastrointestinal bleeding, intussusception, intestinal obstruction, and malignancy. In childhood, the greatest risk is associated with intussusception, which increases the risk of surgical intervention and significantly impacts the growth, development, and quality of life of the children. This article provides an overview of the current research status regarding the clinical characteristics, etiology, pathogenesis, diagnosis, and treatment of PJS in children.
佩-吉二氏综合征(PJS)是一种常染色体显性遗传病,其特征为黏膜皮肤色素沉着和多发性错构瘤性息肉,这会导致患肿瘤的易感性增加。临床发病率很低,目前唯一确定的致病基因是位于19号染色体短臂(19p13.3)上的丝氨酸/苏氨酸激酶11/肝脏激酶B1( )。这种病症会引发各种并发症,如胃肠道出血、肠套叠、肠梗阻和恶性肿瘤。在儿童期,最大风险与肠套叠有关,这会增加手术干预风险,并对儿童的生长、发育和生活质量产生重大影响。本文概述了儿童PJS的临床特征、病因、发病机制、诊断和治疗方面的当前研究现状。