What are the abnormalities shows?
What is the underlying condition?

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Peutz Jeghers syndrome is also known as familial intestinal hamartomaous polyposis and is an autosomal, dominant genetic disorder. Patients classically develop multiple small bowel polyps concentrated in the jejunum but polyps may also be present at other sites such as stomach and colon. Hamartomas are benign tumours which contain more than one tissue element and these polyps contain both muscle and glandular tissue and may therefore be called adenomyomas. The polyps very rarely undergo malignant transformation. They can present by intussuscepting and causing obstruction and also by bleeding chronically to cause anaemia or acutely, presenting as melaena. The melanin pigmentation occurs around the lips and at the finger tips but can occur at other sites