Summary
A case study is presented of a 57-year-old male who showed typical clinical features of Cronkhite-Canada syndrome. Numerous polypoid lesions were found in the stomach, duodenum, ileum, colon and rectum accompanied with characteristic ectodermal changes. Tests indicated a protein-losing gastroenteropathy. Intestinal lactase deficiency was demonstrated by the lactose tolerance test. Scanning electronmicroscopy of the gastric and colonic mucosa revealed prominent secretion of mucoid substances and distortion in the gastric pits and colonic crypts. These abnormal findings were interpreted as having a direct relationship to the loss of protein into the gastrointestinal tract.
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References
Cronkhite LW, Canada WJ: Generalized gastrointestinal polyposis; an unusual syndrome of polyposis, pigmentation, alopecia and onychotrophia. New Eng J Med 252: 1011, 1955
Johnson GK, et al: Cronkhite-Canada syndrome: Gastrointestinal pathophysiology and morphology. Gastroenterology 63: 140, 1972
Jarnum S, et al: Diffuse gastrointestinal polyposis with ectodermal changes. A case with severe malabsorption and enteric loss of plasma proteins and electrolytes. Gastroenterology 50: 107, 1966
Kennedy JA, et al: A transient syndrome with Peutz-Jegher’s features and ectodermal change. Proc R Soc Med 54: 234, 1961
Zdansky E, et al: Gastrointestinale polypöse Adenomatose mit HypoproteinÄmie und ektodermalen Störungen. Radiol Clin 32: 254, 1963
Manousos O, et al: Diffuse gastrointestinal polyposis with ectodermal changes. Gut 7: 375, 1966
Vintz H, et al: Surgical aspects of Cronkhite-Canada syndrome. Zbl chir 98: 1403. 1973
Ookita H, et al: Nihonrinsho 16: 1486, 1958. (Jpn)
Nishiyama S, et al: Gastrointestinale Polyposis mit universeller Alopecie, Onychodystrophie und Pigmentation der Haut. Arch Klin Exp Derm 221: 144, 1965
Orimo H, et al: Naika 17: 763, 1966. (Jpn)
Sakida T, et al: Stomach and Intestine 1: 675, 1966. (Jpn)
Yoshida H, et al: Generalized gastrointestinal polyposis with pigmentation, alopecia and onychotrophia. Saishinigaku 24: 1990, 1969. (Jpn)
Okamura K, et al: J Jpn Surg Soc 74: 696, 1973
Fujii H, et al: Two autopsy cases of Cronkhite-Canada syndrome. J Jpn Soc Intern Med 64: 40, 1975. (Jpn)
Sasagawa T, et al: A case of Cronkhite-Canada’s syndrome associated with malignant changes of rectal polyp. Stomach and Intestine 6: 83, 1971
Goto A, et al: J Jpn Soc Gastroenterol 68: 573, 1971. (Jpn)
Shibuya C: An autopsy case of Cronkhite-Canada’s syndrome-generalized gastrointestinal polyposis, pigmentation, alopecia and onychotrophia. Acta Pathol Jpn 22: 171, 1972
Akagi T, et al: An autopsy case of Cronkhite-Canada’s syndrome. Stomach and Intestine 7: 49, 1972
Fujita T, et al: Medical Treatment 26: 23, 1972. (Jpn)
Iijima M, et al: J Jpn Soc Gastroenterol 69: 2154, 1972. (Jpn)
Hara M, et al: Nihon Univ Med J 32: 822, 1972. (Jpn)
Imai H, et al: Two cases with Cronkhite-Canada’s syndrome-with special reference to histologic changes in polyposis. Stomach and Intestine 8: 783, 1973
Nishitani O, et al: Gastroenterol Endosc 15: 221, 1973. (Jpn)
Miyoshi M, et al: Two autopsy cases of diffuse gastrointestinal polyposis with ectodermal changes Cronkhite-Canada Syndrome. Am J Gastroenterol 64: 357, 1975
Kazumi T, et al: An autopsy case of Cronkhite-Canada’s syndrome. Stomach and Intestine 9: 1195, 1974
Makiyama K, et al: A case of Cronkhite-Canada’s syndrome with enlargement of the gastro-duodenal and superior mesenteric arteries. Stomach and Intestine 12: 503, 1977
Chin M, et al: Jpn J Gastroenterol Surg 89: 1974. (Jpn)
Ogawa A, et al: J Jpn Soc. Gastroenterol 72: 606, 1975. (Jpn)
Ichikawa M, et al: An autopsy case of Cronkhite-Canada syndrome. Stomach and Intestine 10: 1519, 1975
Hirabayashi H, et al: The 17th Annual Meeting of Japanese Society of Gastroenterology 1975 (Nagasaki)
Yokoi I, et al: Transaction Societatis Pathologicae Japonicae 63: 263, 1974. (Jpn)
Murashima Y, et al: A case of Cronkhite-Canada’s syndrome-disappearance of polyps in the digestive tract. Stomach and Intestine 12: 495, 1977
Ikeuchi T, et al: J Jpn Soc Gastroenterol 73: 127, 1976. (Jpn)
Mito S, et al: A case of Cronkhite-Canada’s syndrome with a complication of rectal cancer and remarkable improvement after operation. Stomach and Intestine 12: 489, 1977
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Suzuki, K., Uraoka, M., Funatsu, T. et al. Cronkhite-Canada syndrome. Gastroenterol Jpn 14, 441–449 (1979). https://doi.org/10.1007/BF02773732
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DOI: https://doi.org/10.1007/BF02773732