TY - JOUR
T1 - Rectal Picking Masquerading as Inflammatory Bowel Disease in Prader-Willi Syndrome
AU - Salehi, Parisa
AU - Lee, Dale
AU - Ambartsumyan, Lusine
AU - Sikka, Natalie
AU - Scheimann, Ann O.
N1 - Publisher Copyright:
© 2018 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Prader-Willi syndrome (PWS) is a genetic syndrome in which individuals have multisystem medical challenges. Gastroenterological difficulties in the syndrome include decreased vomiting, constipation, delayed gastric emptying, delayed colonic transit, dysphagia, increased choking, and increased risk of gastric dilation and rupture. In addition, self-injurious behavior such as rectal picking may be present and severe enough to lead to rectal ulceration and bleeding. Many patients have extensive gastroenterological workup and treatment before their ultimate diagnosis of severe rectal picking. We describe 4 new cases of rectal picking in individuals with PWS leading to rectal bleeding and ulceration as well as a review of the literature of prior cases of severe rectal picking in PWS and potential treatment options. It is important to recognize these cases early in order to prevent unnecessary treatments and implement appropriate behavioral interventions.
AB - Prader-Willi syndrome (PWS) is a genetic syndrome in which individuals have multisystem medical challenges. Gastroenterological difficulties in the syndrome include decreased vomiting, constipation, delayed gastric emptying, delayed colonic transit, dysphagia, increased choking, and increased risk of gastric dilation and rupture. In addition, self-injurious behavior such as rectal picking may be present and severe enough to lead to rectal ulceration and bleeding. Many patients have extensive gastroenterological workup and treatment before their ultimate diagnosis of severe rectal picking. We describe 4 new cases of rectal picking in individuals with PWS leading to rectal bleeding and ulceration as well as a review of the literature of prior cases of severe rectal picking in PWS and potential treatment options. It is important to recognize these cases early in order to prevent unnecessary treatments and implement appropriate behavioral interventions.
KW - Prader-Willi syndrome
KW - inflammatory bowel disease
KW - rectal bleeding
KW - rectal picking
KW - rectal ulcer
KW - self-injurious behavior
KW - skin picking
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U2 - 10.1097/MPG.0000000000001937
DO - 10.1097/MPG.0000000000001937
M3 - Article
C2 - 29470292
AN - SCOPUS:85050134705
SN - 0277-2116
VL - 67
SP - 59
EP - 63
JO - Journal of pediatric gastroenterology and nutrition
JF - Journal of pediatric gastroenterology and nutrition
IS - 1
ER -