Human pathology

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juvenile polyposis

MIM.174900

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Juvenile polyp Juvenile polyps in juvenile polyposis

Autosomal dominant disease

Synopsis

- multiple digestive juvenile polyps

Association

- hereditary hemorrhagic telangiectasia (11795766, 9892274, 8165825)
- arachnoid cyst of the posterior fossa with cerebellar tentorium dysplasia (12686769)

Etiology

- mutations in the MADH4 (SMAD4/DPC4) gene (MIM.600993) located on 18q21.1
- mutations in the gene encoding bone morphogenetic protein receptor 1A (BMPR1A) (MIM.601299)

Associations

- cardiac malformations
- intestinal malrotation

- craniofacial anomalies

- tracheal stenosis
- pulmonary arteriovenous malformation
- intestinal malrotation
- Meckel diverticulum
- umbilical fistula
- mesenteric lymphangioma
- colonic adenocarcinoma (cancer not arising in polyps)
- bifid uterus
- vaginal duplication
- cryptorchidism (undescended testes)
- inguinal hernia
- digital clubbing
- polydactyly
- porphyria
- amyotonia congenita

Differential diagnosis

- hereditary mixed polyposis syndrome (HMPS) (MIM.601228)