Unraveling A Rare Case: Diarrhea, Alopecia, And Polyposis
February 2025
in “
Gastroenterology
”
TLDR Corticosteroids improved symptoms in a man with Cronkhite-Canada Syndrome.
A 53-year-old man was diagnosed with Cronkhite-Canada Syndrome (CCS), a rare, noninherited disorder characterized by gastrointestinal hamartomatous polyposis and ectodermal abnormalities, including alopecia, skin hyperpigmentation, and onychodystrophy. The patient presented with symptoms such as diarrhea, taste disturbances, and progressive hair loss. Diagnosis was confirmed through clinical symptoms and the presence of numerous reddish sessile polyps throughout the gastrointestinal tract. Treatment with corticosteroids, specifically prednisolone, led to significant improvement in symptoms, including hair regrowth and disappearance of polyps. CCS is associated with an increased risk of gastric and colorectal cancers, necessitating regular endoscopic surveillance. The etiology of CCS is unclear, but inflammation is believed to play a significant role, with corticosteroids being the mainstay of treatment.