PEDIATRICS Vol. 97 No. 2 February 1996, pp. 265-267
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Rectal Bleeding in Prader-Willi Syndrome

SANGEETA A. BHARGAVA MD1, PHILIP E. PUTNAM MD1, SAMUEL A. KOCOSHIS MD1, MARC ROWE MD2, and JEANNE M. HANCHETT MD3

1 Department of Pediatrics, Division of Pediatric Gastroenterology
2 Department of Pediatric Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine
3 Rehabilitation Institute of Pittsburgh

Individuals with Prader-Willi syndrome manifest severe skin picking behavior. We report three patients with this syndrome in whom an extension of this behavior to rectal picking resulted in significant lower gastrointestinal bleeding and anorectal disease. The recognition of this behavior is important to avoid misdiagnosing inflammatory bowel disease in this group of patients.

Submitted on February 8, 1995
Accepted on March 16, 1995




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