Diagnosis: Peutz-Jeghers syndrome
Description: Excess freckling hands
Morphology: Hyperpigmentation
Site: Hand,dorsum
Sex: M
Age: 71
Type: Clinical
Submitted By: Ian McColl
Differential Diagnosis
History: This elderly man has had pigmentation of his lips and excessive freckling of his skin.He has had numerous colonoscopies and removal of bowel polyps but luckily no bowel carcinoma.