#DiagnosticDilemma: What is your take on this??
A 45-year-old man presented to the emergency department with sudden-onset abdominal pain and vomiting.

On physical examination, his abdomen was diffusely tender, and he had hyperpigmented macules on the lips, oral mucosa, and nose.

A computed tomographic scan of the patient’s abdomen revealed a target sign. His two sons had previously presented with abdominal pain due to intussusception and had undergone bowel resection.

What is the most likely underlying diagnosis?

A. Peutz-Jeghers syndrome

B. Henoch-Schönlein purpura

C. Syphilis

D. Melanoacanthoma

E. Crohn’s disease

Answer to be disclosed shortly!!

*The present case has been reported in NEJM
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Dr. Md S●●●●d
Dr. Md S●●●●d Internal Medicine
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Dr. k●●●r s●●●●v d●●●a General Surgery
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Dr. N●●●●●t K●●●●●●a Internal Medicine
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