title: Rectal bleeding in Prader-Willi syndrome.
abstract: 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.
authors.forename: S A
authors.initials: SA
authors.lastname: Bhargava
authors.forename: P E
authors.initials: PE
authors.lastname: Putnam
authors.forename: S A
authors.initials: SA
authors.lastname: Kocoshis
authors.forename: M
authors.initials: M
authors.lastname: Rowe
authors.forename: J M
authors.initials: JM
authors.lastname: Hanchett
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000523:psychology; D006801:Humans; D011218:Prader-Willi Syndrome / Q000150:complications*; D012002:Rectal Diseases / Q000209:etiology* / Q000523:psychology; D012652:Self Mutilation