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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Boyce, Aaron E. McGrath, John A. Techanukul, Tanasit Murrell, Dédée F. Chow, Chung Wo McGregor, Lesley Warren, Lachlan J. |
| Description | Country affiliation: Australia Author Affiliation: Boyce AE ( Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. aaroneboyce@yahoo.com.au) |
| Abstract | Ectodermal dysplasia-skin fragility syndrome (ED-SFS) is a rare autosomal recessive genodermatosis resulting from mutations in the PKP1 gene, encoding the desmosomal plaque protein plakophilin-1 (PKP1). Mutations in PKP1 may manifest with skin fragility and erosions, patches of scale crust on the trunk and limbs, peri-oral cracking and inflammation, hypotrichosis, palmoplantar keratoderma with painful fissuring and other somewhat variable ectodermal anomalies. Ten cases of the syndrome have been reported. We report a further case of this desmosomal genodermatosis. A 14-month old child, born to consanguineous parents, presented with a history of neonatal bullae and subsequent development of dystrophic nails, sparse eyelashes and eyebrows, woolly scalp hair, abnormal dental development and a desquamating erythematous rash at sites of trauma. A clinical diagnosis of ED-SFS was supported by skin biopsy findings of suprabasal intraepidermal clefting and a loss of immunoreactivity for PKP1. Sequencing of genomic DNA revealed a homozygous 5 base pair deletion in exon 5 of the PKP1 gene, designated c.897del5 (CAACC). This new mutation creates a frameshift, leading to a downstream premature termination codon, p.Pro299fsX61. This case highlights the clinicopathological consequences of inherited mutations in the PKP1 gene and illustrates the key role of desmosomes in skin biology. |
| File Format | HTM / HTML |
| ISSN | 00048380 |
| Issue Number | 1 |
| Volume Number | 53 |
| e-ISSN | 14400960 |
| Journal | Australasian Journal of Dermatology |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2012-02-01 |
| Publisher Place | Australia |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Dermatology Base Sequence Ectodermal Dysplasia Genetics Plakophilins Sequence Deletion Skin Diseases Pathology Female Homozygote Humans Infant Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Dermatology |
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