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Bilateral Lower Extremity Hyperkeratotic Plaques: a Case Report of Ichthyosis Vulgaris
Faculty & Staff Scholarship 2015 Bilateral lower extremity hyperkeratotic plaques: a case report of ichthyosis vulgaris Hayley Leight Zachary Zinn Omid Jalali Follow this and additional works at: https://researchrepository.wvu.edu/faculty_publications Clinical, Cosmetic and Investigational Dermatology Dovepress open access to scientific and medical research Open Access Full Text Article CASE REPORT Bilateral lower extremity hyperkeratotic plaques: a case report of ichthyosis vulgaris Hayley Leight Abstract: Here, we report a case of a middle-aged woman presenting with severe, long-standing, Zachary Zinn hyperkeratotic plaques of the lower extremities unrelieved by over-the-counter medications. Omid Jalali Initial history and clinical findings were suggestive of an inherited ichthyosis. Ichthyoses are genetic disorders characterized by dry scaly skin and altered skin-barrier function. A diagnosis Department of Dermatology, West Virginia University, of ichthyosis vulgaris was confirmed by histopathology. Etiology, prevalence, and treatment Morgantown, WV, USA options are discussed. Keywords: filaggrin gene, FLG, profilaggrin, keratohyalin granules, hyperkeratosis Introduction For personal use only. Inherited ichthyoses are a diverse group of genetic disorders characterized by dry, scaly skin; hyperkeratosis; and altered skin-barrier function. While these disorders of cutaneous keratinization are multifaceted and varying in etiology, disruption in the stratum corneum with generalized scaling is common to all.1–4 Although not entirely known -
Skin Brief Articles
SKIN BRIEF ARTICLES Nab-paclitaxel/gemcitabine Induced Acquired Ichthyosis Adriana Lopez BAa, Joel Shugar MDb, and Mark Lebwohl MDc aColumbia University Vagelos College of Physicians and Surgeons, New York, NY bIcahn School of Medicine at Mount Sinai, Department of Otolaryngology, New York, NY cIcahn School of Medicine at Mount Sinai, Department of Dermatology, New York, NY ABSTRACT The ichthyoses are a diverse group of cutaneous disorders characterized by abnormalities in cornification. The majority of ichthyoses are inherited with childhood presentation and new onset ichthyosis in adulthood warrants further medical evaluation. Though most well recognized for its association with Hodgkin’s disease, acquired ichthyosis (AI) has been linked to a number of inflammatory, autoimmune, and endocrine processes. However, drug- induced AI is exceedingly rare and remains a poorly understood entity. Here we report a case of a male patient who developed AI while receiving nab-paclitaxel plus gemcitabine for treatment of pancreatic adenocarcinoma. months prior, the patient was first seen for INTRODUCTION recurrent, self-healing, pruritic erythematous Acquired ichythyosis (AI) is an uncommon papules. Punch biopsy was performed which non-inherited cutaneous disorder of showed an atypical cellular infiltrate of abnormal keratinization that is most scattered large CD30+ cells with clonal T-cell frequently associated with underlying receptor-β gene rearrangement. Though the malignancy. Drug induced AI is uncommon clinicopathologic diagnosis was most and has been rarely linked to consistent with lymphomatoid papulosis chemotherapeutic agents. Herein, we report (LyP), imaging was pursued to exclude the case of a man with pancreatic extracutaneous lymphoproliferative disease. adenocarcinoma who developed an CT scan incidentally detected a mass in the ichthyosiform eruption upon starting body of the pancreas and biopsy was chemotherapy with nab-paclitaxel plus concordant with pancreatic adenocarcinoma. -
TRHG10-4 Text-Final.X
SCE Frequency Measurement Could Be Useful in the Prenatal Diagnosis of Roberts Syndrome Nenad Bukvic,1 Nicoletta Resta,2 Dragoslav Bukvic,3 Francesco C. Susca,1 Rosanna Bagnulo,2 Margherita Fanelli,4 and Ginevra Guanti2 1 Department of Internal and Public Medicine-Section of Medical Genetics, University of Bari, Bari, Italy 2 Department of Biomedicine of Evolutive Age-Section of Medical Genetics, University of Bari, Bari, Italy 3 Department of Gynaecology, General Hospital, Niksic, Montenegro 4 Department of Internal and Public Medicine-Section of Imaging Medicine, University of Bari, Bari, Italy n a previously published article (Resta et al., 2006) ‘repulsion’ of the peri- or para-centromeric regions Ion Robert’s syndrome in prenatal diagnosis, a (premature centromere separation [PCS]) together case of a 36-year-old woman and her 36-year-old, with splaying of the short arm of the acrocentrics and nonconsanguineous husband were presented. Our of the distal heterochromatic block of the long arm of findings suggest the existence of nonsense medi- the Y chromosome (German, 1979; Louie & German, ated decay (NMD) variability which could account 1981; Schüle et al., 2005). This cytogenetic phenome- for the varying severity reported in carriers of iden- non, called the RS effect, is observed in cells of tical mutations. Furthermore, fetal cells were used different tissues and appears to be more evident in to evaluate the influence of premature centromere chromosomes with large amounts of heterochromatin separation (PCS) on the sister chromatid exchange (Van den Berg & Francke, 1993). The first prenatal (SCE) and micronucleus (MN) frequency. Given the detection of the RS effect was reported by Willner et similar variation observed in the SCE frequencies, dependent on tissue/cell type (amniotic fluid al. -
Lymphatic Complaints in the Dermatology Clinic: an Osteopathic
Volume 35 JAOCDJournal Of The American Osteopathic College Of Dermatology Lymphatic Complaints in the Dermatology Clinic: An Osteopathic Approach to Management A five-minute treatment module makes lymphatic OMT a practical option in busy practices. Also in this issue: A Case of Acquired Port-Wine Stain (Fegeler Syndrome) Non-Pharmacologic Interventions in the Prevention of Pediatric Atopic Dermatitis: What the Evidence Says Inflammatory Linear Verrucous Epidermal Nevus Worsening in Pregnancy last modified on June 9, 2016 10:54 AM JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 1 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY 2015-2016 AOCD OFFICERS PRESIDENT Alpesh Desai, DO, FAOCD PRESIDENT-ELECT Karthik Krishnamurthy, DO, FAOCD FIRST VICE-PRESIDENT Daniel Ladd, DO, FAOCD SECOND VICE-PRESIDENT John P. Minni, DO, FAOCD Editor-in-Chief THIRD VICE-PRESIDENT Reagan Anderson, DO, FAOCD Karthik Krishnamurthy, DO SECRETARY-TREASURER Steven Grekin, DO, FAOCD Assistant Editor TRUSTEES Julia Layton, MFA Danica Alexander, DO, FAOCD (2015-2018) Michael Whitworth, DO, FAOCD (2013-2016) Tracy Favreau, DO, FAOCD (2013-2016) David Cleaver, DO, FAOCD (2014-2017) Amy Spizuoco, DO, FAOCD (2014-2017) Peter Saitta, DO, FAOCD (2015-2018) Immediate Past-President Rick Lin, DO, FAOCD EEC Representatives James Bernard, DO, FAOCD Michael Scott, DO, FAOCD Finance Committee Representative Donald Tillman, DO, FAOCD AOBD Representative Michael J. Scott, DO, FAOCD Executive Director Marsha A. Wise, BS AOCD • 2902 N. Baltimore St. • Kirksville, MO 63501 800-449-2623 • FAX: 660-627-2623 • www.aocd.org COPYRIGHT AND PERMISSION: Written permission must be obtained from the Journal of the American Osteopathic College of Dermatology for copying or reprinting text of more than half a page, tables or figures. -
TAR Syndrome, a Rare Case Report with Cleft Lip/Palate a Naseh, a Hafizi, F Malek, H Mozdarani, V Yassaee
The Internet Journal of Pediatrics and Neonatology ISPUB.COM Volume 14 Number 1 TAR Syndrome, a Rare Case Report with Cleft Lip/Palate A Naseh, A Hafizi, F Malek, H Mozdarani, V Yassaee Citation A Naseh, A Hafizi, F Malek, H Mozdarani, V Yassaee. TAR Syndrome, a Rare Case Report with Cleft Lip/Palate. The Internet Journal of Pediatrics and Neonatology. 2012 Volume 14 Number 1. Abstract TAR (Thrombocytopenia-Absent Radius) is a clinically –defined syndrome characterized by hypomegakarocytic thrombocytopenia and bilateral absence of radius in the presence of both thumbs. We describe a female neonate as a rare case of TAR syndrome with orofacial cleft. Bone marrow aspiration of the patient revealed a cellular marrow with marked reduction of megakaryocytes. Our clinical observation is consistent with TAR syndrome. However, other syndromes with cleft lip/palate and radial aplasia like Roberts syndrome (tetraphocomelia), Edwards syndrome and Fanconi and sc phocomelia (which has less degree of limb reduction) should be considered. Our cytogenetic study excludes other overlapping chromosomal syndromes. RBM8A analysis may reveal nucleotide alteration, leading to definite diagnosis. Our objective is adding this cleft lip and cleft palate to the literature regarding TAR syndrome. - Eva Klopocki, Harald Schulz, Gabriele Straub,Judith Hall,Fabienne Trotier, et al(February 2007) ;Complex inheritance pattern Resembeling Autosomal Recessive Inheritance Involving a Microdeletion in Thrombocytopenia-Absent Radius Syndrome.The American Journal of Human Genetics 80:232-240 INTRODUCTION syndrome. The hemorrhage happens during the first 14 TAR is a clinically-defined syndrome characterized by months of life. Hedberg and associates concluded in a study thrombocytopenia and bilateral radial bone aplasia in the that 18 of 20 deaths in 76 patients were due to hemorrhagic forearm with thumbs present. -
Emaciation, Congestive Heart Failure, and Systemic Amyloidosis In
Case Report Emaciation, Congestive Heart Failure, and Systemic Amyloidosis in Severe Recessive Dystrophic Epidermolysis Bullosa: Possible Internal Complications Due to Skin-Derived Inflammatory Cytokines Derived from the Injured Skin Yoshiaki Matsushima y , Kento Mizutani y, Hiroyuki Goto y, Takehisa Nakanishi, Makoto Kondo, Koji Habe, Kenichi Isoda, Hitoshi Mizutani and Keiichi Yamanaka * Department of Dermatology, Mie University Graduate School of Medicine, Tsu, Mie 514-8507, Japan; [email protected] (Y.M.); [email protected] (K.M.); [email protected] (H.G.); [email protected] (T.N.); [email protected] (M.K.); [email protected] (K.H.); [email protected] (K.I.); [email protected] (H.M.) * Correspondence: [email protected]; Tel.: +81-59-231-5025; Fax: +81-59-231-5206 These authors contributed equally to this work. y Received: 2 August 2020; Accepted: 7 September 2020; Published: 14 September 2020 Abstract: Inherited epidermolysis bullosa (EB) is a rare genetic skin disorder characterized by epithelial tissue fragility. Recessive dystrophic epidermolysis bullosa (RDEB) is the most severe form, characterized by the presence of blisters, erosion, and ulcer formation, leading to scarring and contraction of the limbs. RDEB is also associated with extra-cutaneous complications, including emaciation, congestive heart failure, and systemic amyloidosis. The main cause of these clinical complications is unknown; however, we hypothesized that they are caused by elevated circulating inflammatory cytokines overproduced by injured keratinocytes. We addressed this phenomenon using keratin-14 driven, caspase-1 overexpressing, transgenic (KCASP1Tg) mice in which injured keratinocytes release high levels of IL-1α and β. -
Epidermolysis Bullosa (EB)
OR Preparation for Patients with Epidermolysis Bullosa (EB) Background: Patients with EB have a mutation in their keratin or collagen genes. As a result the skin is not properly anchored and mere touch can cause the skin to slough or blister. Many different subtypes have been identified but the most common variant we see in our patient population is recessive dystrophic EB. The children appear as burn patients and are frequently wrapped in total body burn dressings. NO ADHESIVES MAY BE USED IN THESE PATIENTS. You will note the following in these children. Airway: the tissues of the lining of the mouth, tongue and esophagus are affected making eating difficult. Mouth opening is SEVERELY LIMITED and these patients are always considered difficult airways. FOI is the preferred method to intubate since we try to minimize contact with the mucosa. Digits: continued skin slough and scarring results in absence of fingernails and the fingers often fuse together. Cardiac: Over time, some children develop a cardiomyopathy. Anemia is common as is continued infections, so these children often appear to be in a high-output state. Renal: Many children develop renal failure over time. Hemotologic: Continued bleeding from wounds and poor nutrition causes anemia. Infections: These children are often colonized with MRSA in their wounds and many act as though in low-grade sepsis. You will see tachycardia and anesthetic resistance. IV access: Difficult though not as impossible as you would imagine. NO ELASTIC TOURNIQUETS! A hand tourniquet is sufficient. Alcohol wipes are not usually used. A small amount of baby shampoo on moistened gauze dabbed on and off with moist gauze may be used GI tract: Esophageal strictures are common due to sloughing and scarring of the esophagus, so patients coming in for these procedures often cannot handle their oral secretions and are drooling. -
Cytoplasmic Plaque Formation in Hemidesmosome Development Is Dependent on Soxf Transcription Factor Function
Cytoplasmic Plaque Formation in Hemidesmosome Development Is Dependent on SoxF Transcription Factor Function Shelly Oommen1, Mathias Francois2, Maiko Kawasaki1, Melanie Murrell2, Katsushige Kawasaki1, Thantrira Porntaveetus1, Sarah Ghafoor1, Neville J. Young2, Yoshimasa Okamatsu3, John McGrath4, Peter Koopman2, Paul T. Sharpe1, Atsushi Ohazama1,3* 1 Craniofacial Development and Stem Cell Biology, and Biomedical Research Centre, Dental Institute, King’s College London, London, United Kingdom, 2 Institute for Molecular Bioscience, The University of Queensland, Brisbane, Australia, 3 Department of Periodontology, Showa University Dental School, Tokyo, Japan, 4 Genetic Skin Disease Group, St John’s Institute of Dermatology, Division of Skin Sciences, King’s College London, London, United Kingdom Abstract Hemidesmosomes are composed of intricate networks of proteins, that are an essential attachment apparatus for the integrity of epithelial tissue. Disruption leads to blistering diseases such as epidermolysis bullosa. Members of the Sox gene family show dynamic and diverse expression patterns during development and mutation analyses in humans and mice provide evidence that they play a remarkable variety of roles in development and human disease. Previous studies have established that the mouse mutant ragged-opossum (Raop) expresses a dominant-negative form of the SOX18 transcription factor that interferes with the function of wild type SOX18 and of the related SOXF-subgroup proteins SOX7 and 217. Here we show that skin and oral mucosa in homozygous Raop mice display extensive detachment of epithelium from the underlying mesenchymal tissue, caused by tearing of epithelial cells just above the plasma membrane due to hemidesmosome disruption. In addition, several hemidesmosome proteins expression were found to be dysregulated in the Raop mice. -
Ichthyosis: Case Report in a Colombian Man with Genetic Alterations in ABCA12 and HRNR Genes Ruben D
Arias‑Pérez et al. BMC Med Genomics (2021) 14:140 https://doi.org/10.1186/s12920‑021‑00987‑y CASE REPORT Open Access Ichthyosis: case report in a Colombian man with genetic alterations in ABCA12 and HRNR genes Ruben D. Arias‑Pérez1, Salomón Gallego‑Quintero1, Natalia A. Taborda1 , Jorge E. Restrepo2, Renato Zambrano‑Cruz3 , William Tamayo‑Agudelo3, Patricia Bermúdez4, Constanza Duque4, Ismael Arroyave4, Johanna A. Tejada‑Moreno5, Andrés Villegas‑Lanau5, Alejandro Mejía‑García5, Wildeman Zapata6 , Juan C. Hernandez6* and Gina Cuartas‑Montoya3 Abstract Background: Ichthyosis is a heterogeneous group of diseases caused by genetic disorders related to skin formation. They are characterized by generalized dry skin, scaling, hyperkeratosis and frequently associated with erythroderma. Among its diferent types, harlequin ichthyosis (HI) stands out due to its severity. HI is caused by mutations in the ABCA12 gene, which encodes essential proteins in epidermal lipid transport, and it helps maintain the homeostasis of the stratum corneum of the epidermis. However, due to the wide spectrum of genetic alterations that can cause ichthyosis, holistic medical care, and genetic studies are required to improve the diagnosis and outcomes of these diseases. Case presentation: Here, we presented the case of a 19 years old male patient who was a premature infant and exhibited clinical features consistent with HI, including bright yellow hyperkeratotic plates with erythematous fssures that covered his entire body like a collodion baby. Currently, he exhibited erythroderma, photosensitivity, ectropion, auricular pavilion alterations, and musculoskeletal disorders, such as equinovarus feet, fngers, hands, and hypoplastic feet with contractures in fexion and marked difculty in fne motor skills. -
Soonerstart Automatic Qualifying Syndromes and Conditions
SoonerStart Automatic Qualifying Syndromes and Conditions - Appendix O Abetalipoproteinemia Acanthocytosis (see Abetalipoproteinemia) Accutane, Fetal Effects of (see Fetal Retinoid Syndrome) Acidemia, 2-Oxoglutaric Acidemia, Glutaric I Acidemia, Isovaleric Acidemia, Methylmalonic Acidemia, Propionic Aciduria, 3-Methylglutaconic Type II Aciduria, Argininosuccinic Acoustic-Cervico-Oculo Syndrome (see Cervico-Oculo-Acoustic Syndrome) Acrocephalopolysyndactyly Type II Acrocephalosyndactyly Type I Acrodysostosis Acrofacial Dysostosis, Nager Type Adams-Oliver Syndrome (see Limb and Scalp Defects, Adams-Oliver Type) Adrenoleukodystrophy, Neonatal (see Cerebro-Hepato-Renal Syndrome) Aglossia Congenita (see Hypoglossia-Hypodactylia) Aicardi Syndrome AIDS Infection (see Fetal Acquired Immune Deficiency Syndrome) Alaninuria (see Pyruvate Dehydrogenase Deficiency) Albers-Schonberg Disease (see Osteopetrosis, Malignant Recessive) Albinism, Ocular (includes Autosomal Recessive Type) Albinism, Oculocutaneous, Brown Type (Type IV) Albinism, Oculocutaneous, Tyrosinase Negative (Type IA) Albinism, Oculocutaneous, Tyrosinase Positive (Type II) Albinism, Oculocutaneous, Yellow Mutant (Type IB) Albinism-Black Locks-Deafness Albright Hereditary Osteodystrophy (see Parathyroid Hormone Resistance) Alexander Disease Alopecia - Mental Retardation Alpers Disease Alpha 1,4 - Glucosidase Deficiency (see Glycogenosis, Type IIA) Alpha-L-Fucosidase Deficiency (see Fucosidosis) Alport Syndrome (see Nephritis-Deafness, Hereditary Type) Amaurosis (see Blindness) Amaurosis -
April 2011 Preventiongenetics Newsletter
News from PreventionGenetics IN THIS ISSUE Volume 3, Number 1 New Tests Welcome to the April 2011 PreventionGenetics Newsletter. In New Hires this issue, we present new DNA sequencing tests for 40 President's Corner disorders. In addition, we introduce two new geneticists to our staff. In the President's Corner, Dr. Jim Weber discusses recent progress at PreventionGenetics. QUICK LINKS Our Website Requisition Form New Tests at PreventionGenetics Please follow the gene links for the corresponding test description. · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · Achondrogenesis (SLC26A2) Achondrogenesis Type II-Hypochondrogenesis (COL2A1) Amyotrophic Lateral Sclerosis and Primary Open-Angle Glaucoma (OPTN) Atelosteogenesis (SLC26A2) Camurati-Engelmann Disease (TGFB1) Cartilage-hair Hypoplasia and Related Disorders (RMRP) Chediak-Higashi Syndrome (LYST) Chondrodysplasia Punctata, X-Linked Dominant (EBP) Cleidocranial Dysplasia (RUNX2) Cranioectodermal Dysplasia 1 (IFT122) Diastrophic Dysplasia (SLC26A2) Dilated Cardiomyopathy and Limb-Girdle Muscular Dystrophy Type 2F (SGCD) Dentinogenesis Imperfecta (DSPP) Ellis-van Creveld Syndrome (EVC, EVC2) Emery-Dreifuss Muscular Dystrophy-1 (EMD) Fanconi Anemia (FANCL) Hennekam Lymphangiectasia-Lymphedema (CCBE1) Hereditary Breast Cancer (CHEK2) Hermansky Pudlak Syndrome (HPS1, HPS2/AP3B1, HPS3, HPS4, HPS5, HPS6, HPS7/DTNBP1, HPS8/BLOC1S3) Hirschsprung Disease (RET) Holt-Oram Syndrome (TBX5) Kneist Dysplasia (COL2A1) Lynch Syndrome (PMS2) Menkes Disease and X-Hereditary -
Practicing Pediatric Pathology Without a Microscope Raj P
Practicing Pediatric Pathology Without a Microscope Raj P. Kapur, M.D., Ph.D. University of Washington, Seattle, Washington The practice of anatomic pathology is constantly in This article highlights changes in the field of pedi- flux and the beginning of this new millennium is no atric pathology that have resulted from technical exception. In pediatric pathology, as in other med- advances in prenatal diagnostics, immunohisto- ical disciplines, molecular genetics has dramatically chemistry, cytogenetics, and molecular genetics. altered the way we handle, diagnose, and prognos- The relatively new and growing need for specialized ticate from specific specimens. The application of training in fetal pathology is used as an example. molecular diagnostic techniques to pediatric neo- Comprehensive evaluation of human fetuses has plasia including solid and hematologic malignan- become a requisite skill for many diagnostic pathol- cies is generally similar to adult pathology and has ogists, in part because contemporary prenatal diag- been reviewed in accompanying papers from this nostic techniques have shifted the demographics of course. However, the anatomic pathology of con- many congenital conditions from spontaneous genital disorders remains largely a field for pathol- term delivery to mid-gestation termination of preg- ogists who serve the newly born or very young, nancy. The information provided by the pathologist including those of us who subspecialize in pediatric has a tremendous impact for families and clinicians pathology. The theme of this paper will be the in- as they consider recurrence risks in future pregnan- creasing demands that have been thrust upon the cies. As most specimens from therapeutic termina- anatomic pathologist as a result of technical and tions have gross dysmorphology, which may or may sociologic changes in obstetrical management.