544 Incontinentia pigmenti in a male infant and a proposed diagnostic algorithm
نویسندگان
چکیده
Incontinentia pigmenti (IP), is an X linked dominant disorder featuring blistering and hyperpigmentation along the lines of Blaschko. Genetically, a single large intragenic deletion spanning exons 4–10 IKBKG gene has been identified as cause IP in ∼80% all cases. Females with usually survive due to chromosome inactivation. However, nearly males typically die utero. Survival can be explained by somatic mosaicism, co-existing Klinefelter syndrome or presence less damaging (hypomorphic) mutations IKBKG. We describe living male child resulting from mutation, propose diagnostic algorithm for assessing such individuals. A full term infant was seen at birth have blisters on both legs Histological examination skin biopsy revealed mild eosinophilic spongiosis perivascular dermatitis increased eosinophils. Based clinicopathological features, vesicular stage diagnosed. Using established three primer PCR reaction protocol, we searched recurrent DNA blood lesional proband. The common but not genomic DNA, consistent mosaicism diagnosis IP. Cytogenetic analysis normal karyotype (46,XY). It extremely rare survive. our experience, summarize evaluation protocol individuals provide explanation survival. Clinically, although diagnosed mainly cutaneous manifestations, some extracutaneous defects may appear gradually; therefore, accurate genetic profiling, well regular follow up evaluations, are necessary. Genetic counselling surviving should also include possibility mutation being present sperm, there reports having daughters germline pathology.
منابع مشابه
A Case of a Surviving Male Infant with Incontinentia Pigmenti.
Incontinentia pigmenti (Bloch-Sulzberger's disease) is an X-linked dominantly inherited disorder which is usually lethal in hemizygous males, but rarely found in male infants. It can be explained by the presence of an extra X chromosome (Klinefelter's syndrome), hypomorphic mutations, and somatic mosaicism. We herein report a rare case of incontinentia pigmenti with typical course of skin manif...
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In 1993 diagnostic criteria for incontinentia pigmenti (IP), a genodermatosis in which skin changes are usually combined with anomalies of other organs, were established. Approximately a decade ago, IKBKG gene mutation was discovered as a cause for IP. This finding has not been included in IP diagnosis so far. In addition, literature data pointed out a few other clinical findings as possible IP...
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Incontinentia pigmenti is rare X-linked dominant disorder. There is no consistent expression of Incontinetia pigmenti in female child, but in male child, they always lead to death in utero. Vesicular, verrucous, hyperpigmented, and atrophic stages are the four stages of Incontinetia Pigmenti and it is uncommon for all stages to be seen in a same case. It is a rare genodermatosis, with only very...
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Incontinentia pigmenti (IP) is a genodermatosis that segregates as an X linked dominant trait with male lethality. The disease has been linked to Xq28 in a number of studies. A few affected males have been documented, most of whom have a 47,XXY karyotype. We report a family with two paternally related half sisters, each affected with IP. The father is healthy, clinically normal, and has a 46,XY...
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ژورنال
عنوان ژورنال: Journal of Investigative Dermatology
سال: 2022
ISSN: ['1523-1747', '0022-202X']
DOI: https://doi.org/10.1016/j.jid.2022.09.559