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Liu YL, Zhang ZYO, Chen XM. A Sporadic Family of Lipoid Proteinosis with Novel ECM1 Gene Mutations. Clin Cosmet Investig Dermatol 2024; 17:885-889. [PMID: 38651074 PMCID: PMC11034508 DOI: 10.2147/ccid.s452127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 03/31/2024] [Indexed: 04/25/2024]
Abstract
Lipoid proteinosis (LP) is an uncommon, autosomal recessive genetic disorder. Multigene panel testing was conducted to confirm the diagnosis of a sporadic family with suspected LP. In the proband, we identified two mutations of ECMI and provided genetic evidence for informed genetic counselling.
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Affiliation(s)
- Yu-Ling Liu
- Department of Dermatology and Venerology, West China Hospital of Sichuan University, Chengdu, People’s Republic of China
| | - Zeng-Yun-Ou Zhang
- Department of Dermatology and Venerology, West China Hospital of Sichuan University, Chengdu, People’s Republic of China
| | - Xiao-Mei Chen
- Department of Dermatology and Venerology, West China Hospital of Sichuan University, Chengdu, People’s Republic of China
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2
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Kimpo J, Abu-Ghanem S, Chen L. New onset dyspnea and stridor in an adolescent with Urbach-Wiethe disease. Pediatr Pulmonol 2024. [PMID: 38265163 DOI: 10.1002/ppul.26868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 12/18/2023] [Accepted: 01/01/2024] [Indexed: 01/25/2024]
Affiliation(s)
- James Kimpo
- Department of Pediatrics, Maimonides Children's Hospital, Brooklyn, New York, USA
| | - Sara Abu-Ghanem
- Division of Otolaryngology, Maimonides Health, Brooklyn, New York, USA
| | - Linda Chen
- Department of Pediatrics, Maimonides Children's Hospital, Brooklyn, New York, USA
- Division of Pediatric Pulmonary, Maimonides Children's Hospital, Brooklyn, New York, USA
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3
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Fenech MT, Yeo D. Lipoid proteinosis; a rare pathology, requiring multidisciplinary input. BMJ Case Rep 2023; 16:e257108. [PMID: 37931963 PMCID: PMC10632804 DOI: 10.1136/bcr-2023-257108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2023] Open
Abstract
A male patient in his early childhood presented to rheumatology with a hoarse voice and recurrent oral and cutaneous ulceration. Serological investigation revealed persistently elevated inflammatory markers. Despite compliance to treatment, flare-ups persisted, prompting the use of further treatment. An airway endoscopy revealed cystic changes to the left vocal cord. Referral to ophthalmology revealed multiple, waxy, skin-coloured, beaded papules on thickened, irregular eyelid margins with distichiasis, in keeping with moniliform blepharosis. Enrolment into the 100 000-genome project helped clinch the diagnosis of lipoid proteinosis. Although this case highlights the diagnostic power of genetics, it also sheds light on the importance of targeted clinical referral. When one considers the typical symptoms and signs of lipoid proteinosis, referral to a centre of rare diseases would have proven effective in not only avoiding polypharmacy but also reducing the psychological burden of several years of uncertainty must have had on our patient.
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Affiliation(s)
| | - Damien Yeo
- Ophthalmology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
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Costa MDC, Aguiar EMG, Pascoaloti MIM, Dos Santos Campos CC, Sperandio FF, Gallottini M, de Castro ROM, de Carli ML. Multiple oral submucosal nodules in a young adult. Oral Surg Oral Med Oral Pathol Oral Radiol 2023; 136:397-403. [PMID: 37076379 DOI: 10.1016/j.oooo.2023.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Revised: 03/12/2023] [Accepted: 03/14/2023] [Indexed: 04/21/2023]
Affiliation(s)
| | | | - Maria Inês Mantuani Pascoaloti
- Department of Pathology, Biological Sciences Institute, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | | | | | | | - Renato Ortolani Marcondes de Castro
- School of Medicine, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil; School of Medicine, Universidade Professor Edson Antônio Velano-UNIFENAS, Alfenas, Minas Gerais, Brazil
| | - Marina Lara de Carli
- School of Dentistry, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil.
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Li YH, Wei CJ, Wang ZC. Long History of Multiple Painless Scalp Nodules in a Middle-aged Woman. JAMA Dermatol 2023; 159:452-453. [PMID: 36857074 DOI: 10.1001/jamadermatol.2023.0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
A woman in her late 40s presented with a 40-year history of hard nodules on the scalp, feet, trunk, and lower extremities. What is your diagnosis?
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Affiliation(s)
- Yue-Hua Li
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Cheng-Jiang Wei
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Zhi-Chao Wang
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Long S, Wang J, Weng F, Pei Z, Zhou S, Sun G, Xiang D. ECM1 regulates the resistance of colorectal cancer to 5-FU treatment by modulating apoptotic cell death and epithelial-mesenchymal transition induction. Front Pharmacol 2022; 13:1005915. [PMID: 36408224 PMCID: PMC9666402 DOI: 10.3389/fphar.2022.1005915] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 10/19/2022] [Indexed: 01/25/2023] Open
Abstract
5-Fluorouracil (5-FU) chemoresistance is a persistent impediment to the efficient treatment of many types of cancer, yet the molecular mechanisms underlying such resistance remain incompletely understood. Here we found CRC patients resistant to 5-FU treatment exhibited increased extracellular matrix protein 1 (ECM1) expression compared to CRC patients sensitive to this chemotherapeutic agent, and higher levels of ECM1 expression were correlated significantly with shorter overall survival and disease-free survival. 5-FU resistant HCT15 (HCT15/FU) cells expressed significantly higher levels of ECM1 relative to parental HCT15 cells. Changes in ECM1 expression altered the ability of both parental and HCT15/FU cells to tolerate the medication in vitro and in vivo via processes associated with apoptosis and EMT induction. From a mechanistic perspective, knocking down and overexpressing ECM1 in HCT15/FU and HCT15 cell lines inhibited and activated PI3K/AKT/GSK3β signaling, respectively. Accordingly, 5-FU-induced apoptotic activity and EMT phenotype changes were affected by treatment with PI3K/AKT agonists and inhibitors. Together, these data support a model wherein ECM1 regulates CRC resistance to 5-FU via PI3K/AKT/GSK3β pathway-mediated modulation of apoptotic resistance and EMT induction, highlighting ECM1 as a promising target for therapeutic intervention for efforts aimed at overcoming chemoresistance in CRC patients.
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Affiliation(s)
- Sirui Long
- Department of Oncology, Chongqing University Jiangjin Hospital, Chongqing, China,Department of Oncology, Jiangjin Central Hospital of Chongqing, Chongqing, China
| | - Jie Wang
- Department of Oncology, Chongqing University Jiangjin Hospital, Chongqing, China,Department of Oncology, Jiangjin Central Hospital of Chongqing, Chongqing, China
| | - Fanbin Weng
- Department of Oncology, Chongqing University Jiangjin Hospital, Chongqing, China,Department of Oncology, Jiangjin Central Hospital of Chongqing, Chongqing, China
| | - Zhigang Pei
- Department of Pathology, Chongqing University Jiangjin Hospital, Chongqing, China,Department of Pathology, Jiangjin Central Hospital of Chongqing, Chongqing, China
| | - Shixian Zhou
- Department of Pathology, Chongqing University Jiangjin Hospital, Chongqing, China,Department of Pathology, Jiangjin Central Hospital of Chongqing, Chongqing, China
| | - Guiyin Sun
- Department of Oncology, Chongqing University Jiangjin Hospital, Chongqing, China,Department of Oncology, Jiangjin Central Hospital of Chongqing, Chongqing, China,*Correspondence: Guiyin Sun, ; Debing Xiang,
| | - Debing Xiang
- Department of Oncology, Chongqing University Jiangjin Hospital, Chongqing, China,Department of Oncology, Jiangjin Central Hospital of Chongqing, Chongqing, China,*Correspondence: Guiyin Sun, ; Debing Xiang,
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Mofarrah R, Ghasemi M, Mofarrah R, Emadi S, Rostamian F. Lipoid Proteinosis: A Systematic Presentation of an Unusual Disease. J Cosmet Dermatol 2022; 21:4237-4240. [PMID: 35176194 DOI: 10.1111/jocd.14861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 01/25/2022] [Accepted: 02/14/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Lipoid Proteinosis (LP) or Hyalinosis Cutis et Mucosae or Urbach-Wiethe disease is a rare autosomal recessive genodermatosis characterized by an amorphous hyaline material deposition in the skin mucosa and viscera. The clinical symptoms of this disease often begin in childhood, which persist throughout life. Skin manifestations include inflammation, scaling, acne, and eventually ulceration, and hyaline amorphous deposits in these areas of the wound cause a waxy and thick appearance on the skin. In addition, wounds leave atrophic scars like chickenpox. AIM Herein, we present the first case of LP in the north of Iran; although LP is a sporadic disease, it occurs all around the world, with about 400 cases worldwide having been reported thus far. PATIENT We report the case of a 28-year-old female with a history of skin lesions on her face, scalp, extremities, and buttock, as well as hoarse cry, respiratory problems, dysphagia, and migraine since childhood. There was no evidence of other clinical presentations. A biopsy was taken from the lesions, and the patient was diagnosed with LP. A laryngeal laser was performed for the patient, and peeling creams were used for her skin lesions. RESULT According to previous findings, there has been no case report of LP with systemic symptoms in the north of Iran.
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Affiliation(s)
- Ramin Mofarrah
- Department of Dermatology, Faculty of Medicine, Islamic Azad University of Medical Sciences, Sari, Iran
| | - Maryam Ghasemi
- Immunogenetics Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ramina Mofarrah
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sadaf Emadi
- Student Research Committee, Islamic Azad University of Medical Sciences, Sari, Iran
| | - Fatemeh Rostamian
- Student Research Committee, Islamic Azad University of Medical Sciences, Sari, Iran
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Yukkaldıran A, An İ, Erdoğan O. Evaluation of cochlear involvement and hearing function in lipoid proteinosis patients. J Cosmet Dermatol 2020; 20:2259-2263. [PMID: 33174327 DOI: 10.1111/jocd.13839] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Accepted: 10/29/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Lipoid proteinosis (LP) is a rare genodermatosis involving amorphous hyaline accumulation in the skin, oral mucosa, larynx, mucous membranes, and viscera. AIMS In this study, we aimed to investigate the effects of hyaline accumulation on cochlear function and hearing in LP patients. PATIENTS/METHODS In this prospective study, 20 patients who were followed up with a diagnosis of LP between October 2016 and April 2020 in our clinic and 20 healthy individuals of the same age and gender, as a control group, were included. Pure-tone audiometry, tympanometry, and distortion-product otoacoustic emission tests of the patient and control groups were performed. The audiological results of the LP and control groups were compared statistically. RESULTS In the comparison of air-conduction thresholds between groups in pure-tone audiometry, hearing thresholds in the patient group were found to be higher than the control group at frequencies of 250, 4000, 6000, and 8000 Hz for the right ear, and 500 and 4000 Hz for the left ear. In the comparison of signal-noise responses between groups in distortion-product otoacoustic emission (DP-OAE) test, signal-noise responses in the right and left ear at frequencies of 1000, 2000, 4000, and 6000 Hz were lower in the patient group than in the control group. CONCLUSION We found that the cochlear functions of patients with LP were affected due to the increase in hearing thresholds and decreased signal-noise responses. We think that LP patients are candidates for hearing loss in their later life.
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Affiliation(s)
- Ahmet Yukkaldıran
- Department of Otorhinolaryngology, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
| | - İsa An
- Department of Dermatology, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
| | - Osman Erdoğan
- Department of Otorhinolaryngology, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey
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Agredano PM, Del Barrio CM, Martinez MC, Cabrera CA. Intracranial calcifications associated with epilepsy: A case report of lipoid proteinosis. Seizure 2020; 83:172-174. [PMID: 33161246 DOI: 10.1016/j.seizure.2020.10.027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 10/23/2020] [Accepted: 10/26/2020] [Indexed: 10/23/2022] Open
Abstract
Lipoid proteinosis (LP) is a very rare autosomal-recessive disease characterized by multisystem involvement due to intracellular deposition of amorphous hyaline material. Clinical manifestations include hoarness, acne-like facial scarring and neurological manifestation including seizures. We describe the clinical, genetics and radiological features of LP in a refractory epileptic patient with genetic confirmation.
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Tabassum H, Mushtaq S, Amin SS, Adil M, Mohtashim M, Akhtar K. Lipoid Proteinosis with Esotropia: Report of a Rare Case and Dermoscopic Findings. Indian J Dermatol 2020; 65:53-56. [PMID: 32029942 PMCID: PMC6986117 DOI: 10.4103/ijd.ijd_523_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Lipoid proteinosis (LP) is a rare progressive autosomal recessive disorder caused by mutations in the extracellular matrix protein 1 gene present on chromosome 1q21. It is characterized by infiltration of hyaline material into the skin, mucosae, and internal organs. Patients present with a classical history of repeated blistering, skin scarring, beaded eyelid papules, waxy papules over the body, and laryngeal and tongue infiltration leading to hoarseness of voice and restricted tongue movement. A variety of ocular manifestations have been described in association with LP. We report a case of a 10-year-old female child with typical features suggestive of LP associated with unilateral esotropia. The case is reported here for its rarity and uncommon association with esotropia hitherto not documented. Dermoscopic findings of the case are also discussed.
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Affiliation(s)
- Hera Tabassum
- From the Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India
| | - Sabha Mushtaq
- From the Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India,Address for correspondence: Dr. Sabha Mushtaq, Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India. E-mail:
| | - Syed Suhail Amin
- From the Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India
| | - Mohammad Adil
- From the Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India
| | - Mohammad Mohtashim
- From the Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India
| | - Kafil Akhtar
- Department of Pathology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India
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Ali MJ, Mishra DK, Naik MN. Punctal and peri-punctal involvement in Urbach-Wiethe syndrome: case report and review of literature. Orbit 2018; 38:474-476. [PMID: 30569803 DOI: 10.1080/01676830.2018.1550791] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Urbach-Weithe syndrome is an exceedingly rare multisystem disorder characterized by pathognomonic clinical findings of multiple beaded papules along the eyelid margins and peri-ocular areas and hoarseness of voice secondary to intercellular deposition of periodic acid Schiff (PAS)-positive hyaline material. Lacrimal drainage anomalies are not well defined in this syndrome; however, punctal involvement and acquired nasolacrimal duct obstructions have been reported. We present a patient of Urbach-Weithe syndrome with bilateral punctal and peri-punctal involvement.
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Affiliation(s)
- Mohammad Javed Ali
- Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute , Hyderabad , India
| | - Dilip Kumar Mishra
- Ophthalmic Pathology Laboratory, L.V. Prasad Eye Institute , Hyderabad , India
| | - Milind N Naik
- Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute , Hyderabad , India
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Oral manifestations of lipoid proteinosis in a 10-year-old female: A case report and literature update. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 126:e228-e232. [DOI: 10.1016/j.oooo.2018.01.025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2017] [Revised: 01/24/2018] [Accepted: 01/28/2018] [Indexed: 11/17/2022]
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