1
|
Zhao A, Wang Y, Jia N, Lu F, Pan C, Wu F, Cao Q, Li X, Wang X, Wang S, He W, Zeng Q, Huang H, Han J, Li M. Mosaic GJB2 mutations in widespread porokeratotic adnexal ostial nevus: Report of two patients. J Dermatol 2024; 51:1129-1133. [PMID: 38292003 DOI: 10.1111/1346-8138.17127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 12/06/2023] [Accepted: 01/05/2024] [Indexed: 02/01/2024]
Abstract
Porokeratotic adnexal ostial nevus (PAON) is a rare adnexal hamartoma characterized by keratotic papules following Blaschko's lines, typically located on the unilateral distal extremities. Cutaneous somatic GJB2 mutations have been linked to the pathogenesis of PAON. However, the genetic mechanism underlying bilateral or extended forms, which are less documented, remains unknown. In this study, we presented two cases of PAON with widespread cutaneous lesions and scalp involvement, and demonstrated the presence of GJB2 mosaic mutations in both patients. We further investigated the mosaic frequency in different tissues to gain insights into the mutation events contributing to the phenotype of widespread PAON. Our findings suggest that early postzygotic mutation causing mosaic GJB2 mutations may contribute to the widespread phenotype of PAON, thereby enriching the disease spectrum and mutation profile of PAON.
Collapse
Affiliation(s)
- Anqi Zhao
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
- Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Institute of Dermatology, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Yumeng Wang
- Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Institute of Dermatology, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Ning Jia
- Central Laboratory, Shanghai Dermatology Hospital, Tongji University School of Medicine, Shanghai, China
| | - Fangqi Lu
- School of Medicine, Institute of Photomedicine, Shanghai Skin Disease Hospital, Tongji University, Shanghai, China
| | - Chaolan Pan
- Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Institute of Dermatology, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Fei Wu
- Department of Pathology, School of Medicine, Shanghai Skin Disease Hospital, Tongji University, Shanghai, China
| | - Qiaoyu Cao
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
| | - Xin Li
- Department of Dermatology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China
| | - Xinyi Wang
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
| | - Shucui Wang
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
| | - Wei He
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
| | - Qin Zeng
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
| | - Haisheng Huang
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
| | - Jianwen Han
- Department of Dermatology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China
| | - Ming Li
- Department of Dermatology, The Children's Hospital of Fudan University, Shanghai, China
| |
Collapse
|
2
|
Díez de Los Ríos Quintanero B, Del Pozo Arribas S, Martínez-Mera C, Nájera L. Linear Hyperkeratotic Papules in a Full Term Newborn. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:T497-T498. [PMID: 38431122 DOI: 10.1016/j.ad.2024.02.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 07/12/2022] [Indexed: 03/05/2024] Open
Affiliation(s)
| | - S Del Pozo Arribas
- Unidad Neonatal, Departamento de Pediatría, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, España
| | - C Martínez-Mera
- Departamento de Dermatología, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, España
| | - L Nájera
- Departamento de Patología, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, España
| |
Collapse
|
3
|
Díez de Los Ríos Quintanero B, Del Pozo Arribas S, Martínez-Mera C, Nájera L. Linear Hyperkeratotic Papules in a Full Term Newborn. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:497-498. [PMID: 36740177 DOI: 10.1016/j.ad.2022.07.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 07/07/2022] [Accepted: 07/12/2022] [Indexed: 02/05/2023] Open
Affiliation(s)
| | - S Del Pozo Arribas
- Neonatal Unit, Pediatrics Department, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain
| | - C Martínez-Mera
- Dermatology Department, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain
| | - L Nájera
- Pathology Department, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain
| |
Collapse
|
4
|
Cuartero-Castro G, Cid-García A, Téllez-Alvarado A, Gutiérrez-Quiroz CT. Cutaneous Horn Presentation in Porokeratotic Eccrine Ostial and Dermal Duct Nevus. A Brief Review and Case Report. Am J Dermatopathol 2024; 46:173-174. [PMID: 38153273 DOI: 10.1097/dad.0000000000002618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
ABSTRACT Porokeratotic eccrine ostial and dermal duct nevus is a rare adnexal hamartoma characterized by the presence of a cornoid lamella exclusively overlying eccrine acrosyringia. Different clinical presentations have been reported in the literature. Here, we report a case of a 6-year-old girl diagnosed with porokeratotic eccrine ostial and dermal duct nevus confirmed by histopathologic study. Atypical lesions are described as whitish, warty-looking neoformations located in the anterolateral region of the right hip (cutaneous horn).
Collapse
Affiliation(s)
- Gerardo Cuartero-Castro
- Department of General Surgery, IMSS Hospital General de Zona #20 "La Margarita", Puebla; and
| | - Anahí Cid-García
- Department of General Surgery, IMSS Hospital General de Zona #20 "La Margarita", Puebla; and
| | - Adriana Téllez-Alvarado
- Department of Pathology, IMSS Hospital de Especialidades, Centro Médico Nacional "Manuel Ávila Camacho", Puebla
| | | |
Collapse
|
5
|
Olukoga C, Samiei A, Borschel G, Kowal R. Hyperkeratotic Pigmented Plaques with Blaschkoid Distribution in a Child: Answer. Am J Dermatopathol 2024; 46:183-184. [PMID: 38354386 DOI: 10.1097/dad.0000000000002621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2024]
Affiliation(s)
| | - Azadeh Samiei
- Department of Plastic Surgery, Indiana University School of Medicine, Indianapolis, IN
| | - Gregory Borschel
- Department of Plastic Surgery, Indiana University School of Medicine, Indianapolis, IN
| | - Rachel Kowal
- Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN; and
- Department of Dermatology, Indiana University School of Medicine, Indianapolis, IN
| |
Collapse
|
6
|
Youssefian L, Naji M, Park JS, Rajabi F, Abdollahimajd F, Mahmoudi H, Kamyab-Hesari K, Ghalamkarpour F, Zabihi M, Teimoorian M, Youssefian L, Zeinali S, Vahidnezhad H, Uitto J. Ichthyosis follicularis syndromes in patients with germline mutations in GJB2. Clin Exp Dermatol 2022; 47:1561-1566. [PMID: 35396755 DOI: 10.1111/ced.15217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2022] [Indexed: 11/29/2022]
Abstract
Ichthyosis follicularis (IF) manifests as generalized spiny follicular projections found in syndromic diseases secondary to SREBF1 and MBTPS2 mutations. We sought the genetic cause of IF in two distinct families from a cohort of 180 ichthyosis patients. In Family 1, the proband presented with IF, bilateral sensorineural hearing loss (SNHL) and punctate palmoplantar keratoderma, and compound heterozygous GJB2 mutations were discovered in DNA from peripheral blood lymphocytes: GJB2:c.526A>G and c.35delG. In Family 2, the proband presented with a previously unreported IF phenotype in the context of KID syndrome, and whole-exome sequencing found a de novo heterozygous GJB2:c.148G>A mutation. Histopathology was consistent with porokeratotic eccrine ostial and dermal duct nevus (PEODDN) and IF in Probands 1 and 2, respectively. Our findings add to the clinical and histopathological spectrum of IF and emphasize the association of PEODDN-like entities with GJB2 variants.
Collapse
Affiliation(s)
- Leila Youssefian
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.,Jefferson Institute of Molecular Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Mahtab Naji
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Jason S Park
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.,Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania, USA
| | - Fatemeh Rajabi
- Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Hamidreza Mahmoudi
- Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Kambiz Kamyab-Hesari
- Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Fariba Ghalamkarpour
- Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Masoud Zabihi
- Stem Cell Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | - Mehrdad Teimoorian
- Stem Cell Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | - Laya Youssefian
- ENT and Head & Neck Research Center, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran
| | - Sirous Zeinali
- Kawsar Human Genetics Research Center, Tehran, Iran.,Department of Molecular Medicine, Biotechnology Research Center, Pasteur Institute of Iran, Tehran, Iran
| | - Hassan Vahidnezhad
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.,Jefferson Institute of Molecular Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Jouni Uitto
- Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.,Jefferson Institute of Molecular Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| |
Collapse
|
7
|
Castle AMR, Ramien ML, Kanigsberg N, El Demellawy D, McGowan-Jordan J, Beaulieu Bergeron M, Armour CM. Porokeratotic eccrine ostial and dermal duct nevus associated with an 11 megabase 3p deletion. Pediatr Dermatol 2022; 39:107-111. [PMID: 34929758 DOI: 10.1111/pde.14850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 10/04/2021] [Accepted: 10/17/2021] [Indexed: 11/28/2022]
Abstract
Porokeratotic eccrine ostial and dermal duct nevus (PEODDN) is a rare eccrine hamartoma; the etiology is incompletely understood. A patient presented with congenital, widespread PEODDN. Clinical assessment, histopathologic, cytogenetic, and molecular genetic investigations on affected cells were pursued. Histopathology confirmed PEODDN, and chromosomal microarray on affected tissues identified a mosaic 3p26.3p25.3 deletion in affected tissues. This 11Mb deletion encompasses 47 OMIM genes. We propose that this and other chromosomal deletions may be implicated in some cases of PEODDN, suggesting locus heterogeneity and underscoring the importance of incorporating cytogenetic and molecular investigations into the multidisciplinary care of individuals with suspected mosaic genetic skin disorders.
Collapse
Affiliation(s)
- Alison M R Castle
- Department of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
| | - Michele L Ramien
- Division of Community Pediatrics, Department of Pediatrics, Alberta Children's Hospital, Calgary, Alberta, Canada
| | - Nordau Kanigsberg
- Division of Dermatology and Rheumatology, Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada
| | - Dina El Demellawy
- Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Jean McGowan-Jordan
- Department of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.,Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Melanie Beaulieu Bergeron
- Department of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.,Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Christine M Armour
- Department of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.,Prenatal Screening Ontario (PSO), Better Outcomes Registry & Network (BORN) Ontario, Ottawa, Ontario, Canada.,Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, Ontario, Canada
| |
Collapse
|
8
|
Abstract
This article reviews the clinical findings of epidermal nevi and their associated syndromes and provides an update on their pathogenic genetic changes as well as targeted therapies detailed to date.
Collapse
|
9
|
Satcher KG, Schoch JJ, Walker A. Alopecia in hereditary mucoepithelial dysplasia. J Cutan Pathol 2021; 49:103-105. [PMID: 34428310 DOI: 10.1111/cup.14124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 06/21/2021] [Accepted: 08/15/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Kerrie G Satcher
- Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Jennifer J Schoch
- Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Addie Walker
- Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA
| |
Collapse
|
10
|
Kwon BR, Kim R, Byun JY, Choi YW, Choi HY, Lee MY. A case of porokeratotic adnexal ostial nevus misdiagnosed as wart. Clin Case Rep 2021; 9:1092-1094. [PMID: 33768788 PMCID: PMC7981734 DOI: 10.1002/ccr3.3648] [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: 08/15/2020] [Revised: 10/31/2020] [Accepted: 11/10/2020] [Indexed: 11/17/2022] Open
Abstract
Porokeratotic adnexal ostial nevus may be misdiagnosed as wart based on clinical appearance and morphology. An accurate diagnosis through skin biopsy is crucial, as is the inclusion of rare disorders such as porokeratotic adnexal ostial nevus in the differential diagnosis.
Collapse
Affiliation(s)
- Bo Ram Kwon
- Department of DermatologyEwha Womans University Seoul HospitalSeoulKorea
| | - Rosa Kim
- Department of DermatologyEwha Womans University Seoul HospitalSeoulKorea
| | - Ji Yeon Byun
- Department of DermatologyEwha Womans University Seoul HospitalSeoulKorea
| | - You Won Choi
- Department of DermatologyEwha Womans University Seoul HospitalSeoulKorea
| | - Hae Young Choi
- Department of DermatologyEwha Womans University Seoul HospitalSeoulKorea
| | - Min Young Lee
- Department of DermatologyEwha Womans University Seoul HospitalSeoulKorea
| |
Collapse
|
11
|
Unilateral Acral Keratotic Papules and Punctate Pits: Answer. Am J Dermatopathol 2021; 43:228. [PMID: 33595229 DOI: 10.1097/dad.0000000000001644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
12
|
Blue E, Abbott J, Bowen A, Cipriano SD. Linear porokeratosis with bone abnormalities treated with compounded topical 2% cholesterol/2% lovastatin ointment. Pediatr Dermatol 2021; 38:242-245. [PMID: 33170511 DOI: 10.1111/pde.14447] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 10/14/2020] [Indexed: 12/15/2022]
Abstract
We describe a case of linear porokeratosis with associated bone resorption in a 17-year-old female with marked improvement after 2% cholesterol/2% lovastatin ointment application. Porokeratosis is a heterogenous group of keratinization disorders characterized by a cornoid lamella, consisting of focal dyskeratotic cells in the granular layer and columns of parakeratosis. The pathogenesis of porokeratosis is not fully elucidated; however, germline mutations have recently been identified in the mevalonate pathway which can lead to a buildup of metabolites that could play a role in dysmaturation. There has only been one prior report of an affected distal digit with underlying bone resorption in association with linear porokeratosis.
Collapse
Affiliation(s)
- Elliot Blue
- Department of Internal Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA
| | - James Abbott
- Department of Dermatology, University of Utah, Salt Lake City, UT, USA
| | - Anneli Bowen
- Department of Dermatology, University of Utah, Salt Lake City, UT, USA
| | - Sarah D Cipriano
- Department of Dermatology, University of Utah, Salt Lake City, UT, USA
| |
Collapse
|
13
|
Gupta I, Dayal S, Kumar S. Bilateral Systematized Porokeratotic Eccrine Ostial and Dermal Duct Nevus. Indian Dermatol Online J 2020; 11:844-846. [PMID: 33235864 PMCID: PMC7678520 DOI: 10.4103/idoj.idoj_460_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2019] [Revised: 01/22/2020] [Accepted: 03/07/2020] [Indexed: 11/17/2022] Open
Affiliation(s)
- Isha Gupta
- Department of Skin and V.D, Pandit B.D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Surabhi Dayal
- Department of Skin and V.D, Pandit B.D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Sanjay Kumar
- Department of Pathology, Pandit B.D Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| |
Collapse
|
14
|
Agrawal R, Karanovic S, Gee BC, Carr RA. A pruritic hyperkeratotic plaque on the foot of a 35-year-old woman. Clin Exp Dermatol 2020; 45:771-774. [PMID: 32320098 DOI: 10.1111/ced.14217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2020] [Indexed: 11/29/2022]
Affiliation(s)
- R Agrawal
- Departments of, Department of, Dermatology, South Warwickshire NHS Foundation Trust, Warwick, UK
| | - S Karanovic
- Departments of, Department of, Dermatology, South Warwickshire NHS Foundation Trust, Warwick, UK
| | - B C Gee
- Departments of, Department of, Dermatology, South Warwickshire NHS Foundation Trust, Warwick, UK
| | - R A Carr
- Department of, Pathology, South Warwickshire NHS Foundation Trust, Warwick, UK
| |
Collapse
|
15
|
Maghfour J, Kane J, DiMarco C, Robinson-Bostom L, Chai S. Multiple proliferating pilar tumors with porokeratotic adnexal ostial nevus: A rare association. JAAD Case Rep 2020; 6:344-347. [PMID: 32258317 PMCID: PMC7103661 DOI: 10.1016/j.jdcr.2019.12.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Jalal Maghfour
- Tulane Medical School, Tulane University, New Orleans, Louisiana
- Correspondence to: Jalal Maghfour, MS, Tulane Medical School, Tulane University, 1430 Tulane Avenue, New Orleans, LA 70130.
| | - Jennifer Kane
- Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Christopher DiMarco
- Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Leslie Robinson-Bostom
- Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Sandy Chai
- Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, Rhode Island
| |
Collapse
|
16
|
Bishnoi A, Thakur V, Madakshira MG, Vinay K. Ipsilateral linear genital plaque and plantar pits in a girl. Pediatr Dermatol 2020; 37:373-374. [PMID: 32196739 DOI: 10.1111/pde.14093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Anuradha Bishnoi
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Vishal Thakur
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Manoj Gopal Madakshira
- Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Keshavamurthy Vinay
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| |
Collapse
|
17
|
Karataş A, Seçkin D. The modified furrow ink test: A useful aid in the diagnosis of porokeratotic eccrine ostial and dermal duct nevus. Int J Dermatol 2020; 59:617-619. [PMID: 31975368 DOI: 10.1111/ijd.14775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 12/12/2019] [Accepted: 12/23/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Arzu Karataş
- Department of Dermatology, Faculty of Medicine, Başkent University, Ankara, Turkey
| | - Deniz Seçkin
- Department of Dermatology, Faculty of Medicine, Başkent University, Ankara, Turkey
| |
Collapse
|
18
|
André NF, Canato M, Zanatta DA, Werner B, Carvalho VO. Hyperkeratotic papules following Blaschko lines in a 4-year-old boy. Pediatr Dermatol 2019; 36:e120-e121. [PMID: 31778565 DOI: 10.1111/pde.13980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Nara Frota André
- Pediatric Dermatology at Hospital de Clínicas, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Mariana Canato
- Pediatric Dermatology at Hospital de Clínicas, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Danielle Arake Zanatta
- Pediatric Dermatology at Hospital de Clínicas, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Betina Werner
- Medical Pathology at Hospital de Clínicas, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Vânia Oliveira Carvalho
- Division of Pediatric Dermatology, Department of Pediatrics, Hospital de Clínicas, Federal University of Paraná, Curitiba, Paraná, Brazil
| |
Collapse
|
19
|
Vissing MB, Tolaymat L, Sluzevich J. Punctate Keratotic Papules on the Palm. JAMA Dermatol 2019; 155:1310-1311. [PMID: 31577327 DOI: 10.1001/jamadermatol.2019.2956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
| | - Leila Tolaymat
- Department of Dermatology, Mayo Clinic Florida, Jacksonville, Florida
| | - Jason Sluzevich
- Department of Dermatology, Mayo Clinic Florida, Jacksonville, Florida
| |
Collapse
|
20
|
Chowdhary B, Sharma A, Mahajan VK. Porokeratotic Eccrine Ostial and Dermal Duct Nevus and Porokeratotic Eccrine and Hair Follicle Nevus: Is Nomenclature "Porokeratotic Adnexal Ostial Nevus" More Appropriate? Indian Dermatol Online J 2019; 10:478-480. [PMID: 31334079 PMCID: PMC6615371 DOI: 10.4103/idoj.idoj_341_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Bhumika Chowdhary
- Department of Dermatology, Venereology and Leprosy, Dr. R. P. Govt. Medical College, Kangra (Tanda), Himachal Pradesh, India
| | - Anuj Sharma
- Department of Dermatology, Venereology and Leprosy, Dr. R. P. Govt. Medical College, Kangra (Tanda), Himachal Pradesh, India
| | - Vikram K Mahajan
- Department of Dermatology, Venereology and Leprosy, Dr. R. P. Govt. Medical College, Kangra (Tanda), Himachal Pradesh, India
| |
Collapse
|
21
|
Petkiewicz S, Baltz J, Cornejo K, Deng A, Wiss K. Widespread presentation and spontaneous regression of porokeratotic eccrine ostial and dermal duct nevus. JAAD Case Rep 2018; 4:972-975. [PMID: 30406170 PMCID: PMC6214893 DOI: 10.1016/j.jdcr.2018.08.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Stephanie Petkiewicz
- Department of Pathology and Laboratory Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, Canada
- Correspondence to: Stephanie Petkiewicz, MD, CM, PhD, FRCPC, Pathologist, The Ottawa Hospital, 4th Floor CCW, Room W4223, 501 Smyth Road, Ottawa, ON K1H 8L6.
| | - Julia Baltz
- Department of Dermatology, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts
| | - Kristine Cornejo
- Department of Pathology, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts
| | - April Deng
- Department of Pathology, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts
| | - Karen Wiss
- Department of Dermatology, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts
| |
Collapse
|
22
|
Garcias-Ladaria J, Cuadrado Rosón M, Pascual-López M. Nevus epidérmicos y síndromes relacionados. Parte 2: Nevus derivados de estructuras anexiales. ACTAS DERMO-SIFILIOGRAFICAS 2018; 109:687-698. [DOI: 10.1016/j.ad.2018.05.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Revised: 04/16/2018] [Accepted: 05/23/2018] [Indexed: 02/06/2023] Open
|
23
|
Garcias-Ladaria J, Cuadrado Rosón M, Pascual-López M. Epidermal Nevi and Related Syndromes —Part 2: Nevi Derived from Adnexal Structures. ACTAS DERMO-SIFILIOGRAFICAS 2018. [DOI: 10.1016/j.adengl.2018.07.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
24
|
Abstract
Knowledge of the molecular underpinnings of many epidermal nevi and epidermal nevus syndrome has expanded rapidly in recent years. In this review and update on epidermal nevus syndrome, we will cover recent genetic discoveries involving epidermal nevi, including nevus sebaceus, keratinocytic epidermal nevus, nevus comedonicus, congenital hemidysplasia with ichthyosiform nevus and limb defects syndrome, phakomatosis pigmentokeratotica, Becker's nevus, porokeratotic adnexal ostial nevus, inflammatory linear verrucous epidermal nevi, and cutaneous-skeletal hypophosphatemia syndrome. We will discuss how newly defined mutations relate to the biology reflected in the cutaneous patterns seen in these mosaic disorders and how new molecular data has informed our understanding of these diseases and shaped management decisions.
Collapse
Affiliation(s)
- Sarah Asch
- Department of Dermatology, HealthPartners and Park Nicollet Medical Groups, St. Paul, MN, USA
| | - Jeffrey L Sugarman
- Department of Dermatology, University of California, San Francisco, Santa Rosa, CA, USA.,Department of Community and Family Medicine, University of California, San Francisco, Santa Rosa, CA, USA
| |
Collapse
|
25
|
Affiliation(s)
- Sanjay Singh
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Suman Patra
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Sudheer Arava
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Neetu Bhari
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| |
Collapse
|
26
|
Agulló-Pérez AD, Resano-Abarzuza MÁ, Córdoba-Iturriagagoitia A, Yanguas-Bayona JI. Porokeratotic eccrine and hair follicle nevus: a report of two cases and review of the literature. An Bras Dermatol 2017; 92:121-125. [PMID: 29267468 PMCID: PMC5726699 DOI: 10.1590/abd1806-4841.20176536] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2016] [Accepted: 11/25/2016] [Indexed: 12/03/2022] Open
Abstract
Porokeratotic eccrine and hair follicle nevus is a very rare non-hereditary
disorder of keratinization with eccrine and hair follicle involvement with only
9 cases described in the literature. In 2009 the term porokeratotic anexial
ostial nevus was proposed to comprehend porokeratotic eccrine and hair follicle
nevus and a related and more common process without follicular involvement:
porokeratotic eccrine ostial and dermal duct nevus Recent findings suggest that
both entities may be produced by a mutation in GJB2 gene, which is associated to
KID syndrome. Herein we report 2 cases of porokeratotic eccrine and hair
follicle nevus and review the existing cases in the Spanish and English
literature.
Collapse
Affiliation(s)
- Alfredo Daniel Agulló-Pérez
- Department of Dermatology, Hospital IMED Levante - Benidorm, Spain.,Department of Dermatology, Complejo Hospitalario de Navarra - Pamplona, Spain
| | | | | | | |
Collapse
|
27
|
Metastatic squamous cell carcinoma arising from a serious widespread porokeratotic eccrine ostial and dermal duct nevus: Case report and literature review. DERMATOL SIN 2017. [DOI: 10.1016/j.dsi.2016.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
|
28
|
Zade J, Jfri A, Nabatian A, Alajaji A, Geller L, Khorasani H. Porokeratotic eccrine ostial and dermal duct nevus: a unique case treated with CO 2 laser. Clin Case Rep 2017; 5:675-678. [PMID: 28469874 PMCID: PMC5412763 DOI: 10.1002/ccr3.846] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 11/15/2016] [Accepted: 12/14/2016] [Indexed: 11/05/2022] Open
Abstract
Porokeratotic eccrine ostial and dermal duct nevus (PEODDN) is a rare eccrine hamartoma, with treatment generally being unsatisfactory. The unique features of PEODDN presented include bilateral and facial lesions, and extensive body involvement. Management with CO2 laser was successful, and follow-up will be necessary to monitor for recurrent lesions.
Collapse
Affiliation(s)
- John Zade
- Department of Dermatology Mount Sinai School of Medicine New York City New York USA
| | - Abdulhadi Jfri
- Department of Dermatology Mount Sinai School of Medicine New York City New York USA
| | - Adam Nabatian
- Department of Dermatology Mount Sinai School of Medicine New York City New York USA
| | - Abdullah Alajaji
- Department of Dermatology Mount Sinai School of Medicine New York City New York USA
| | - Lauren Geller
- Department of Dermatology Mount Sinai School of Medicine New York City New York USA
| | - Hooman Khorasani
- Department of Dermatology Mount Sinai School of Medicine New York City New York USA
| |
Collapse
|
29
|
Abstract
Porokeratosis, a keratinization disorder, is probably a group of unrelated conditions with same distinctive histological appearance, featuring cornoid lamellae. A case of punctate porkeratosis in a 24 year old male patient is reported for its rarity.
Collapse
Affiliation(s)
- Padmavathy Lanka
- Department of Dermatology, Vinayaka Mission's Medical College and Hospital, Karaikal, Pondicherry, India
| | - Lakshmana Rao Lanka
- Department of Pathology, Vinayaka Mission's Medical College and Hospital, Karaikal, Pondicherry, India
| | - Dhanalakshmi Manivachagam
- Department of pathology, Rajah Muthiah Medical College, Annamalai University, Annamalai Nagar, Tamil Nadu, India
| |
Collapse
|
30
|
Mondal A, Kumar P, Das A, Debbarman P, Mandal RK. Porokeratotic eccrine ostial and dermal duct nevus: A noteworthy presentation. Indian Dermatol Online J 2015; 6:130-1. [PMID: 25821740 PMCID: PMC4375761 DOI: 10.4103/2229-5178.153021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Avijit Mondal
- Department of Dermatology, College of Medicine and JNM Hospital, Kalyani, India
| | - Piyush Kumar
- Department of Dermatology, Katihar Medical College and Hospital, Bihar, India
| | - Anupam Das
- Department of Dermatology, Medical College and Hospital, Kolkata, India
| | | | - Rajesh Kumar Mandal
- Department of Dermatology, North Bengal Medical College and Hospital, Darjeeling, West Bengal, India
| |
Collapse
|
31
|
Abstract
Porokeratotic eccrine ostial and dermal duct nevus (PEODDN) is a rare nevoid condition characterized by asymptomatic grouped keratotic papules and plaques with a linear pattern on the extremities, having distinct porokeratotic histopathological features. The lesions usually present at birth or in childhood. We present here a case of late-onset PEODDN in a 23-year-old man who had lesions on the palm, forearm, arm and the chest along the lines of Blaschko, strictly localized to the left side of the body.
Collapse
Affiliation(s)
| | - Abanti Saha
- Department of Dermatology, Medical College, Kolkata, West Bengal, India
| | - Dipti Das
- Department of Dermatology, Medical College, Kolkata, West Bengal, India
| | - Anupam Das
- Department of Dermatology, Medical College, Kolkata, West Bengal, India
| |
Collapse
|
32
|
Abstract
The term epidermal nevus syndrome (ENS) has been used to describe the association of epidermal hamartomas and extracutaneous abnormalities. Although many continue to use the term "ENS," it is now understood that this is not one disease, but rather a heterogeneous group with distinct genetic profiles defined by a common cutaneous phenotype: the presence of epidermal and adnexal hamartomas that are associated with other organ system involvement. One commonality is that epidermal nevi often follow the lines of Blaschko and it appears the more widespread the cutaneous manifestations, the greater the risk for extracutaneous manifestations. The majority of the extracutaneous manifestations involve the brain, eye, and skeletal systems. The CNS involvement is wide ranging and involves both clinical manifestations such as intellectual disability and seizures, as well as structural anomalies. Several subsets of ENS with characteristic features have been delineated including the nevus sebaceus syndrome, Proteus syndrome, CHILD syndrome, Becker's nevus syndrome, nevus comedonicus syndrome, and phakomatosis pigmentokeratotica. Advances in molecular biology have revealed that the manifestations of ENS are due to genomic mosaicism. It is likely that the varied clinical manifestations of ENS are due in great part to the functional effects of specific genetic defects. Optimal management of the patient with ENS involves an interdisciplinary approach given the potential for multisystem involvement. Of note, epidermal nevi have been associated with both benign and malignant neoplasms, and thus ongoing clinical follow-up is required.
Collapse
Affiliation(s)
- Sarah Asch
- Department of Dermatology, University of California San Francisco, San Francisco, CA, USA
| | - Jeffrey L Sugarman
- Departments of Dermatology and Community and Family Medicine, University of California San Francisco, Santa Rosa, CA, USA.
| |
Collapse
|
33
|
Riad H, Mansour K, Sada HA, Shaika SA, Ansari HA, Mohannadi HA. Disseminated superficial actinic porokeratosis on the face treated with imiquimod 5% cream. Case Rep Dermatol 2013; 5:283-9. [PMID: 24403891 PMCID: PMC3884169 DOI: 10.1159/000355180] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Porokeratoses are a group of hereditary or acquired disorders characterized by annular lesions with an atrophic center and a prominent peripheral ridge. Pathologically, porokeratosis is characterized by the presence of abnormal clones of keratinocytes that form a column of parakeratotic cells, called the cornoid lamella. Fifteen percent of patients of disseminated superficial actinic porokeratosis (DSAP) have facial lesions; other regions like the extensor surface of extremities constitute the majority of reported cases. Exclusively facial lesions are probably less frequent. Rarely, actinic porokeratosis is confined to the nose only. Of reported porokeratosis cases, 7.5% have revealed a malignancy arising within the lesion. We present a case of facial sporadic DSAP that was treated with imiquimod 5% cream in conjunction with a regular sunscreen. Follow-up of this case is important to rule out the possibility of malignant transformation of the lesions.
Collapse
|
34
|
Easton JA, Donnelly S, Kamps MAF, Steijlen PM, Martin PE, Tadini G, Janssens R, Happle R, van Geel M, van Steensel MAM. Porokeratotic eccrine nevus may be caused by somatic connexin26 mutations. J Invest Dermatol 2012; 132:2184-91. [PMID: 22592158 PMCID: PMC3422696 DOI: 10.1038/jid.2012.143] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Porokeratotic eccrine ostial and dermal duct nevus, or porokeratotic eccrine nevus (PEN), is a hyperkeratotic epidermal nevus. Several cases of widespread involvement have been reported, including one in association with the keratitis–ichthyosis–deafness (KID) syndrome (OMIM #148210), a rare disorder caused by mutations in the GJB2 gene coding for the gap junction protein connexin26 (Cx26). The molecular cause is, as yet, unknown. We have noted that PEN histopathology is shared by KID. The clinical appearance of PEN can resemble that of KID syndrome. Furthermore, a recent report of cutaneous mosaicism for a GJB2 mutation associated with KID describes linear hyperkeratotic skin lesions that might be consistent with PEN. From this, we hypothesized that PEN might be caused by Cx26 mutations associated with KID or similar gap junction disorders. Thus, we analyzed the GJB2 gene in skin samples from two patients referred with generalized PEN. In both, we found GJB2 mutations in the PEN lesions but not in unaffected skin or peripheral blood. One mutation was already known to cause the KID syndrome, and the other had not been previously associated with skin symptoms. We provide extensive functional data to support its pathogenicity. We conclude that PEN may be caused by mosaic GJB2 mutations.
Collapse
Affiliation(s)
- Jennifer A Easton
- Department of Dermatology, Maastricht University Medical Center, Maastricht, The Netherlands.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
35
|
Alsharqi A, Parslew R. A linear rash: a clinicopathological challenge. What is your diagnosis? Int J Dermatol 2011; 50:1332-1333. [PMID: 22004482 DOI: 10.1111/j.1365-4632.2011.04886.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Ali Alsharqi
- Department of Paediatric Dermatology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
| | | |
Collapse
|
36
|
Pathak D, Kubba R, Kubba A. Porokeratotic eccrine ostial and dermal duct nevus. Indian J Dermatol Venereol Leprol 2011; 77:174-6. [PMID: 21393947 DOI: 10.4103/0378-6323.77457] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Porokeratotic eccrine ostial and dermal duct nevus (PEODDN) is a rare variant of porokeratosis with characteristic histological feature of cornoid lamella involving the acrosyringium. We report a classic case of a 20-year-old male, who clinically presented to us with keratotic papules and plaque with pits, few having comedo like plugs, on right palm and sole since 1 year of age. A punch biopsy from palm was diagnostic as well as confirmatory showing cornoid lamella involving an eccrine duct which is the characteristic histopathological feature of PEODDN.
Collapse
|
37
|
Abstract
Nevi or nests of cells may be made up of a variety of cell types. The cell types that live in the epidermis include epidermal cells or keratinocytes, sebaceous glands, hair follicles, apocrine and eccrine glands, and smooth muscle cells. This article discusses epidermal or keratinocyte nevi, nevus sebaceous, nevus comedonicus, smooth muscle hamartomas, and inflammatory linear verrucous epidermal nevi. Syndromes associated with epidermal nevi are also reviewed.
Collapse
|
38
|
Criscione V, Lachiewicz A, Robinson-Bostom L, Grenier N, Dill SW. Porokeratotic eccrine duct and hair follicle nevus (PEHFN) associated with keratitis-ichthyosis-deafness (KID) syndrome. Pediatr Dermatol 2010; 27:514-7. [PMID: 21182641 DOI: 10.1111/j.1525-1470.2010.01272.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Porokeratotic eccrine ostial and dermal duct nevus is a rare hamartomatous malformation, histologically characterized by cornoid lamellae overlying dilated eccrine ostia. The nevus most commonly presents in the form of multiple filiform keratotic spines in a linear arrangement, usually on the distal extremities. Porokeratotic eccrine and hair follicle nevus is thought to be a variant of porokeratotic eccrine ostial and dermal duct nevus that additionally involves hair follicle infundibula. We report a case of widespread Porokeratotic eccrine and hair follicle nevus that developed in a 15-year-old woman with keratitis-ichthyosis-deafness syndrome.
Collapse
Affiliation(s)
- Vincent Criscione
- Department of Dermatology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island 02903, USA
| | | | | | | | | |
Collapse
|
39
|
|
40
|
Masferrer E, Vicente MA, Bassas-Vila J, Rovira C, González-Enseñat MA. Porokeratotic eccrine ostial and dermal duct naevus: report of 10 cases. J Eur Acad Dermatol Venereol 2009; 24:847-51. [DOI: 10.1111/j.1468-3083.2009.03498.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|