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Pope V, Dupuis L, Kannu P, Mendoza-Londono R, Sajic D, So J, Yoon G, Lara-Corrales I. Buschke-Ollendorff syndrome: a novel case series and systematic review. Br J Dermatol 2016; 174:723-9. [PMID: 26708699 DOI: 10.1111/bjd.14366] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2015] [Indexed: 11/29/2022]
Abstract
Buschke-Ollendorff syndrome (BOS) is a rare, often benign, autosomal skin disorder. BOS commonly presents with nontender connective tissue naevi and sclerotic bony lesions (osteopoikilosis [OPK]). Herein, we summarize the presenting features of BOS and potential associations by conducting a systematic review of the literature and summarizing a cohort seen at the Hospital for Sick Children (HSC), Toronto, Canada. PubMed was searched using the following terms: 'BOS'; 'dermatofibrosis lenticularis'; 'OPK'; 'LEMD3'; 'elastoma'; 'collagenoma'. Only case reports were included, without date or language restrictions. Cases were further narrowed to those where patients or their families had a combination of skin and bony lesions, or a positive genetic test. Data were summarized using frequencies. In total, 594 reports were discovered, of which 546 (92%) were excluded. The remaining 48 accounted for 164 cases. Skin lesions were noted in 24% of cases and bony lesions in 20%, while 54% of patients had both. In 1% of cases the diagnosis was made on genetic testing alone. A family history was noted in 92% of cases. All patients with spinal stenosis (2%) or shortened status (7%) had OPK. Six per cent of patients had neurological problems. However, 50% of the cohort from HSC had cognitive delays, and only cases from 2007 onwards reported cognitive delays (the prevalence was 17% among those cases). This review confirms the classical diagnostic features of BOS. In addition, it highlights a previously unreported association between a shortened stature and OPK, as well as a possible association with cognitive delays.
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Affiliation(s)
- V Pope
- Department of Dermatology, Hospital for Sick Children, Toronto, ON, Canada
| | - L Dupuis
- Department of Genetics and Metabolics, Hospital for Sick Children, Toronto, ON, Canada
| | - P Kannu
- Department of Genetics and Metabolics, Hospital for Sick Children, Toronto, ON, Canada
| | - R Mendoza-Londono
- Department of Genetics and Metabolics, Hospital for Sick Children, Toronto, ON, Canada
| | - D Sajic
- Department of Dermatology, Hospital for Sick Children, Toronto, ON, Canada
| | - J So
- University Health Network and Mount Sinai Hospital, The Fred A. Litwin Family Centre in Genetic Medicine, Toronto, ON, Canada.,Centre for Addiction and Mental Health, Toronto, ON, Canada.,University of Toronto, Department of Laboratory Medicine and Pathobiology, Toronto, ON, Canada
| | - G Yoon
- Department of Genetics and Metabolics, Hospital for Sick Children, Toronto, ON, Canada
| | - I Lara-Corrales
- Pediatrics Section of Dermatology, Hospital for Sick Children, Toronto, ON, Canada.,University of Toronto, Toronto, ON, Canada
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PROSHUTINSKAYA DV, TROFIMCHUK IA, KATUNINA OR, KOCHETKOV MA. Buschke — Ollendorff syndrome in infant patients. VESTNIK DERMATOLOGII I VENEROLOGII 2012. [DOI: 10.25208/vdv757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
The authors present a clinical and histological description of two clinical cases of a rare inherited disease, Buschke — Ollendorff syndrome. In both cases, the disease was not accompanied by the bone tissue dysplasia but at the same time it was characterized by a clear histological pattern specific of this syndrome. The authors provide literature data and discuss issues related to the pathogenesis and particular features of the clinical picture and diagnostics of the disease.
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Yuste-Chaves M, Cañueto J, Santos-Briz Á, Ciria S, González-Sarmiento R, Unamuno P. Buschke-Ollendorff syndrome with striking phenotypic variation resulting from a novel c.2203C>T nonsense mutation in LEMD3. Pediatr Dermatol 2011; 28:447-50. [PMID: 20678097 DOI: 10.1111/j.1525-1470.2010.01206.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The Buschke-Ollendorff syndrome (BOS) (MIM 166700) is a rare autosomal dominant disorder with highly variable expression that consists of multiple cutaneous elastic nevi and osteopoikilosis. It may exhibit clinical variations, and in some patients either skin or bone lesions may be absent. Recently it has been demonstrated that the heterozygous loss of function in LEMD3 can result in osteopoikilosis, BOS, and melorheostosis. We have studied three generations in a family with BOS with a variable phenotype. The genetic analyses revealed a heterozygous c.2203C>T nonsense mutation at the LEMD3 locus. The mutation induces a change in the 735 arginine codon to a stop codon. This study shows the wide phenotypic variation in BOS and increases the repertory of mutations described to date in LEMD3.
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Gunal I, Kiter E. Disorders associated with osteopoikilosis5 different lesions in a family. ACTA ACUST UNITED AC 2009; 74:497-9. [PMID: 14521305 DOI: 10.1080/00016470310017857] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Although osteopoikilosis is generally considered an accidental finding, several developmental dysplasias coexisting with this disorder have been reported. However, all authors have mentioned only one coexisting finding, and most of them are case reports. We report a family in whom various members had osteopoikilosis with 5 different associated lesions. We suggest that osteopoikilosis is a bone manifestation of a generalized fibroproliferative or stenosing disease.
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Affiliation(s)
- Izge Gunal
- Department of Orthopedics, Dokuz Eylül University Hospital, Turkey.
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Abstract
BACKGROUND Buschke-Ollendorff syndrome is a rare autosomal dominant disease featuring osteopoikilosis and skin lesions. It is caused by genetic mutations in a protein deeply involved in bone and connective tissue morphogenesis. METHODS We describe a 39-year-old woman with Buschke-Ollendorff syndrome. RESULTS After a minor trauma, radiologic examination of the left ankle of a 39-year-old woman revealed features of osteopoikilosis. Physical examination of the patient showed multiple asymptomatic nodules on both thighs, present since the age of 20 years, which had increased in size and number. Recently, a linear, string-like lesion had appeared on the right thigh. CONCLUSION The correct diagnosis of Buschke-Ollendorff syndrome may require a high index of suspicion.
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Affiliation(s)
- Donatella Schena
- Department of Biomedical and Surgical Sciences, Section of Dermatology and Venereology, University of Verona, Verona, Italy.
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Champion V, Gérard M, Reinert P, Soria I. Douleurs osseuses et papules blanchâtres chez un adolescent de 12 ans. Arch Pediatr 2005; 12:1124-8. [PMID: 15964529 DOI: 10.1016/j.arcped.2005.02.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2004] [Accepted: 02/17/2005] [Indexed: 10/25/2022]
Abstract
Here we present a case report in which a teenager, with papules on the arm and back since the infancy, complained of back and right knee pain at the age of 12 years. The radiological examination led to the diagnosis of osteopoikilosis and melorheostosis. The Buschke-Ollendorff syndrome (BOS) associates osteopoikilosis (asymptomatic bone dysplasia) and disseminated dermatofibrosis. The BOS is rare, and its association with melorheostosis (another bone dysplasia in which pain and deformity may occur) makes the prognosis uncertain. This case report highlights the diagnosis problems related with bone pain in paediatrics. The purpose of this manuscript is to present the characteristics of two bone dysplasias: osteopoikilosis and melorheostosis, and to discuss the involvement of each one in the clinical picture of our patient.
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Affiliation(s)
- V Champion
- Service de pédiatrie, centre hospitalier intercommunal de Créteil, France
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Ehrig T, Cockerell CJ. Buschke-ollendorff syndrome: report of a case and interpretation of the clinical phenotype as a type 2 segmental manifestation of an autosomal dominant skin disease. J Am Acad Dermatol 2003; 49:1163-6. [PMID: 14639409 DOI: 10.1016/s0190-9622(03)00481-x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Buschke-Ollendorff syndrome is a rare, autosomal dominant disease consisting of osteopoikilosis and skin manifestations. A case is reported, and the literature is reviewed with special reference to the clinical distribution patterns of skin lesions. The 2 main types of skin manifestations in this entity are widely disseminated, symmetrically distributed papules and localized, asymmetrically distributed plaques. Both types of lesions have been observed within the same family or within the same person. This particular phenotype can be explained by type 2 segmental manifestation of an autosomal dominant cutaneous trait: Symmetrically distributed papules are a manifestation of the heterozygous state acquired by inheritance, and asymmetrically distributed plaques develop in areas that have undergone a somatic mutational event of the wild-type allele at an early developmental stage, the result being loss of heterozygosity.
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Affiliation(s)
- Torsten Ehrig
- Department of Dermatology, University of Texas Southwestern Medical School, Dallas, TX, USA
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Debeer P, Pykels E, Lammens J, Devriendt K, Fryns JP. Melorheostosis in a family with autosomal dominant osteopoikilosis: report of a third family. Am J Med Genet A 2003; 119A:188-93. [PMID: 12749062 DOI: 10.1002/ajmg.a.20072] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
We describe a three-generation family with clinical and radiological findings of osteopoikilosis in five and melorheostosis in one individual. The co-occurrence of both rare bone disorders suggests that both conditions might be related as suggested previously by Butkus et al. [1997: Am J Med Genet 72:43-46] and Nevin et al. [1999: Am J Med Genet 82:409-414]. The findings in this family strengthen the hypothesis that osteopoikilosis is an autosomal dominant condition and that an early postzygotic second hit mutation in the second allele results in melorheostosis.
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Affiliation(s)
- Philippe Debeer
- Centre for Human Genetics, University Hospital Leuven, Herestraat, Leuven, Belgium.
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Nevin NC, Thomas PS, Davis RI, Cowie GH. Melorheostosis in a family with autosomal dominant osteopoikilosis. AMERICAN JOURNAL OF MEDICAL GENETICS 1999; 82:409-14. [PMID: 10069713 DOI: 10.1002/(sici)1096-8628(19990219)82:5<409::aid-ajmg10>3.0.co;2-2] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
We describe a 19-year-old woman with melorheostosis and osteopoikilosis (mixed sclerosing bone dysplasia). Her sister and mother had osteopoikilosis, but no evidence of melorheostosis. Isolated melorheostosis and melorheostosis with osteopoikilosis are sporadic disorders. Osteopoikilosis is an autosomal dominant trait. Mixed sclerosing bone dysplasia in a family with autosomal dominant osteopoikilosis raises the possibility that the two bone disorders may be related. This family and that of Butkus et al. [1997: Am J Med Genet 72:43-46] suggest that the melorheostosis could be due to a second mutation at the same locus as that which causes autosomal dominant osteopoikilosis.
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Affiliation(s)
- N C Nevin
- Regional Genetics Centre, Belfast City Hospital, Northern Ireland, United Kingdom.
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Al Attia HM, Sherif AM. Buschke-Ollendorff syndrome in a grande multipara: a case report and short review of the literature. Clin Rheumatol 1998; 17:172-5. [PMID: 9641521 DOI: 10.1007/bf01452270] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
A 36-year-old short-statured grande multipara (gravida 10, para 8) with diabetes mellitus and hyperlipidaemia was incidentally found to have Buschke-Ollendorff syndrome (osteopoikilosis and dermatofibrosis lenticularis disseminata). The pelvis and hips, followed by the knees, were the sites mainly affected by the osteopoikilosis. The lumbosacral spine was also affected. She had a single connective tissue naevus on the right thigh. Apart from two abortions, the repeated pregnancies were uneventful and all her deliveries were normal at full-term or nearly full-term. With regard to the relationship between Buschke-Ollendorff syndrome and multiparity, it was apparent that multiparity did not affect the involved weight bearing bony structures, nor did the disseminated osteopoikilosis interfere with the endurance of multiple pregnancies. Buschke-Ollendorff syndrome is known generally to have a benign course, a feature that is illustrated in this case, even when associated with the stresses of multiparity. The report also provides a short and updated review of various clinical aspects of the syndrome and its associations, some of which are of a serious nature.
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Affiliation(s)
- H M Al Attia
- Department of Internal Medicine and Orthopaedic Surgery, Mafraq Hospital, Abu Dhabi, United Arab Emirates
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Jurenka SB, Van Allen MI. Mixed sclerosing bone dysplasia, small stature, seizure disorder, and mental retardation: a syndrome? AMERICAN JOURNAL OF MEDICAL GENETICS 1995; 57:6-9. [PMID: 7645600 DOI: 10.1002/ajmg.1320570103] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
We present a 40-year-old man with mental retardation, short stature, minor anomalies, and seizures, who was found to have osteopoikilosis with melorheostosis (mixed sclerosing bone dysplasia, MSBD). Cytogenetic findings of a low level trisomy 8 mosaicism were not confirmed by fluorescence in situ hybridization (FISH) of fibroblast cells. To our knowledge, the association of MSBD and mental retardation has not been previously reported.
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Affiliation(s)
- S B Jurenka
- Department of Medical Genetics, University of British Columbia, Vancouver, Canada
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12
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Schnyder UW. A contribution to the understanding of the heredity of skin tumors. J Dermatol 1994; 21:619-32. [PMID: 7962964 DOI: 10.1111/j.1346-8138.1994.tb01806.x] [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: 01/28/2023]
Abstract
At least 21 multiple tumors of the skin are inherited autosomal-dominantly. Eighteen are benign and three are malignant. One-third of these tumors have no associated lesions, another third is associated with benign visceral lesions, and a final third belongs to the group of cancer associated genodermatoses. The solitary variants of these tumors, however, are sporadic, not inherited.
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Affiliation(s)
- U W Schnyder
- Department of Dermatology, University of Zurich, Switzerland
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Abstract
We report a family with the Buschke-Ollendorff syndrome and several unusual features, including one individual with congenital spinal stenosis and another with hearing loss, probably due to otosclerosis. Other reported abnormalities associated with this syndrome, including otosclerosis, are reviewed.
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Affiliation(s)
- R E Schnur
- Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania 19104
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Abstract
We report five members of a family with dacryocystitis associated with osteopoikilosis. The inheritance is autosomal dominant. Review of the literature revealed no other report of this kind of association. Osteopoikilosis must not be considered as a coincidental radiographic finding but as part of a systemic disorder.
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Affiliation(s)
- I Günal
- Department of Orthopedics and Traumatology, Anadolu University, Medical Faculty, Eskisehir, Turkey
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Affiliation(s)
- M D Thieberg
- Department of Dermatology, University of Iowa Hospitals and Clinics
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