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Yoo IY, Song JS, Ki CS, Kim JW, Cha HS, Min YK. Novel 4-bp Intronic Deletion (c.1560+5_1560+8del) [corrected] in LEMD3 in a Korean Patient With Osteopoikilosis. Ann Lab Med 2017; 37:540-543. [PMID: 28840995 PMCID: PMC5587830 DOI: 10.3343/alm.2017.37.6.540] [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: 02/09/2017] [Revised: 04/10/2017] [Accepted: 07/18/2017] [Indexed: 11/19/2022] Open
Abstract
Osteopoikilosis is an autosomal dominant bone disorder characterized by symmetric multiple osteosclerotic lesions throughout the axial and appendicular skeleton. Pathogenic variants in the LEMD3 have been identified as the cause of osteopoikilosis. LEMD3 encodes an inner nuclear membrane protein that interacts with bone morphogenetic protein (BMP) and transforming growth factor (TGF)-β pathways. We report the case of a 19-year-old man presenting with lower back pain and sciatica. His radiograph revealed bilateral and symmetrical multiple osteosclerotic bone lesions in both scapular areas. Sanger sequencing of LEMD3 revealed a four-base-pair deletion in intron 2 (c.1560+3_1560+6del), which was inherited from his father. We found that this four-base-pair deletion in intron 2 causes aberrant splicing and consequent deletion of exon 2. To the best of our knowledge, this is the first report of genetically confirmed osteopoikilosis in Korea.
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Affiliation(s)
- In Young Yoo
- Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Ju Sun Song
- Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Chang Seok Ki
- Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
| | - Jong Won Kim
- Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Hoon Suk Cha
- Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Yong Ki Min
- Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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2
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Guzman AK, James WD. Helen Ollendorff-Curth: A dermatologist's lasting legacy. Int J Womens Dermatol 2017; 2:108-112. [PMID: 28492020 PMCID: PMC5418872 DOI: 10.1016/j.ijwd.2016.06.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 06/05/2016] [Accepted: 06/10/2016] [Indexed: 11/16/2022] Open
Affiliation(s)
- Anthony K Guzman
- Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
| | - William D James
- Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
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3
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Guzman AK, James WD. Helen Ollendorff Curth: A dermatologist’s lasting legacy. Int J Womens Dermatol 2017; 3:S70-S74. [PMID: 28492044 PMCID: PMC5419040 DOI: 10.1016/j.ijwd.2017.02.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 06/05/2016] [Accepted: 06/10/2016] [Indexed: 11/29/2022] Open
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4
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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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5
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Chu DH, Goldbach H, Wanat KA, Rubin AI, Yan AC, Treat JR. A New Variant of Connective Tissue Nevus with Elastorrhexis and Predilection for the Upper Chest. Pediatr Dermatol 2015; 32:518-21. [PMID: 25545833 DOI: 10.1111/pde.12456] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Localized changes in cutaneous elastic tissue often manifest with flesh-colored, hypopigmented, or yellow papules, plaques, and nodules. We present five children with clinically similar cobblestone plaques composed of multiple hypopigmented, nonfollicular, pinpoint papules located unilaterally over the upper chest. All lesions first appeared at birth or during early infancy. No associated extracutaneous abnormalities have been identified. Histopathology was remarkable for many, thick elastic fibers with elastorrhexis. We believe that these cases represent a distinct and unique variant of connective tissue nevi.
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Affiliation(s)
- Derek H Chu
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Hayley Goldbach
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Karolyn A Wanat
- Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa
| | - Adam I Rubin
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.,Section of Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Albert C Yan
- Section of Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - James R Treat
- Section of Dermatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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6
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Dawson AL, Schulman JM, Jordan RC, North JP. Ossifying fibroma in Buschke-Ollendorff syndrome. J Cutan Pathol 2014; 41:740-4. [DOI: 10.1111/cup.12365] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2014] [Revised: 05/28/2014] [Accepted: 05/29/2014] [Indexed: 01/16/2023]
Affiliation(s)
- Annelise L. Dawson
- Department of Dermatology; University of California; San Francisco CA USA
| | - Joshua M. Schulman
- Department of Dermatology; University of California; San Francisco CA USA
- Department of Pathology; University of California; San Francisco CA USA
| | - Richard C. Jordan
- Departments of Orofacial Sciences, Pathology & Radiation Oncology; University of California; San Francisco CA USA
| | - Jeffrey P. North
- Department of Dermatology; University of California; San Francisco CA USA
- Department of Pathology; University of California; San Francisco CA USA
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Florisson JMG, Verkerk AJMH, Huigh D, Hoogeboom AJM, Swagemakers S, Kremer A, Heijsman D, Lequin MH, Mathijssen IMJ, van der Spek PJ. Boston type craniosynostosis: report of a second mutation in MSX2. Am J Med Genet A 2013; 161A:2626-33. [PMID: 23949913 DOI: 10.1002/ajmg.a.36126] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2012] [Accepted: 06/06/2013] [Indexed: 11/07/2022]
Abstract
We describe a family that segregated an autosomal dominant form of craniosynostosis characterized by variable expression and limited extra-cranial features. Linkage analysis and genome sequencing were performed to identify the underlying genetic mutation. A c.443C>T missense mutation in MSX2, which predicts p.Pro148Leu was identified and segregated with the disease in all affected family members. One other family with autosomal dominant craniosynostosis (Boston type) has been reported to have a missense mutation in MSX2. These data confirm that missense mutations altering the proline at codon 148 of MSX2 cause dominantly inherited craniosynostosis.
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Affiliation(s)
- Joyce M G Florisson
- Department of Plastic, Reconstructive and Hand Surgery, Dutch Craniofacial Centre, Erasmus Medical Centre Sophia Children's Hospital, Rotterdam, The Netherlands
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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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Fernández-Faith E, Kress D, Piliang M, Sachdeva M, Vidimos A. Buschke-Ollendorff syndrome and bilateral cutaneous syndactyly. Pediatr Dermatol 2012; 29:661-2. [PMID: 22150319 DOI: 10.1111/j.1525-1470.2011.01417.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
A 3-year-old boy presented with asymptomatic elastomas on the posterior trunk. Radiographic studies revealed osteopoikilosis, confirming the diagnosis of Buschke-Ollendorff syndrome. The patient had a history of bilateral simple cutaneous syndactyly, which has not been previously reported with this condition. Buschke-Ollendorff syndrome is a rare autosomal-dominant disorder characterized by connective tissue nevi and osteopoikilosis. Several associated systemic abnormalities have been reported, but morbidity and mortality are generally not affected.
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10
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Connective tissue nevi in children: institutional experience and review. J Am Acad Dermatol 2012; 67:890-7. [PMID: 22739355 DOI: 10.1016/j.jaad.2012.01.036] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2011] [Revised: 01/25/2012] [Accepted: 01/28/2012] [Indexed: 11/21/2022]
Abstract
BACKGROUND Connective tissue nevi (CTN) are circumscribed hamartomas of the skin in which there is an abnormal mixture of normal components of the dermis that may be sporadic or associated with syndromes such as Buschke-Ollendorff, tuberous sclerosis, and Proteus. OBJECTIVE We sought to specify the clinical and histologic features of CTN in childhood and to propose a diagnostic approach and updated classification. METHODS This was a retrospective study in a tertiary pediatric outpatient population, accessing clinical and histopathological records. RESULTS We classified 114 cases of CTN from 1980 to 2008. LIMITATIONS The majority of cases were confirmed by histopathological examination. Therefore, our series excludes many CTN that were not biopsied. In addition, follow-up was variable. CONCLUSION Our series demonstrates the usefulness of a modified classification for CTN. Biopsy should be done when clinical diagnosis is uncertain, or in multiple lesions. When biopsy is performed it should include normal-appearing skin for comparison and, in Buschke-Ollendorff syndrome, limited anterior-posterior x-rays of the hands, wrists, feet, ankles, knees, and pelvis instead of a full skeletal survey.
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Choi Y, Jin SY, Lee JH, Kwon HB, Lee AY, Lee SH. Papular elastorrhexis: a case and differential diagnosis. Ann Dermatol 2011; 23 Suppl 1:S53-6. [PMID: 22028573 PMCID: PMC3199423 DOI: 10.5021/ad.2011.23.s1.s53] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2010] [Revised: 09/03/2010] [Accepted: 09/03/2010] [Indexed: 11/29/2022] Open
Abstract
Papular elastorrhexis is a rare cutaneous disorder that occurs predominantly during adolescence. The disorder is characterized by asymptomatic indurated white or flesh papules showing decreased and fragmented elastic fibers in the dermis. We herein report on a 12-year-old girl with multiple asymptomatic white, nonfollicular, firm papules scattered on the extremities and trunk. Histological examination revealed focal areas showing increased layers of collagen fibers and decreased and fragmented elastic fibers in the upper dermis.
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Affiliation(s)
- Yunseok Choi
- Department of Dermatology, Dongguk University Ilsan Hospital, College of Medicine, Dongguk University, Goyang, Korea
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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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Zhang Y, Castori M, Ferranti G, Paradisi M, Wordsworth BP. Novel and recurrent germlineLEMD3mutations causing Buschke-Ollendorff syndrome and osteopoikilosis but not isolated melorheostosis. Clin Genet 2009; 75:556-61. [DOI: 10.1111/j.1399-0004.2009.01177.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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