1
|
Cheng Q, Yang F, Xue R, Wang H, Lin Z. Postzygotic gain-of-function variants in FGFR2 in two patients with hair follicle naevus. Br J Dermatol 2023; 189:641-643. [PMID: 37540986 DOI: 10.1093/bjd/ljad267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 07/24/2023] [Accepted: 08/05/2023] [Indexed: 08/06/2023]
Abstract
Hair follicle naevus (HFN) is a rare benign hamartoma that predominantly affects the face and neck. The genetic basis of HFN remains unclear. We report on two cases of HFN caused by pathozygotic gain-of-function variants in FGFR2.
Collapse
Affiliation(s)
- Qing Cheng
- Dermatology Hospital, Southern Medical University, Guangzhou
| | - Fang Yang
- Department of Dermatology, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Candidate Branch of National Clinical Research Center for Skin Diseases, Shenzhen
| | - Ruzeng Xue
- Dermatology Hospital, Southern Medical University, Guangzhou
| | - Huijun Wang
- Dermatology Hospital, Southern Medical University, Guangzhou
| | - Zhimiao Lin
- Dermatology Hospital, Southern Medical University, Guangzhou
- Department of Dermatology, Peking University First Hospital, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, National Clinical Research Center for Skin and Immune Diseases, Beijing
- Department of Dermatology, Xiamen Chang Gung Hospital, Xiamen, China
| |
Collapse
|
2
|
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
|
3
|
Alenezi AK, Al-Sabah H, Attia AF, Nanda A. Linear hyperkeratotic spiny plaques in a child. Pediatr Dermatol 2021; 38:691-693. [PMID: 34224618 DOI: 10.1111/pde.14571] [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: 11/27/2022]
Affiliation(s)
| | | | - Ahmed F Attia
- As'ad Al-Hamad Dermatology Center, Kuwait City, Kuwait
| | - Arti Nanda
- As'ad Al-Hamad Dermatology Center, Kuwait City, Kuwait
| |
Collapse
|
4
|
Jia Q, Qu T. An unusual association of porokeratotic eccrine ostial and dermal duct naevus with verruciform xanthoma. Australas J Dermatol 2020; 61:e445-e446. [PMID: 32608028 DOI: 10.1111/ajd.13343] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 04/22/2020] [Accepted: 04/25/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Qiannan Jia
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Tao Qu
- Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| |
Collapse
|
5
|
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
|
6
|
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
|
7
|
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
|
8
|
Faniku C, Wright CS, Martin PE. Connexins and pannexins in the integumentary system: the skin and appendages. Cell Mol Life Sci 2015; 72:2937-47. [PMID: 26091749 PMCID: PMC11113313 DOI: 10.1007/s00018-015-1969-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Accepted: 06/11/2015] [Indexed: 10/23/2022]
Abstract
The integumentary system comprises the skin and its appendages, which includes hair, nails, feathers, sebaceous and eccrine glands. In this review, we focus on the expression profile of connexins and pannexins throughout the integumentary system in mammals, birds and fish. We provide a picture of the complexity of the connexin/pannexin network illustrating functional importance of these proteins in maintaining the integrity of the epidermal barrier. The differential regulation and expression of connexins and pannexins during skin renewal, together with a number of epidermal, hair and nail abnormalities associated with mutations in connexins, emphasize that the correct balance of connexin and pannexin expression is critical for maintenance of the skin and its appendages with both channel and non-channel functions playing profound roles. Changes in connexin expression during both hair and feather regeneration provide suggestions of specialized communication compartments. Finally, we discuss the potential use of zebrafish as a model for connexin skin biology, where evidence mounts that differential connexin expression is involved in skin patterning and pigmentation.
Collapse
Affiliation(s)
- Chrysovalantou Faniku
- Department of Life Sciences and Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, G4 0BA UK
| | - Catherine S. Wright
- Department of Life Sciences and Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, G4 0BA UK
| | - Patricia E. Martin
- Department of Life Sciences and Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, G4 0BA UK
| |
Collapse
|
9
|
Abstract
Connexin mutations underlie numerous human genetic diseases. Several connexin genes have been linked to skin diseases, and mechanistic studies have indicated that a gain of abnormal channel function may be responsible for pathology. The topical accessibility of the epidermal connexins, the existence of several mouse models of human skin disease, and the ongoing identification of pharmacological inhibitors targeting connexins provide an opportunity to test new therapeutic approaches.
Collapse
Affiliation(s)
- Noah A Levit
- Department of Physiology and Biophysics, Stony Brook University, Stony Brook, NY 11794, United States
| | - Thomas W White
- Department of Physiology and Biophysics, Stony Brook University, Stony Brook, NY 11794, United States.
| |
Collapse
|
10
|
Llamas-Velasco M, Hilty N, Kempf W. Porokeratotic adnexal ostial naevus: review on the entity and therapeutic approach. J Eur Acad Dermatol Venereol 2014; 29:2032-7. [DOI: 10.1111/jdv.12732] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2014] [Accepted: 08/04/2014] [Indexed: 11/28/2022]
Affiliation(s)
- M. Llamas-Velasco
- Department of Dermatology; Hospital Infanta Cristina; Parla Madrid Spain
- Kempf und Pfaltz Histologische Diagnostik; Zurich Switzerland
| | - N. Hilty
- Dermatology Practice Dermapoint; Vaduz Liechtenstein
| | - W. Kempf
- Kempf und Pfaltz Histologische Diagnostik; Zurich Switzerland
| |
Collapse
|
11
|
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
|
12
|
Coggshall K, Farsani T, Ruben B, McCalmont TH, Berger TG, Fox LP, Shinkai K. Keratitis, ichthyosis, and deafness (KID) syndrome: A review of infectious and neoplastic complications. J Am Acad Dermatol 2013; 69:127-34. [DOI: 10.1016/j.jaad.2012.12.965] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2012] [Revised: 12/12/2012] [Accepted: 12/16/2012] [Indexed: 01/06/2023]
|
13
|
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
|