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Baka JLCES, Rocha TOCD, Pincelli MS, Samorano LP, Rivitti-Machado MCDM, Oliveira ZNPD. Stiff skin syndrome: long-term follow-up. An Bras Dermatol 2024; 99:597-600. [PMID: 38664099 PMCID: PMC11221244 DOI: 10.1016/j.abd.2023.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 06/22/2023] [Accepted: 07/09/2023] [Indexed: 06/12/2024] Open
Affiliation(s)
| | - Tauana Ogata Coelho da Rocha
- Pediatric Dermatology, Hospital das Clínicas, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Marcella Soares Pincelli
- Dermatopathology, Hospital das Clínicas, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Luciana Paula Samorano
- Pediatric Dermatology, Hospital das Clínicas, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil
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2
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Lin Z, Pei Y, Tang X, Rong L, Chen L, Jiang X. Classification and rising medication therapy in stiff skin syndrome: A case report and literature review. Dermatol Ther 2022; 35:e15633. [PMID: 35686816 DOI: 10.1111/dth.15633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 05/30/2022] [Accepted: 06/08/2022] [Indexed: 11/28/2022]
Abstract
Stiff skin syndrome (SSS) is a rare disorder characterized by skin induration and limited joint mobility in the absence of visceral, musculoskeletal, vascular, or immunologic abnormalities. Distinctive subsets of SSS could be distinguished by various manifestation and mechanism, which accounts for the high heterogeneity in SSS cases. Although rehabilitation training remains the mainstay of management, rising medications has drawn awareness in recent years, owing to the potential efficacy. Nevertheless, experience was limited, especially in widespread SSS. We report on a 5-year-old girl with widespread SSS, whose lesion stopped progressing after combination therapy by mycophenolic acid (MPA) and losartan (LST) in addition to rehabilitation exercise. Despite limited experience, a combined therapy of MPA and LST seems to be effective in retarding progression of widespread SSS.
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Affiliation(s)
- Zhilang Lin
- Department of Pediatrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Yuxin Pei
- Department of Pediatrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Xuhua Tang
- Department of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Liping Rong
- Department of Pediatrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Lizhi Chen
- Department of Pediatrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Xiaoyun Jiang
- Department of Pediatrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
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3
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Ko CJ, Atzmony L, Lim Y, McNiff JM, Craiglow BG, Antaya RJ, Choate KA. Review of genodermatoses with characteristic histopathology and potential diagnostic delay. J Cutan Pathol 2019; 46:756-765. [DOI: 10.1111/cup.13520] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Revised: 05/16/2019] [Accepted: 05/28/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Christine J. Ko
- Department of DermatologyYale University Medical School New Haven Connecticut
| | - Lihi Atzmony
- Department of DermatologyYale University Medical School New Haven Connecticut
| | - Young Lim
- Department of DermatologyYale University Medical School New Haven Connecticut
| | - Jennifer M. McNiff
- Department of DermatologyYale University Medical School New Haven Connecticut
| | | | - Richard J. Antaya
- Department of DermatologyYale University Medical School New Haven Connecticut
| | - Keith A. Choate
- Department of DermatologyYale University Medical School New Haven Connecticut
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4
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Abstract
Stiff skin syndrome is a rare disease causing stony hard induration of skin usually in early childhood. We report a case of 12 years old boy who presented to our clinic with biopsy showing adipocyte entrapment which we believe is an unrecognized key pathological finding in diagnosis of this entity.
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5
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Oral rigidity and xerostomia in a 46-year-old man. J Am Dent Assoc 2018; 149:214-219. [DOI: 10.1016/j.adaj.2017.12.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Revised: 11/26/2017] [Accepted: 12/20/2017] [Indexed: 11/18/2022]
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6
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Myers KL, Mir A, Schaffer JV, Meehan SA, Orlow SJ, Brinster NK. Segmental stiff skin syndrome (SSS): A distinct clinical entity. J Am Acad Dermatol 2016; 75:163-8. [DOI: 10.1016/j.jaad.2016.01.038] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Revised: 01/12/2016] [Accepted: 01/26/2016] [Indexed: 11/17/2022]
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7
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Velez MJ, Billings SD, Weaver JA. Fibroblastic connective tissue nevus. J Cutan Pathol 2015; 43:75-9. [DOI: 10.1111/cup.12605] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2014] [Revised: 06/11/2015] [Accepted: 06/28/2015] [Indexed: 11/27/2022]
Affiliation(s)
- Moises J. Velez
- Department of Pathology; Summa Akron City Hospital; Akron OH USA
| | - Steven D. Billings
- Department of Pathology and Dermatopathology; Cleveland Clinic; Cleveland OH USA
| | - Joshua A. Weaver
- Department of Pathology; Summa Akron City Hospital; Akron OH USA
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8
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Chamney S, Cartmill B, Earley O, McConnell V, Willoughby CE. The ocular phenotype of stiff-skin syndrome. Eye (Lond) 2015; 30:156-9. [PMID: 26471116 DOI: 10.1038/eye.2015.183] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Accepted: 05/08/2015] [Indexed: 11/09/2022] Open
Abstract
PURPOSE Stiff skin syndrome (SSS; MIM#184900) is a rare autosomal dominantly inherited Mendelian disorder characterised by thickened and stone-hard indurations of the skin, mild hypertrichosis, and limitation of joint mobility with flexion contractures. It is autosomal dominant with high penetrance and results from mutations in the fibrillin 1 (FBN1; MIM*134797) gene. Here we present the associated ocular phenotype in a two generation nonconsanguineous Northern Irish family.METHODS The affected patients underwent complete ophthalmic and orthoptic assessment and genetic testing.RESULTS All three patients had ophthalmoplegia of varying degrees. Direct sequencing of the FBN1 gene detected a heterozygous pathogenic mutation (c.4710G>C; p.Trp1570Cys) in all affected patients.CONCLUSIONS This is the first report of ophthalmoplegia in association with SSS.
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Affiliation(s)
- S Chamney
- Department of Ophthalmology, Royal Victoria Hospital, Belfast, UK
| | - B Cartmill
- Department of Ophthalmology, Royal Victoria Hospital, Belfast, UK
| | - O Earley
- Department of Ophthalmology, Mater Hospital, Belfast, UK
| | - V McConnell
- Northern Ireland Regional Genetics Department, Belfast City Hospital, Belfast Health & Social Care Trust, Belfast, UK
| | - C E Willoughby
- Department of Eye and Vision Science, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK
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9
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Plana Pla A, Bielsa Marsol I, Fernández-Figueras M, Ferrándiz Foraster C. Congenital Fascial Dystrophy or Stiff Skin Syndrome: A Case Report. ACTAS DERMO-SIFILIOGRAFICAS 2014. [DOI: 10.1016/j.adengl.2014.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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10
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Plana Pla A, Bielsa Marsol I, Fernández-Figueras M, Ferrándiz Foraster C. Congenital fascial dystrophy or stiff skin syndrome: a case report. ACTAS DERMO-SIFILIOGRAFICAS 2014; 105:805-7. [PMID: 24630430 DOI: 10.1016/j.ad.2014.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2013] [Revised: 01/07/2014] [Accepted: 01/10/2014] [Indexed: 10/25/2022] Open
Affiliation(s)
- A Plana Pla
- Departamento de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España.
| | - I Bielsa Marsol
- Departamento de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
| | - M Fernández-Figueras
- Departamento de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
| | - C Ferrándiz Foraster
- Departamento de Dermatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España
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11
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Pediatric Dermatology Clinical-Pathologic Case “Mimickers”. CURRENT DERMATOLOGY REPORTS 2013. [DOI: 10.1007/s13671-013-0055-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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12
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Barbarot S. [What's new in pediatric dermatology?]. Ann Dermatol Venereol 2013; 139 Suppl 5:S202-16. [PMID: 23522707 DOI: 10.1016/s0151-9638(12)70135-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This paper is based on a review of the literature focused on pediatric dermatology, from October 2011 to september 2012. Our objective was to highlight the main advances in fields such as atopic dermatitis, infantile hemangiomas, infectious diseases, inflammatory disorders, and genodermatoses.
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Affiliation(s)
- S Barbarot
- Clinique dermatologique, Hôtel Dieu, CHU Nantes, Place Alexis Ricordeau, 44000 Nantes, France.
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Piérard GE, Hermanns-Lê T, Delvenne P, Piérard-Franchimont C. Characterization of spontaneous collagen fibrillogenesis in a cell-free and tension-free environment. Clin Exp Dermatol 2013; 38:417-20. [DOI: 10.1111/ced.12045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2012] [Indexed: 11/30/2022]
Affiliation(s)
| | - T. Hermanns-Lê
- Department of Dermatopathology; University of Liège; Liège; Belgium
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