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Yang Z, Xu Z, Ma L. Multiple facial atrophic scars in childhood. Pediatr Dermatol 2024; 41:537-539. [PMID: 38332461 DOI: 10.1111/pde.15542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 01/13/2024] [Indexed: 02/10/2024]
Affiliation(s)
- Zhou Yang
- Department of Dermatology, Beijing Children's Hospital, Beijing, China
| | - Zhe Xu
- Department of Dermatology, Beijing Children's Hospital, Beijing, China
| | - Lin Ma
- Department of Dermatology, Beijing Children's Hospital, Beijing, China
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2
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Li Z, Lai Y, Yu G, Sun D, Lu G, Dong L, Luan J, Chen X. Lipoid Proteinosis of the Pharynx and Larynx: A Case Report. EAR, NOSE & THROAT JOURNAL 2022:1455613221119071. [PMID: 36000487 DOI: 10.1177/01455613221119071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Lipoid proteinosis (LP) is a rare inherited multisystem disease. Classical clinical features include beaded eyelid papules, laryngeal infiltration, and neurological symptoms. Here, we report the diagnosis and treatment of a female patient with LP in order to improve physician awareness and understanding of this disease.
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Affiliation(s)
- Zhuojun Li
- Department of Otolaryngology Head and Neck Surgery, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
- The 2nd Medical College of Binzhou Medical University, Yantai, China
| | - Yongfeng Lai
- Department of Cardiac surgery , Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
| | - Guohua Yu
- Department of Pathology , Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
| | - Di Sun
- Department of Pathology , Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
| | - Guowei Lu
- Department of Otolaryngology Head and Neck Surgery, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
| | - Lei Dong
- Department of Otolaryngology Head and Neck Surgery, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
| | - Jiangang Luan
- Department of Otolaryngology Head and Neck Surgery, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
| | - Xiumei Chen
- Department of Otolaryngology Head and Neck Surgery, Qingdao University Medical College Affiliated Yantai Yuhuangding Hospital, Yantai, China
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3
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Mofarrah R, Ghasemi M, Mofarrah R, Emadi S, Rostamian F. Lipoid Proteinosis: A Systematic Presentation of an Unusual Disease. J Cosmet Dermatol 2022; 21:4237-4240. [PMID: 35176194 DOI: 10.1111/jocd.14861] [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: 01/25/2022] [Accepted: 02/14/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Lipoid Proteinosis (LP) or Hyalinosis Cutis et Mucosae or Urbach-Wiethe disease is a rare autosomal recessive genodermatosis characterized by an amorphous hyaline material deposition in the skin mucosa and viscera. The clinical symptoms of this disease often begin in childhood, which persist throughout life. Skin manifestations include inflammation, scaling, acne, and eventually ulceration, and hyaline amorphous deposits in these areas of the wound cause a waxy and thick appearance on the skin. In addition, wounds leave atrophic scars like chickenpox. AIM Herein, we present the first case of LP in the north of Iran; although LP is a sporadic disease, it occurs all around the world, with about 400 cases worldwide having been reported thus far. PATIENT We report the case of a 28-year-old female with a history of skin lesions on her face, scalp, extremities, and buttock, as well as hoarse cry, respiratory problems, dysphagia, and migraine since childhood. There was no evidence of other clinical presentations. A biopsy was taken from the lesions, and the patient was diagnosed with LP. A laryngeal laser was performed for the patient, and peeling creams were used for her skin lesions. RESULT According to previous findings, there has been no case report of LP with systemic symptoms in the north of Iran.
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Affiliation(s)
- Ramin Mofarrah
- Department of Dermatology, Faculty of Medicine, Islamic Azad University of Medical Sciences, Sari, Iran
| | - Maryam Ghasemi
- Immunogenetics Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ramina Mofarrah
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sadaf Emadi
- Student Research Committee, Islamic Azad University of Medical Sciences, Sari, Iran
| | - Fatemeh Rostamian
- Student Research Committee, Islamic Azad University of Medical Sciences, Sari, Iran
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4
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Lipoid Proteinosis: A Rare Cause of Hoarseness. J Voice 2019; 33:155-158. [DOI: 10.1016/j.jvoice.2017.05.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Revised: 05/25/2017] [Accepted: 05/26/2017] [Indexed: 11/22/2022]
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Lipoid proteinosis: Unfamiliar skin findings delay diagnosis. JAAD Case Rep 2018; 4:609-611. [PMID: 30003130 PMCID: PMC6039698 DOI: 10.1016/j.jdcr.2018.03.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Gao D, Ma X, Lian P, Zhou S, Chen J. Pathogenetic mechanism of lipoid proteinosis caused by mutation of the extracellular matrix protein 1 gene. Mol Med Rep 2018; 17:8087-8090. [PMID: 29693130 DOI: 10.3892/mmr.2018.8928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Accepted: 03/08/2018] [Indexed: 11/06/2022] Open
Abstract
Lipoid proteinosis (LP) is a rare form of dermatosis with autosomal recessive inheritance. The present study hypothesized that an extracellular matrix protein 1 (ECM1) gene mutation forms the pathological basis of LP. The association between ECM1 mutation and LP; however, requires further investigation and was thus investigated in the present study. Injury skin tissue samples from patients with LP were collected, along with venous blood samples for genomic DNA extraction. Immunohistochemical staining was performed. Polymerase chain reaction (PCR) was then used to obtain an ECM1 gene fragment, which was sequenced and compared with healthy individuals. Histopathological examination revealed that all included patients fitted the features of LP and PCR amplification of the ECM1 gene in all patients obtained positive results. Patients with LP in the present study exhibited point mutations in the ECM1 gene, including one homozygous mutation (C220G) as previously reported, and one novel homozygous mutation c.508insCTG and two heterozygous mutations (C220G/P.R481X and c507delT/c.l473delT). LP is correlated with ECM1 gene mutation.
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Affiliation(s)
- Dong Gao
- Department of Dermatology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China
| | - Xianying Ma
- Department of Information, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China
| | - Peiwen Lian
- Department of Laboratory and Oncology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China
| | - Surong Zhou
- Department of Dermatology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China
| | - Jian Chen
- Department of Laboratory and Oncology, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China
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Afshar B, Sadeghi A, Amani M, Ali Asgari A. Esophageal Aperistalsis in a Patient with Lipoid Proteinosis. Middle East J Dig Dis 2018; 10:55-58. [PMID: 29682250 PMCID: PMC5903930 DOI: 10.15171/mejdd.2017.92] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2017] [Accepted: 10/12/2018] [Indexed: 11/12/2022] Open
Abstract
Lipoid proteinosis is a rare disorder with autosomal recessive inheritance, characterized
by progressive deposition of hyaline material in the skin, mucous membrane, and different
organs of the body, resulting in a multitude of clinical manifestations. A 34-year-old woman
presented with hoarseness, dysphagia, eyelid beeding, and acneiform scars on the facial skin
and extremities. The patient was diagnosed clinically as having lipoid proteinosis, which was
confirmed by laryngeal biopsy. The objective of the present report is to describe this rare entity.
This case report also illustrates that lipoid proteinosis may show protean clinical features and
yet may remain undiagnosed for many years.
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Affiliation(s)
- Behrooz Afshar
- Shahid Beheshti General Hospital, Department of Internal Medicine, Hamadan University of Medical Science, Hamadan, Iran
| | - Anahita Sadeghi
- Digestive Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Amani
- Digestive Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Ali Asgari
- Digestive Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
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Lipoid proteinosis: A clinical and molecular study in Egyptian patients. Gene 2017; 628:308-314. [PMID: 28720532 DOI: 10.1016/j.gene.2017.07.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Revised: 06/17/2017] [Accepted: 07/10/2017] [Indexed: 11/20/2022]
Abstract
Lipoid proteinosis (LP) is an autosomal recessive disorder caused by the loss of function of ECM1 gene. Clinical features include varying degrees of skin thickening, hoarseness of voice and less frequently neuropsychiatric abnormalities. Twelve patients from ten unrelated families with a clinical diagnosis of lipoid proteinosis were enrolled in this study. Extraction of DNA samples of the 12 patients and their parents from peripheral blood by standard methods was performed. Polymerase chain reaction (PCR) amplification of the ECM1 gene was conducted using eight pairs of primers spanning over the 10 exons and splice junctions. Patients exhibited a variety of clinical manifestations with skin affection and hoarseness of voice being the consistent feature. We identified five novel homozygous insertion, small deletion, missense, and splice site mutations as well as two homozygous previously published splice site mutation c.70+1G>C in intron 1 and c.1305-2A>G in intron 8. The specific mutations were: c.10_11insC in exon 1, c.690_691delAG in exon 6, c.734G>A in exon 7, c.1286_1287delAA in exon 8 and c.1393-1G>T in intron 9. The novel mutations c.1393-1G>T and c.10_11insC occurred in three (30%) and two (20%) unrelated patients of the studied families, respectively. Further studies may designate an increased frequency of these mutations among Egyptian LP patients. Identification of pathogenic ECM1 mutations is important for accurate diagnosis and proper genetic counseling.
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Chen Z, Calawerts W, Zhang Y, Jiang J, Xu W. A Case Report: Hybrid Treatment Approach to Lipoid Proteinosis of the Larynx. J Voice 2017; 31:128.e15-128.e19. [DOI: 10.1016/j.jvoice.2015.12.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Accepted: 12/13/2015] [Indexed: 10/22/2022]
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Kamath SJ, Marthala H, Manapragada B. Ocular manifestations in lipoid proteinosis: A rare clinical entity. Indian J Ophthalmol 2016; 63:793-5. [PMID: 26655007 PMCID: PMC4728981 DOI: 10.4103/0301-4738.171517] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Lipoid proteinosis is a rare autosomal recessive genodermatosis with abnormal lipid protein complexes deposition in different parts of the body, especially in the skin and mucus membranes of the upper aerodigestive tract. Though ocular involvement in lipoid proteinosis is rare, ophthalmologists may encounter diverse ocular complications accompanying this syndrome in clinical practice. We describe a case of lipoid proteinosis involving bilateral eyelids with pathognomonic moniliform blepharosis in a 33-year-old gentleman who presented with the complaints of itching of eye lids on and off since 10 years.
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Affiliation(s)
| | - HimaBindu Marthala
- Department of Ophthalmology, Kasturba Medical College, Mangalore, Karnataka, India
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Abstract
Urbach-Wiethe syndrome or lipoid proteinosis is a rare autosomal recessive disorder characterized histologically by infiltration of Periodic acid Schiff-positive hyaline material in the skin, upper aerodigestive tract, eyelids, and internal organs. Classical clinical features include scarring of the skin, beaded eyelid papules (moniliform blepharosis) and laryngeal infiltration leading to hoarseness of voice. Lipoid proteinosis can lead to life-threatening conditions such as acute respiratory distress and seizures. Awareness among ophthalmologists about this rare entity is crucial for appropriate management of these patients.
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Affiliation(s)
| | - Pratheeba N Devi
- Department of Orbit, Oculoplasty, Reconstructive and Aesthetics, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India
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