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Engel C, Chevarin M, Piard J, Abad M, Thomas Q, Carmignac V, Duffourd Y, Lemesle-Martin M, Tarris G, Thauvin-Robinet C, Vabres P, Faivre L, Kuentz P. Allelic heterogeneity in a patient with postzygotic MTOR-related hypomelanosis of Ito with neurodevelopmental abnormalities. Clin Genet 2024; 105:581-583. [PMID: 38379111 DOI: 10.1111/cge.14511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 01/25/2024] [Accepted: 02/12/2024] [Indexed: 02/22/2024]
Abstract
A case of mosaic MTOR-associated hemimegalencephaly and hypomelanosis of Ito, died at 33 probably because of sudden unexpected death in epilepsy. Assessment of the variant allele fraction (VAF) in different tissues postmortem showed high variability not correlated with clinical features, representing the most detailed assessment of VAFs in different tissues to date.
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Affiliation(s)
- Camille Engel
- Centre de Génétique Humaine, CHU Besançon, Besançon, France
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
| | - Martin Chevarin
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
- Unité Fonctionnelle Innovation Diagnostique dans les Maladies Rares, FHU-TRANSLAD, CHU Dijon Bourgogne, Dijon, France
| | - Juliette Piard
- Centre de Génétique Humaine, CHU Besançon, Besançon, France
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
| | - Marine Abad
- Service d'Anatomie Pathologique, CHU Besançon, Besançon, France
| | - Quentin Thomas
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
- Service de Neurologie, CHU Dijon Bourgogne, Dijon, France
| | - Virginie Carmignac
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
| | - Yannis Duffourd
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
- Unité Fonctionnelle Innovation Diagnostique dans les Maladies Rares, FHU-TRANSLAD, CHU Dijon Bourgogne, Dijon, France
| | | | - Georges Tarris
- Service de Neurologie, CHU Dijon Bourgogne, Dijon, France
| | - Christel Thauvin-Robinet
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
- Unité Fonctionnelle Innovation Diagnostique dans les Maladies Rares, FHU-TRANSLAD, CHU Dijon Bourgogne, Dijon, France
- Centre de Génétique et Centres de référence Anomalies du Développement et Déficience Intellectuelle, FHU-TRANSLAD et Institut GIMI, CHU Dijon Bourgogne, Dijon, France
| | - Pierre Vabres
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
- Centre de référence MAGEC "Maladies Génétiques à Expression Cutanée", FHU-TRANSLAD et Institut GIMI, CHU Dijon Bourgogne, Dijon, France
| | - Laurence Faivre
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
- Centre de Génétique et Centres de référence Anomalies du Développement et Déficience Intellectuelle, FHU-TRANSLAD et Institut GIMI, CHU Dijon Bourgogne, Dijon, France
| | - Paul Kuentz
- INSERM UMR1231 GAD "Génétique des Anomalies du Développement", Université de Bourgogne Franche-Comté, Dijon, France
- Oncobiologie Génétique Bioinformatique, FHU-TRANSLAD et Institut GIMI, CHU Besançon, Besançon, France
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Panda PK, Sharawat IK. A Child with Whorls and Streaks: Look Beyond the Skin! J Pediatr 2020; 218:257-257.e1. [PMID: 31812292 DOI: 10.1016/j.jpeds.2019.10.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 10/28/2019] [Accepted: 10/30/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Prateek Kumar Panda
- Pediatric Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, Rishikesh, India
| | - Indar Kumar Sharawat
- Pediatric Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, Rishikesh, India
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Belzile E, McCuaig C, Le Meur JB, Coulombe J, Hatami A, Powell J, Rivière JB, Marcoux D. Patterned cutaneous hypopigmentation phenotype characterization: A retrospective study in 106 children. Pediatr Dermatol 2019; 36:869-875. [PMID: 31359495 DOI: 10.1111/pde.13913] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Cutaneous patterned hypopigmentation's phenotype is highly variable and may be associated with extracutaneous anomalies. OBJECTIVE We evaluated the phenotypic and clinical characteristics of patients with cutaneous patterned hypopigmentation to determine whether certain patterns were more likely to be associated with underlying anomalies. METHODS The charts of 106 children with cutaneous patterned hypopigmentation were reviewed retrospectively (2007-2018) at Sainte-Justine University Hospital Centre, in Montreal, Canada. Retrieved information included sex, age at diagnosis, phototype, pattern, and distribution of the cutaneous lesions and the presence of extracutaneous findings. Data were recorded on a software tool which collects and analyzes phenotypic information. RESULTS The predominant types of cutaneous patterned hypopigmentation were along Blaschko's lines in narrow (38.7%) and broad bands (53.8%). Mixed patterns were observed in 22.5% of children. The anterior trunk and posterior trunk were most frequently affected (69% and 56%, respectively). Extracutaneous involvement, especially neurological and developmental, was present in 28.3% of patients and was significantly associated with ≥ 4 involved body sites. CONCLUSION Distribution and types of cutaneous patterned hypopigmentation were not predictive of extracutaneous findings, with the exception of multiple sites involvement and possibly centrofacial location and blocklike lesions. Follow-up until school entry should help identify subtler associated extracutaneous anomalies.
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Affiliation(s)
- Eugénie Belzile
- Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Quebec, Canada
| | - Catherine McCuaig
- Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Quebec, Canada
| | - Jean-Baptiste Le Meur
- Faculty of Medicine, Department of Social and Preventive Medicine, Laval University, Quebec City, Quebec, Canada
| | - Jérôme Coulombe
- Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Quebec, Canada
| | - Afshin Hatami
- Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Quebec, Canada
| | - Julie Powell
- Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Quebec, Canada
| | - Jean-Baptiste Rivière
- Child Health and Human Development Program, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada.,Department of Human Genetics, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Danielle Marcoux
- Division of Pediatric Dermatology, Department of Pediatrics, Sainte-Justine University Hospital Centre, University of Montreal, Montreal, Quebec, Canada
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Bouzon AC, Meireles BCDS, Souza IV, Dias FV, Goldschmidt B. Palmoplantar depigmentation in Macaca fascicularis following Blaschko linear pattern. J Med Primatol 2019; 49:52-55. [PMID: 31657466 DOI: 10.1111/jmp.12445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Accepted: 09/24/2019] [Indexed: 11/30/2022]
Abstract
Hypomelanosis of Ito is a rare neurocutaneous syndrome, characterized by streaks and swirls of hypopigmentation arranged in a Blaschkoid pattern. Other associated anomalies are observed. We report a case of a male cynomolgus monkey (Macaca fascicularis) who presented the characteristic of hypomelanosis of Ito with palmoplantar involvement and polythelia.
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Affiliation(s)
- Aline Crespo Bouzon
- Serviço de Criação de Primatas Não-Humanos, ICTB, FIOCRUZ, Rio de Janeiro, Brasil
| | | | - Igo Vieira Souza
- Serviço de Criação de Primatas Não-Humanos, ICTB, FIOCRUZ, Rio de Janeiro, Brasil
| | | | - Beatriz Goldschmidt
- Serviço de Criação de Primatas Não-Humanos, ICTB, FIOCRUZ, Rio de Janeiro, Brasil
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Ozcetin M, Kilic A, Cag Y, Bilgili F, Aksoy B. A case of hypomelanosis of Ito accompanied by unilateral abnormal limb overgrowth and delayed speech. North Clin Istanb 2018; 7:71-73. [PMID: 32232208 PMCID: PMC7103738 DOI: 10.14744/nci.2018.86648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 10/10/2018] [Indexed: 11/20/2022] Open
Abstract
Hypomelanosis of Ito (HI) is characterized by unilateral or bilateral hypopigmented skin lesions and usually presents as a multisystemic disorder. Skin lesions may develop in different textures, such as linear, whorled, or patchy, and are often accompanied by abnormalities of the central nervous system, skeletal system, eyes, and teeth. HI is associated with sporadic gene mutations but not gender. Presentation of the current case may be of use in reminding practitioners of the common extracutaneous findings of HI, along with some rare manifestations, such as delayed speech and asymmetric limb growth.
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Affiliation(s)
- Mustafa Ozcetin
- Department of Pediatrics, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Ayse Kilic
- Department of Pediatrics, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Yakup Cag
- Department of Pediatrics, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Fuat Bilgili
- Department of Orthopedics and Traumatology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Busra Aksoy
- Department of Pediatrics, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey
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Affiliation(s)
- Matthew Z Dawson
- The Ohio State University College of Medicine, Department of Pediatrics, Columbus, Ohio
| | - Debabrata Ghosh
- Nationwide Children's Hospital, Department of Neurology and Pediatrics, The Ohio State University Medical Center, Columbus, Ohio.
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Abstract
Hypomelanosis of Ito (HI) is a neurocutaneous syndrome characterized by hypopigmented cutaneous lesions and extracutaneous manifestations frequently affecting the nervous system and the musculoskeletal system. Dysmorphic features, dental, ophthalmic, gastrointestinal, cardiac, and renal abnormalities are described in a minority of patients. The authors describe a 4-month-old infant having HI with unusual pulmonary hypoplasia that has not been reported so far.
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Affiliation(s)
- Ramesh Y Bhat
- Department of Paediatrics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| | - Saikat Patra
- Department of Paediatrics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| | - P V Chaitanya Varma
- Department of Paediatrics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| | - K Prakashini
- Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
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Okanari K, Miyahara H, Itoh M, Takahashi A, Aizaki K, Nakagawa E, Otsuki T, Izumi T. Hemimegalencephaly in a patient with coexisting trisomy 21 and hypomelanosis of Ito. J Child Neurol 2014; 29:415-20. [PMID: 23266943 DOI: 10.1177/0883073812469297] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A male infant with trisomy 21 simultaneously showed clinical features of hypomelanosis of Ito and hemimegalencephaly, with related intractable epileptic seizures. The epileptic seizures were refractory to conventional antiepileptic drugs and persisted until the patient underwent functional hemispherotomy. It is well known that patients with hypomelanosis of Ito may also have cortical dysplasia and hemimegalencephaly and that approximately half of these patients have chromosomal abnormalities. However, to our knowledge, there is no previous report of a patient with trisomy 21 associated with hemimegalencephaly. Here, we describe a rare case of coexisting trisomy 21 and hypomelanosis of Ito, associated with hemimegalencephaly.
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Affiliation(s)
- Kazuo Okanari
- 1Department of Pediatrics and Child Neurology, Oita University Faculty of Medicine, Oita, Japan
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