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色素失禁症:三例新病例表明其并非仅见于女性

[Incontinentia pigmenti: three new cases that demonstrate it is not only a matter of women].

作者信息

Feito-Rodríguez M, García-Macarrón J, Bravo-Burguillos E Ruiz, Vera-Casaño A, de Lucas-Laguna R

机构信息

Servicio de Dermatología, Hospital Universitario La Paz, Madrid, España.

出版信息

Actas Dermosifiliogr. 2007 Mar;98(2):112-5.

Abstract

Incontinentia pigmenti is a rare, dominantly X-linked genodermatosis characterized by multisystemic involvement that is lethal prenatally in the majority of affected males and shows great clinical variability when it is expressed in women. Recently it has been shown that mutations of the gene NEMO/IKK-g located in Xq28 cause the expression of the disease, being only one mutation responsible for approximately 80 % of the cases. The diagnosis of incontinentia pigmenti is performed based on clinical features and family history with the support of histological findings. Nevertheless, as the gene responsible for the phenotype of the disease has been identified, a genetic study may be employed for doubtful cases. We report three cases of this entity (two women and one man) in different clinical stages of development that show the broad clinical spectrum we may encounter in the clinic.

摘要

色素失禁症是一种罕见的、X连锁显性遗传性皮肤病,其特征是多系统受累,大多数受影响的男性在产前致死,而在女性中表现时临床变异性很大。最近研究表明,位于Xq28的NEMO/IKK-γ基因突变导致该病的发生,约80%的病例由单一突变引起。色素失禁症的诊断基于临床特征和家族史,并辅以组织学检查结果。然而,由于导致该病表型的基因已被确定,对于疑难病例可进行基因研究。我们报告了该疾病的3例病例(2名女性和1名男性),处于不同的临床发育阶段,展示了临床上可能遇到的广泛临床谱。

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