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表皮痣综合征组 II. 定义不明确的表型。

The group of epidermal nevus syndromes Part II. Less well defined phenotypes.

机构信息

Department of Dermatology, University of Marburg, Marburg, Germany.

出版信息

J Am Acad Dermatol. 2010 Jul;63(1):25-30; quiz 31-2. doi: 10.1016/j.jaad.2010.01.016.

Abstract

UNLABELLED

In addition to the well established epidermal nevus syndromes, such as Schimmelpenning, Becker, Proteus, CHILD, or nevus comedonicus syndromes, the group of less well defined phenotypes associated with epidermal nevi presently includes nevus trichilemmocysticus syndrome, didymosis aplasticosebacea, SCALP syndrome (sebaceous nevus, central nervous system malformations, aplasia cutis congenita, limbal dermoid,and pigmented nevus), Gobello syndrome, Bäfverstedt syndrome, NEVADA syndrome (nevus epidermicus verrucosus with angio-dysplasia and aneurysms), and CLOVE syndrome (congenital lipomatous overgrowth, vascular malformations, and epidermal nevus). These syndromes can thus far be regarded as being in limbo. Future clinical and molecular research may show which of these disorders can be added to the list of well defined nosologic entities.

LEARNING OBJECTIVES

After completing this learning activity, participants should be able to understand why the list of distinct epidermal nevus syndromes can thus far not be regarded as being complete; why clinicians, when seeing a patient with an epidermal nevus syndrome that is difficult to categorize, should bear in mind the group of less well defined epidermal nevus syndromes; and how practical dermatologists can help recognize rare forms of epidermal nevus syndromes and categorize them appropriately.

摘要

未命名

除了已确立的表皮痣综合征,如 Schimmelpenning、Becker、Proteus、CHILD 或粉刺性毛母质瘤综合征外,目前与表皮痣相关的定义不明确的表型组还包括毛发鞘瘤综合征、两性畸形性无汗性外胚叶发育不良、SCALP 综合征(皮脂腺痣、中枢神经系统畸形、先天性表皮发育不全、角膜缘皮样瘤和色素痣)、Gobello 综合征、Bäfverstedt 综合征、NEVADA 综合征(表皮棘皮瘤伴血管发育不良和动脉瘤)和 CLOVE 综合征(先天性脂肪过多症、血管畸形和表皮痣)。这些综合征目前可以被认为是处于模糊状态。未来的临床和分子研究可能会显示,这些疾病中有哪些可以被添加到已明确的疾病实体列表中。

学习目标

完成本项学习活动后,参与者应该能够理解为什么目前还不能认为独特的表皮痣综合征列表是完整的;为什么当临床医生看到难以归类的表皮痣综合征患者时,应牢记定义不明确的表皮痣综合征组;以及皮肤科医生如何帮助识别罕见的表皮痣综合征并进行适当的分类。

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