Braun S A, Hanneken S, Reifenberger J, Helbig D, Frank J
Hautklinik, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Hautarzt. 2012 Apr;63(4):276-8. doi: 10.1007/s00105-012-2357-4.
The occurrence of multiple cutaneous leiomyomas can be indicative of hereditary cutaneous leiomyomatosis. This autosomal dominant disorder is due to germline mutations in the fumarate hydratase (FH) gene. Associations with uterine myomas and renal cell carcinomas have been described and are referred to as Multiple Cutaneous and Uterine Leiomyomas (MCUL) or Hereditary Leiomyomatosis and Renal Cell Cancer (HLRCC), respectively. A 34-year-old man presented with multiple red-brown papules and nodules. After histopathologic confirmation of piloleiomyomas, we made the diagnosis of hereditary cutaneous leiomyomatosis. Taking into consideration the aforementioned complications, close interdisciplinary management of these patients and regular screening examinations within affected families are mandatory.
多发性皮肤平滑肌瘤的出现可能提示遗传性皮肤平滑肌瘤病。这种常染色体显性疾病是由延胡索酸水合酶(FH)基因的种系突变引起的。已描述了其与子宫肌瘤和肾细胞癌的关联,分别称为多发性皮肤和子宫平滑肌瘤(MCUL)或遗传性平滑肌瘤病和肾细胞癌(HLRCC)。一名34岁男性出现多个红棕色丘疹和结节。经组织病理学确诊为毛平滑肌瘤后,我们做出了遗传性皮肤平滑肌瘤病的诊断。考虑到上述并发症,对这些患者进行密切的多学科管理以及在受影响家庭中进行定期筛查检查是必不可少的。