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伴有胚系杂合性 DOCK6 突变和体细镶嵌性 NRAS Q61R 突变的 SCALP 综合征。

SCALP syndrome with a germline heterozygous DOCK6 mutation and somatic mosaic NRAS Q61R mutation.

机构信息

Department of Dermatology, University of California Davis, Sacramento, California, USA.

Department of Biochemistry and Molecular Medicine, University of California Davis, Sacramento, California, USA.

出版信息

Pediatr Dermatol. 2023 May-Jun;40(3):523-527. doi: 10.1111/pde.15184. Epub 2022 Dec 1.

DOI:10.1111/pde.15184
PMID:36456540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10250009/
Abstract

We present a case of SCALP syndrome, which was diagnosed in a male infant with the characteristic findings of sebaceous nevi, central nervous system malformations, aplasia cutis congenita, limbal dermoid, and giant congenital melanocytic nevi, or pigmented nevi. We identified a germline compound heterozygous DOCK6 mutation and a somatic mosaic NRAS Q61R mutation in the giant congenital melanocytic nevus. This report will increase clinician awareness of SCALP syndrome and augment the literature in characterizing this rare syndrome, including its genetic background.

摘要

我们报告了一例 SCALP 综合征,该综合征在一名男性婴儿中被诊断出来,其特征性表现包括皮脂腺痣、中枢神经系统畸形、先天性表皮发育不全、角膜缘皮样瘤和巨大先天性黑素细胞痣或色素痣。我们在巨大先天性黑素细胞痣中发现了胚系复合杂合 DOCK6 突变和体细胞镶嵌 NRAS Q61R 突变。本报告将提高临床医生对 SCALP 综合征的认识,并丰富该罕见综合征的文献资料,包括其遗传背景。

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1
SCALP syndrome with a germline heterozygous DOCK6 mutation and somatic mosaic NRAS Q61R mutation.伴有胚系杂合性 DOCK6 突变和体细镶嵌性 NRAS Q61R 突变的 SCALP 综合征。
Pediatr Dermatol. 2023 May-Jun;40(3):523-527. doi: 10.1111/pde.15184. Epub 2022 Dec 1.
2
SCALP syndrome: sebaceous nevus syndrome, CNS malformations, aplasia cutis congenita, limbal dermoid, and pigmented nevus (giant congenital melanocytic nevus) with neurocutaneous melanosis: a distinct syndromic entity.头皮综合征:皮脂腺痣综合征、中枢神经系统畸形、先天性皮肤发育不全、角膜皮样瘤以及伴有神经皮肤黑素沉着的色素痣(巨大先天性黑素细胞痣):一种独特的综合征实体。
J Am Acad Dermatol. 2008 May;58(5):884-8. doi: 10.1016/j.jaad.2007.09.029. Epub 2008 Jan 30.
3
Sebaceous nevus syndrome, central nervous system malformations, aplasia cutis congenita, limbal dermoid, and pigmented nevus syndrome.皮脂腺痣综合征、中枢神经系统畸形、先天性皮肤发育不全、角膜皮样瘤和色素痣综合征。
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本文引用的文献

1
Neurological signs, symptoms and MRI abnormalities in patients with congenital melanocytic naevi and evaluation of routine MRI-screening: systematic review and meta-analysis.神经学表现、症状和先天性黑色素痣患者的 MRI 异常及常规 MRI 筛查的评估:系统评价和荟萃分析。
Orphanet J Rare Dis. 2022 Mar 2;17(1):95. doi: 10.1186/s13023-022-02234-8.
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SCALP Syndrome associated with central nervous system melanoma.与中枢神经系统黑色素瘤相关的头皮综合征
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SCALP syndrome: What is it and its ophthalmic manifestations.头皮综合征:是什么及其眼部表现。
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Mosaic NRAS Q61R mutation in a child with giant congenital melanocytic naevus, epidermal naevus syndrome and hypophosphataemic rickets.一名患有巨大先天性黑素细胞痣、表皮痣综合征和低磷血症性佝偻病儿童的嵌合型NRAS Q61R突变
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A postzygotic NRAS mutation in a patient with Schimmelpenning syndrome.一名患有施密尔彭宁综合征患者的合子后NRAS突变。
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DOCK6 mutations are responsible for a distinct autosomal-recessive variant of Adams-Oliver syndrome associated with brain and eye anomalies.DOCK6基因突变是与脑和眼异常相关的亚当斯-奥利弗综合征一种独特的常染色体隐性变异的病因。
Hum Mutat. 2015 Jun;36(6):593-8. doi: 10.1002/humu.22795. Epub 2015 Apr 21.
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Secondary neoplasms associated with nevus sebaceus of Jadassohn: a study of 707 cases.继发于 Jadassohn 皮脂腺痣的恶性肿瘤:707 例研究。
J Am Acad Dermatol. 2014 Feb;70(2):332-7. doi: 10.1016/j.jaad.2013.10.004. Epub 2013 Nov 20.
8
NRAS mutation is the sole recurrent somatic mutation in large congenital melanocytic nevi.NRAS 突变是大型先天性黑素细胞痣中唯一反复出现的体细胞突变。
J Invest Dermatol. 2014 Apr;134(4):1067-1074. doi: 10.1038/jid.2013.429. Epub 2013 Oct 15.
9
BMS1 is mutated in aplasia cutis congenita.BMS1 突变与先天性皮肤发育不全有关。
PLoS Genet. 2013 Jun;9(6):e1003573. doi: 10.1371/journal.pgen.1003573. Epub 2013 Jun 13.
10
Multiple congenital melanocytic nevi and neurocutaneous melanosis are caused by postzygotic mutations in codon 61 of NRAS.多发性先天性黑素细胞痣和神经皮肤黑色素沉着症是由 NRAS 密码子 61 的合子后突变引起的。
J Invest Dermatol. 2013 Sep;133(9):2229-36. doi: 10.1038/jid.2013.70. Epub 2013 Feb 7.