Nguyen Quan Duy, Tran Tu Nguyen Anh, Nguyen Hao Trong
Ho Chi Minh City Hospital of Dermato-Venereology, Vietnam.
Dermatol Reports. 2022 Dec 23;15(2):9620. doi: 10.4081/dr.2023.9620. eCollection 2023 Jun 7.
Crouzon syndrome with acanthosis nigricans is an autosomal dominant disease, with typical features of classic Crouzon craniosynostosis, verrucous hyperplasia, and hyperpigmentation of the skin. While several mutations in cause classic Crouzon syndrome, Crouzon syndrome with acanthosis nigricans results from a point mutation in the fibroblast growth factor receptor 3 gene (). We report the case of an 8-year-old Vietnamese girl diagnosed with Crouzon syndrome with acanthosis nigricans, showing typical clinical features, including a crouzonoid face and dark plaques on the skin. Genetic testing showed a missense variation in , associated with Crouzon syndrome with acanthosis nigricans. Following diagnosis, we treated acanthosis nigricans with 10% urea cream. This case study and literature review discuss the cutaneous manifestations and dermatological treatments while demonstrating the importance of clinical examination and evaluation of the patient's medical history during diagnosis. Our findings contribute to the global pool of data, providing practical insights into the manifestations of Crouzon syndrome.
伴有黑棘皮病的克鲁宗综合征是一种常染色体显性疾病,具有典型的经典克鲁宗颅骨缝早闭、疣状增生和皮肤色素沉着的特征。虽然几种基因突变会导致经典的克鲁宗综合征,但伴有黑棘皮病的克鲁宗综合征是由成纤维细胞生长因子受体3基因()的一个点突变引起的。我们报告了一例8岁越南女孩被诊断为伴有黑棘皮病的克鲁宗综合征的病例,其表现出典型的临床特征,包括克鲁宗样面容和皮肤上的深色斑块。基因检测显示存在一个与伴有黑棘皮病的克鲁宗综合征相关的错义变异。诊断后,我们用10%尿素乳膏治疗黑棘皮病。本病例研究和文献综述讨论了皮肤表现和皮肤病治疗方法,同时展示了诊断过程中临床检查和评估患者病史的重要性。我们的研究结果为全球数据库做出了贡献,为克鲁宗综合征的表现提供了实用的见解。