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先天性鱼鳞病的临床表现与转归——病例系列报道

Congenital ichthyosis presentation and outcome - A case series.

作者信息

Ansari Qudsiya A, Singh Vinaya A, Randad Kailas G, Bansal Prasoon

机构信息

Department of Paediatrics, Topiwala National Medical College, Mumbai, Maharashtra, India.

出版信息

J Family Med Prim Care. 2023 Nov;12(11):2990-2993. doi: 10.4103/jfmpc.jfmpc_1080_23. Epub 2023 Nov 21.

DOI:10.4103/jfmpc.jfmpc_1080_23
PMID:38186783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10771169/
Abstract

The ichthyosis, also called disorders of keratinization or cornification, are heterogeneous group of disorders characterized by a generalized scaling of the skin of varying severity. The majority of ichthyosis is inherited but acquired forms can develop in the setting of malignancy, autoimmune or infectious disease, and nutritional deficiency. Autosomal recessive congenital ichthyosis, which include lamellar ichthyosis, congenital ichthyosiform erythroderma, and harlequin ichthyosis, are rare; their overall incidence has been estimated at approximately 1 in 300,000 births. In this article, we described four cases of congenital ichthyosis, their potential complications, causes of morbidity and mortality, and discussed the management and importance of genetic testing for diagnosis as definitive diagnosis is important for long-term management and counseling of the parents.

摘要

鱼鳞病,也称为角化或角质化障碍,是一组异质性疾病,其特征是皮肤出现不同严重程度的全身性鳞屑。大多数鱼鳞病是遗传性的,但获得性形式可在恶性肿瘤、自身免疫性或感染性疾病以及营养缺乏的情况下发生。常染色体隐性先天性鱼鳞病,包括板层状鱼鳞病、先天性鱼鳞病样红皮病和丑角鱼鳞病,较为罕见;据估计,其总体发病率约为每30万例出生中1例。在本文中,我们描述了4例先天性鱼鳞病病例、其潜在并发症、发病和死亡原因,并讨论了诊断性基因检测的管理及重要性,因为明确诊断对于长期管理和向父母提供咨询至关重要。

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本文引用的文献

1
Current Strategies for the Gene Therapy of Autosomal Recessive Congenital Ichthyosis and Other Types of Inherited Ichthyosis.常染色体隐性遗传性先天性鱼鳞病及其他类型遗传性鱼鳞病的基因治疗策略。
Int J Mol Sci. 2022 Feb 24;23(5):2506. doi: 10.3390/ijms23052506.
2
Molecular epidemiology of non-syndromic autosomal recessive congenital ichthyosis in a Middle-Eastern population.中东人群中非综合征性常染色体隐性先天性鱼鳞病的分子流行病学研究。
Exp Dermatol. 2021 Sep;30(9):1290-1297. doi: 10.1111/exd.14345. Epub 2021 Apr 15.
3
Ichthyosis Congenita, Harlequin Type: A Fatal Case Report.
先天性鱼鳞病,丑角样鱼鳞病:1例死亡病例报告
Cureus. 2018 Oct 30;10(10):e3524. doi: 10.7759/cureus.3524.
4
Autosomal recessive congenital ichthyosis: Genomic landscape and phenotypic spectrum in a cohort of 125 consanguineous families.常染色体隐性先天性鱼鳞病:125 个近亲家庭队列的基因组景观和表型谱。
Hum Mutat. 2019 Mar;40(3):288-298. doi: 10.1002/humu.23695. Epub 2019 Jan 16.
5
Management of congenital ichthyoses: European guidelines of care, part two.先天性鱼鳞病的管理:欧洲护理指南,第二部分。
Br J Dermatol. 2019 Mar;180(3):484-495. doi: 10.1111/bjd.16882. Epub 2018 Dec 3.
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Congenital Ichthyosis - Collodion Baby Case Report.先天性鱼鳞病 - 胶样婴儿病例报告
J Clin Diagn Res. 2016 Jun;10(6):SJ01-2. doi: 10.7860/JCDR/2016/16397.7953. Epub 2016 Jun 1.
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Harlequin ichthyosis: a case report of prolonged survival.丑角样鱼鳞病:长期存活病例报告
BMJ Case Rep. 2014 Mar 7;2014:bcr2013200884. doi: 10.1136/bcr-2013-200884.
8
Ichthyosis in the newborn.新生儿鱼鳞病。
Semin Perinatol. 2013 Feb;37(1):26-31. doi: 10.1053/j.semperi.2012.11.001.
9
Systemic retinoids in the management of ichthyoses and related skin types.系统性维 A 酸类药物在鱼鳞癣及相关皮肤类型治疗中的应用。
Dermatol Ther. 2013 Jan-Feb;26(1):26-38. doi: 10.1111/j.1529-8019.2012.01527.x.
10
The clinical spectrum of nonbullous congenital ichthyosiform erythroderma and lamellar ichthyosis.非大疱性先天性鱼鳞病样红皮病和板层状鱼鳞病的临床谱。
Clin Exp Dermatol. 2003 May;28(3):235-40. doi: 10.1046/j.1365-2230.2003.01295.x.