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由KRT10突变(c.467G>A,p.Arg156His)引起的新生儿表皮松解性鱼鳞病:一例报告

Neonatal Epidermolytic Ichthyosis Caused by a KRT10 Mutation (c.467G>A, p.Arg156His): A Case Report.

作者信息

Smits Elke, Naulaers Gunnar, Bolling Maria C, Legius Eric, Colmant Caroline

机构信息

Department of Pediatrics University Hospitals Leuven Leuven Belgium.

Department of Development and Regeneration KU Leuven Leuven Belgium.

出版信息

Clin Case Rep. 2025 Jul 29;13(8):e70682. doi: 10.1002/ccr3.70682. eCollection 2025 Aug.

DOI:10.1002/ccr3.70682
PMID:40741111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12307240/
Abstract

We present a neonatal case of skin blisters and erythema. While epidermolysis bullosa was initially suspected, immunofluorescence antigen mapping and genetic testing confirmed epidermolytic ichthyosis, with a heterozygous pathogenic variant in the gene (c.467G>A, p.Arg156His). A multidisciplinary approach is essential for accurate diagnosis and treatment of neonatal blistering conditions.

摘要

我们报告一例新生儿皮肤水疱和红斑病例。虽然最初怀疑是大疱性表皮松解症,但免疫荧光抗原定位和基因检测确诊为表皮松解性鱼鳞病,该基因存在杂合致病性变异(c.467G>A,p.Arg156His)。多学科方法对于准确诊断和治疗新生儿水疱性疾病至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20b/12307240/f675e4b8b22a/CCR3-13-e70682-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20b/12307240/4b6581f6cfde/CCR3-13-e70682-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20b/12307240/9cdbfb3799a8/CCR3-13-e70682-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20b/12307240/f675e4b8b22a/CCR3-13-e70682-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20b/12307240/4b6581f6cfde/CCR3-13-e70682-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20b/12307240/9cdbfb3799a8/CCR3-13-e70682-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c20b/12307240/f675e4b8b22a/CCR3-13-e70682-g003.jpg

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本文引用的文献

1
Congenital ichthyosiform erythroderma with epidermolysis due to a novel frameshift mutation in .先天性鱼鳞病样红皮病伴表皮松解,病因是……中的一种新型移码突变 。 (你提供的原文不完整,“in”后面缺少具体基因等相关内容)
JAAD Case Rep. 2023 Mar 18;35:74-76. doi: 10.1016/j.jdcr.2023.02.028. eCollection 2023 May.
2
Consensus reclassification of inherited epidermolysis bullosa and other disorders with skin fragility.遗传性大疱性表皮松解症及其他皮肤脆性疾病的共识性重新分类
Br J Dermatol. 2020 Oct;183(4):614-627. doi: 10.1111/bjd.18921. Epub 2020 Mar 11.
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The challenges of living with and managing epidermolysis bullosa: insights from patients and caregivers.
患有大疱性表皮松解症和对其进行管理的挑战:来自患者和护理者的见解。
Orphanet J Rare Dis. 2020 Jan 3;15(1):1. doi: 10.1186/s13023-019-1279-y.
4
Epidermolytic hyperkeratosis: clinical update.表皮松解性角化过度:临床进展
Clin Cosmet Investig Dermatol. 2019 May 8;12:333-344. doi: 10.2147/CCID.S166849. eCollection 2019.
5
Gene Editing-Mediated Disruption of Epidermolytic Ichthyosis-Associated KRT10 Alleles Restores Filament Stability in Keratinocytes.基因编辑介导的表皮松解性鱼鳞病相关 KRT10 等位基因的破坏恢复了角质形成细胞中的细丝稳定性。
J Invest Dermatol. 2019 Aug;139(8):1699-1710.e6. doi: 10.1016/j.jid.2019.03.1146. Epub 2019 Apr 15.
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Inherited Nonsyndromic Ichthyoses: An Update on Pathophysiology, Diagnosis and Treatment.遗传性非综合征性鱼鳞病:发病机制、诊断和治疗的最新进展。
Am J Clin Dermatol. 2018 Feb;19(1):51-66. doi: 10.1007/s40257-017-0313-x.
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Ichthyosis with confetti presenting as collodion baby: a novel mutation in KRT10.以薄纸样胎儿形式表现的落屑性鱼鳞病:KRT10基因的一种新突变。
Clin Exp Dermatol. 2017 Jul;42(5):543-544. doi: 10.1111/ced.13097. Epub 2017 May 27.
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Epidemiology of Inherited Epidermolysis Bullosa Based on Incidence and Prevalence Estimates From the National Epidermolysis Bullosa Registry.基于全国大疱性表皮松解症登记处的发病率和患病率估计的遗传性大疱性表皮松解症的流行病学。
JAMA Dermatol. 2016 Nov 1;152(11):1231-1238. doi: 10.1001/jamadermatol.2016.2473.
9
Inherited ichthyosis: Non-syndromic forms.遗传性鱼鳞病:非综合征型
J Dermatol. 2016 Mar;43(3):242-51. doi: 10.1111/1346-8138.13243.
10
Management of Epidermolytic Ichthyosis in the Newborn.新生儿表皮松解性鱼鳞病的管理
Neonatal Netw. 2016;35(1):19-28. doi: 10.1891/0730-0832.35.1.19.