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[毛囊性皮肤萎缩、基底细胞增殖与毛发稀少(巴泽克斯-迪普雷-克里斯托尔综合征)。对两个家族的研究]

[Follicular atrophoderma, basal cell proliferation and hypotrichosis (Bazex-Dupré-Christol syndrome). A study in 2 families].

作者信息

Moreau-Cabarrot A, Bonafé J L, Hachich N, Jalby B C, Aubert G, Rolland M, Bazex J

机构信息

Service de Dermatologie, Hôpital Purpan, Toulouse.

出版信息

Ann Dermatol Venereol. 1994;121(4):297-301.

PMID:7702247
Abstract

We describe a new case of Bazex, Dupré and Christol (BDC) syndrome in a family (family B...) where the disease affects four generations. Moreover, we report the clinical and genealogical evolution of the first family (family A...), described in 1966 by Bazex. A review of the literature has enabled us to collect the various symptoms of BDC syndrome, to discuss the relationship of this syndrome with basal cell naevomatosis and X-linked dominant chondrodysplasia punctata, and to discuss the kind of heredity. In family B..., two patients were examined. A one-month-old girl, with hypotrichosis and pseudo pili torti, and her 29-year-old father, with hypotrichosis and dorsal follicular atrophoderma of the hands. In this family, the paternal grand mother, one of her sisters, and the great grand father were also affected, but no basal cell carcinomas were found. In family A..., five patients were followed up. Four brothers, adult men aged 43 to 55 years initially presented only dorsal follicular atrophoderma the hands and face, hypotrichosis and numerous basal cell carcinomas of the face, especially in palpebral, temporal, nasal and forehead sites. Surgery was required and gave better results than radiotherapy, which left sites of sclerosis. Their mother was also affected and had been treated for numerous basal cell carcinomas of the face. The other members of the same generation (two women, two men) were unaffected. But the uncle and the grand father had the disease and at the last generation, a girl, child of one of the brothers affected, presented follicular atrophoderma and hypotrichosis.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们描述了一个家族(家族B……)中一例新的巴泽克斯、迪普雷和克里斯托尔(BDC)综合征病例,该疾病累及四代人。此外,我们报告了1966年巴泽克斯所描述的首个家族(家族A……)的临床和系谱演变情况。文献回顾使我们能够收集BDC综合征的各种症状,讨论该综合征与基底细胞痣综合征及X连锁显性点状软骨发育不良的关系,并探讨遗传类型。在家族B……中,检查了两名患者。一名1个月大的女孩,有毛发稀少和假性扭曲毛发,以及她29岁的父亲,有毛发稀少和手部背部毛囊性皮肤萎缩。在这个家族中,祖母、她的一个姐妹以及曾祖父也患病,但未发现基底细胞癌。在家族A……中,对5名患者进行了随访。4名成年男性兄弟,年龄在43至55岁之间,最初仅表现为手部和面部背部毛囊性皮肤萎缩、毛发稀少以及面部大量基底细胞癌,尤其是眼睑、颞部、鼻部和前额部位。需要进行手术,手术效果比放疗好,放疗会留下硬化部位。他们的母亲也患病,曾接受面部大量基底细胞癌的治疗。同一代的其他成员(两名女性、两名男性)未患病。但叔叔和祖父患有该病,在最后一代,一名受影响兄弟的女儿表现出毛囊性皮肤萎缩和毛发稀少。(摘要截选于250字)

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