Infantile systemic hyalinosis: Case report and review of the literature
Infantile systemic hyalinosis (ISH) is a rare, progressive autosomal recessive disease, which is usually fatal by the age of 2 years. Clinical onset typically occurs within the first few weeks of life. The disease is characterized by joint contractures, osteopenia, failure to thrive, gingival hypert...
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Published in | Journal of the American Academy of Dermatology Vol. 58; no. 2; pp. 303 - 307 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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New York, NY
Mosby, Inc
01.02.2008
Elsevier |
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Abstract | Infantile systemic hyalinosis (ISH) is a rare, progressive autosomal recessive disease, which is usually fatal by the age of 2 years. Clinical onset typically occurs within the first few weeks of life. The disease is characterized by joint contractures, osteopenia, failure to thrive, gingival hypertrophy, diarrhea, protein-losing enteropathy, and frequent infections. Dermatologic manifestations include thickened skin, hyperpigmentation, perianal nodules, and facial papules. Histopathology shows hyaline deposits in the dermis and visceral organs. We describe a patient with ISH confirmed by clinical and histopathologic findings, as well as DNA sequence analysis, which revealed a novel homozygous T118K mutation in the CMG2 gene. |
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AbstractList | Infantile systemic hyalinosis (ISH) is a rare, progressive autosomal recessive disease, which is usually fatal by the age of 2 years. Clinical onset typically occurs within the first few weeks of life. The disease is characterized by joint contractures, osteopenia, failure to thrive, gingival hypertrophy, diarrhea, protein-losing enteropathy, and frequent infections. Dermatologic manifestations include thickened skin, hyperpigmentation, perianal nodules, and facial papules. Histopathology shows hyaline deposits in the dermis and visceral organs. We describe a patient with ISH confirmed by clinical and histopathologic findings, as well as DNA sequence analysis, which revealed a novel homozygous T118K mutation in the CMG2 gene. Infantile systemic hyalinosis (ISH) is a rare, progressive autosomal recessive disease, which is usually fatal by the age of 2 years. Clinical onset typically occurs within the first few weeks of life. The disease is characterized by joint contractures, osteopenia, failure to thrive, gingival hypertrophy, diarrhea, protein-losing enteropathy, and frequent infections. Dermatologic manifestations include thickened skin, hyperpigmentation, perianal nodules, and facial papules. Histopathology shows hyaline deposits in the dermis and visceral organs. We describe a patient with ISH confirmed by clinical and histopathologic findings, as well as DNA sequence analysis, which revealed a novel homozygous T118K mutation in the CMG2 gene. |
Author | Ramirez, Maria Celeste M., PhD Chen, Elaine, BA Glucksman, Marc J., PhD Zaragoza, Michael V., MD, PhD Lindvall, Lisa E., MS Grum-Tokars, Valerie, PhD Martignetti, John A., MD, PhD Kormeili, Tanya, MD Dyson, Senait W., MD |
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SubjectTerms | Amino Acid Substitution Biological and medical sciences Contracture - genetics Contracture - pathology Dermatology Diarrhea - pathology Fatal Outcome Female General aspects Humans Infant Joint Diseases - genetics Joint Diseases - pathology Medical sciences Membrane Proteins - genetics Muscular Diseases - genetics Muscular Diseases - pathology Receptors, Peptide Skin Diseases - genetics Skin Diseases - pathology |
Title | Infantile systemic hyalinosis: Case report and review of the literature |
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