Somatic Mosaicism for a "Lethal" GJB2 Mutation Results in a Patterned Form of Spiny Hyperkeratosis without Eccrine Involvement.

Abstract:

BACKGROUND:Spiny hyperkeratosis refers to a rare clinical phenotype characterized by nonfollicular keratotic projections and sometimes associated with other acquired and inherited conditions. We describe a case of congenital patterned spiny hyperkeratosis. METHODS:To identify the cause of this disorder, we used a combination of whole exome sequencing, direct sequencing and TaqMan assay. RESULTS:We found that the peculiar clinical features displayed by the patient are due to somatic mosaicism for a heterozygous mutation in the GJB2 gene. CONCLUSION:Because histopathologic examination of two independent biopsies did not reveal porokeratotic eccrine ostial and dermal duct nevus (PEODDN), previously reported to result from somatic mutations in GJB2, it appears that mutations in this gene can cause nevoid spiny hyperkeratosis in the context of PEODDN or as an isolated finding.

journal_name

Pediatr Dermatol

journal_title

Pediatric dermatology

authors

Eskin-Schwartz M,Metzger Y,Peled A,Weissglas-Volkov D,Malchin N,Gat A,Vodo D,Mevorah B,Shomron N,Sprecher E,Sarig O

doi

10.1111/pde.12848

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

322-6

issue

3

eissn

0736-8046

issn

1525-1470

journal_volume

33

pub_type

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