Myelodysplastic Syndrome and Sweet's Syndrome Are Associated with a Mutation in Isocitrate Dehydrogenase 1.

Abstract:

BACKGROUND:Sweet's syndrome (SS) is a febrile neutrophilic dermatosis that has been clinically linked to hematological malignancies, particularly myelodysplastic syndrome (MDS), in a number of case series. Many epigenetic changes underlying MDS have been identified, such as a mutation in the isocitrate dehydrogenase 1 (IDH1) gene, which causes DNA hypermethylation and alteration of a number of genes that lead to leukemogenesis. However, the pathogenesis of malignancy-associated SS is unknown. CASE REPORT:We present two patients who were diagnosed with SS and concomitant IDH1-mutated MDS. Immunohistochemical staining of their skin lesions showed neutrophils diffusely positive for the IDH1 mutation. CONCLUSION:These cases demonstrate that IDH1 mutation may be implicated in the pathogenesis of malignancy-associated SS. Future investigation to elucidate this pathway is warranted. Establishing this molecular link can provide an earlier identification of patients with SS who are also at increased risk for developing MDS.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Snyder R,Libby T,Raciti P,Amin B,Jacobson M,Rakheja D,Fleming K,Bartenstein M,Zhu C,Goel S,Verma AK,Shastri A

doi

10.21873/anticanres.12462

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

2201-2205

issue

4

eissn

0250-7005

issn

1791-7530

pii

38/4/2201

journal_volume

38

pub_type

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