2013
DOI: 10.1111/pde.12206
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Epidermolysis Bullosa Simplex with Mottled Pigmentation Due to a Rare Keratin 5 Mutation: Cutaneous Findings in Infancy

Abstract: Epidermolysis bullosa simplex with mottled pigmentation (EBS-MP) is an autosomal dominant inherited blistering skin disease characterized by nonscarring blistering and reticulated hyperpigmentation. It is most commonly due to a heterozygous point mutation, P25L, in the nonhelical V1 domain of keratin 5 (KRT5). Here we present a case of EBS-MP with early onset of reticulated hyperpigmentation during infancy due to a rare 1649delG mutation in the V2 domain of KRT5.

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Cited by 5 publications
(7 citation statements)
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“…1,2 However, the identical mutation has been reported to cause another rare subtype of EBS, EBS with mottled pigmentation (EBS-MP, MIM 131960). [3][4][5] Here, we present two familial cases of EBS showing migratory circinate erythema in infancy but mottled pigmentation in the later stages of the disease. We identified heterozygous frameshift mutations in the V2 domain of KRT5, a novel c.1638_1641del-CATG mutation, and a recurrent c.1649delG mutation.…”
mentioning
confidence: 91%
See 1 more Smart Citation
“…1,2 However, the identical mutation has been reported to cause another rare subtype of EBS, EBS with mottled pigmentation (EBS-MP, MIM 131960). [3][4][5] Here, we present two familial cases of EBS showing migratory circinate erythema in infancy but mottled pigmentation in the later stages of the disease. We identified heterozygous frameshift mutations in the V2 domain of KRT5, a novel c.1638_1641del-CATG mutation, and a recurrent c.1649delG mutation.…”
mentioning
confidence: 91%
“…2 At dermoscopy, a multicomponent pattern characterized by irregular and poorly defined borders, a complete disruption of the brown network, a prevalence of bluish dots (peppering) and globules, separated by shiny white streaks was evidenced. 3,4 (a) (b) (c) Figure 1 A 26-year-old male presented with a bluish pigmented papule of 0.6 9 0.4 cm in diameter on his upper trunk (a,c). On dermoscopy, the lesion revealed a multicomponent pattern characterized by irregular and poorly defined borders, a complete disruption of the brown network, a prevalence of peppering (red arrows) and globules (yellow star), separated by shiny white streaks (green arrows) and multifocal areas of hypopigmentation corresponding to follicular openings (b).…”
mentioning
confidence: 99%
“…Therefore, the genes in class (1) or (2) may play important roles in shaping the "two-end-black" phenotype. We also found these genes that may be implicated in pigmentation were down-regulated in white skin, such as the keratin (KRT) gene [51][52][53].…”
Section: Functional Enrichment Analysis Of De Mrnamentioning
confidence: 80%
“…These proteins are essential to sustain normal epidermal function and play a role in signaling (Porter and Lane 2003). Mutations of a member of the KRT family resulted in an unusual skin pigmentation in humans (Irvine et al 1997; Horiguchi et al 2005; Pascucci et al 2006; Geller et al 2013). Therefore, these DE keratins might participate in the signaling transduction involved in melanin synthesis in melanocytes or the transportation of melanin from melanocytes to keratinocytes through cellular interactions (Nakazawa et al 1995; Seiberg 2001; Joshi et al 2007).…”
Section: Discussionmentioning
confidence: 99%