2016
DOI: 10.1007/s12098-016-2218-8
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Infantile Systemic Hyalinosis: Novel Founder Mutation in the Initiation Codon among “Malis (Farmers)” in Jodhpur

Abstract: Infantile systemic hyalinosis (OMIM 236490) is a progressive autosomal recessive disorder characterized by widespread deposition of hyaline material in many tissues leading to multiple subcutaneous skin nodules, gingival hypertrophy and joint contractures. The authors describe five children from four unrelated families, from the "mali (farmer)" community in Jodhpur, with the disorder. All of them had classical clinical features, and four died from severe infections between age of 7 mo to 3 y. Two affected chil… Show more

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Cited by 5 publications
(8 citation statements)
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“…Feeding problems that arise due to oropharyngeal deformities and hyaline deposition such as gingival hyperplasia, thickening of the oral mucosa, and peri-oral stiffness lead to failure to thrive, as well as an increased risk of infections, which often proves fatal in the first few years of life. The lack of appropriate nutrient intake ultimately leads to increased bone fragility and fractures [ 1 , 7 , 8 , 11 , 12 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Feeding problems that arise due to oropharyngeal deformities and hyaline deposition such as gingival hyperplasia, thickening of the oral mucosa, and peri-oral stiffness lead to failure to thrive, as well as an increased risk of infections, which often proves fatal in the first few years of life. The lack of appropriate nutrient intake ultimately leads to increased bone fragility and fractures [ 1 , 7 , 8 , 11 , 12 ].…”
Section: Discussionmentioning
confidence: 99%
“…The phenotypic variety associated with both ISH and JHF is due to one causative mutation: a mutation in a protein called CMG2, which is encoded by the ANTXR2 gene [ 1 , 5 ]. CMG2 is a gene upregulated in endothelial cells to strongly bind to laminin and collagen IV, both of which are involved in capillary and basement membrane formation.…”
Section: Discussionmentioning
confidence: 99%
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“…El Cuadro 2 muestra la comparación de los casos clínicos descritos en la bibliografía con síndrome de fibromatosis hialina infantil, incluido el nuestro, con los principales datos clínicos de los pacientes. [21][22][23][24][25][26][27] La movilidad articular en pacientes con síndrome de fibromatosis hialina suele mejorar con la administración de penicilamina, 1,2 antiinflamatorios no esteroides, opiáceos y gabapentina para el tratamiento del dolor, además de fisioterapia. Algunos casos requieren tratamiento paliativo.…”
Section: Discussionunclassified
“…Initially, it should be considered that, despite Casas-Alba et al (2018), Haidar et al (2017) and Soni et al (2016), point to the low life expectancy of people affected by ISH, the child who participated in this study, even taking into account the intensity of the problems presented by him, surpassed the prognosis of death at around 24 months of life.…”
Section: Considerations About Experienced Momentsmentioning
confidence: 99%