2015
DOI: 10.1111/ajd.12367
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Terminal osseous dysplasia with pigmentary defects; Case and brief review of filamin A‐related disorders

Abstract: Terminal osseous dysplasia with pigmentary defects (TOD) is an extremely rare X-linked dominant disorder, which is characterised by cutaneous digital fibromas, pigmentary skin defects and skeletal abnormalities. A single mutation in the last nucleotide of exon 31 of the filamin A gene (FLNA) has recently been identified as a cause of the disease. We describe a case of an 18-month-old girl with the clinical phenotype of TOD and the disease-specific FLNA mutation confirmed by genetic testing. This report highlig… Show more

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Cited by 4 publications
(5 citation statements)
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“…Filamin A is an actin‐binding protein and is known to be important in the pericellular organization of collagen and providing tension to the ECM . Alterations in this protein with age in the skin have not to our knowledge been reported previously, though it is known that mutations in filamin A can lead to cutaneous alterations including fibromas and pigmentary changes . Filamin A is also known to influence TGF‐ β signalling through modulation of RhoA and SMAD trafficking, but also influence the negative regulation of both ERK1/2 and MMP signalling via a RAS‐GRF1 .…”
Section: Discussionmentioning
confidence: 99%
“…Filamin A is an actin‐binding protein and is known to be important in the pericellular organization of collagen and providing tension to the ECM . Alterations in this protein with age in the skin have not to our knowledge been reported previously, though it is known that mutations in filamin A can lead to cutaneous alterations including fibromas and pigmentary changes . Filamin A is also known to influence TGF‐ β signalling through modulation of RhoA and SMAD trafficking, but also influence the negative regulation of both ERK1/2 and MMP signalling via a RAS‐GRF1 .…”
Section: Discussionmentioning
confidence: 99%
“…The filamin A protein is located in the cytoplasm and links actin filaments to membrane glycoproteins, playing an essential role in modeling the cytoskeleton (Bhabha et al, ). It is widely expressed throughout the body and mutations in the FLNA gene have been associated with various different OMIM listed conditions.…”
Section: Discussionmentioning
confidence: 99%
“…Lastly, Bhabha et al () stated that digital fibromas were more prominent during infancy and not a feature in adult age. Histology of digital fibromas in cases with TODPD, are distinct from isolated infantile digital fibromatosis, as the former do not show the characteristic cytoplasmic inclusion bodies within the proliferating cells (Drut et al, ).…”
Section: Discussionmentioning
confidence: 99%
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“…TODPD is part of the OPD‐spectrum disorders and is a male‐lethal disease with X‐linked dominant inheritance, characterized by skeletal dysplasia with brachydactyly, camptodactyly, limb deformities, scoliosis, pectus excavatum, and shortened and bowed long bones. Dysmorphic features include recurrent digital fibromata during infancy, multiple frenulae and pigmentary changes of the skin, hypertelorism, colobomata, and short stature (Bhabha et al, 2016 ; Sun et al, 2010 ). Only one single recurrent variant (c.5217G>A) in the FLNA ‐gene is known to be responsible for TODPD (Sun et al, 2010 ).…”
Section: Introductionmentioning
confidence: 99%