Blaschko lines and other patterns of cutaneous mosaicism

被引:71
作者
Molho-Pessach, Vered [1 ]
Schaffer, Julie V. [1 ]
机构
[1] NYU, Sch Med, Ronald O Perelman Dept Dermatol, New York, NY 10016 USA
关键词
X-CHROMOSOME INACTIVATION; PIGMENTARY MOSAICISM; EPIDERMAL NEVUS; HISTOPATHOLOGIC CHARACTERISTICS; PHYLLOID HYPOMELANOSIS; SOMATIC MUTATION; LICHEN-STRIATUS; SKIN; GENE; NEUROFIBROMATOSIS;
D O I
10.1016/j.clindermatol.2010.09.012
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The lines of Blaschko represent a classic pattern of cutaneous mosaicism that can be observed in a wide variety of congenital and acquired skin disorders. This contribution reviews the clinicopathologic spectrum of skin lesions that follow Blaschko lines. Four other patterns of mosaicism are also discussed: blocklike, phylloid, large patches without midline separation, and lateralization. We emphasize the differential diagnoses, clues to correct categorization, and associated findings of inflammatory, hypopigmented, and hyperpigmented lesions with a mosaic distribution. Clinical examples are used to illustrate genetic concepts such as functional X-chromosome mosaicism, type 1 and 2 segmental manifestations of autosomal dominant skin diseases, paradominant inheritance, and twin spotting. (C) 2011 Published by Elsevier Inc.
引用
收藏
页码:205 / 225
页数:21
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