Granulation tissue in the eyelid margin and conjunctiva in junctional epidermolysis bullosa with features of laryngo-onycho-cutaneous syndrome

被引:17
作者
Figueira, Edwin C.
Crotty, Anne
Challinor, Christopher J.
Coroneo, Minas T.
Murrell, Dedee F. [1 ]
机构
[1] Univ New S Wales, St George Hosp, Dept Dermatol, Kogarah, NSW 2217, Australia
[2] Prince Wales Hosp, Dept Ophthalmol, Sydney, NSW, Australia
[3] Hunter New England Hlth Pathol, Sydney, NSW, Australia
[4] Univ New S Wales, Sydney, NSW, Australia
[5] Sydney Childrens Hosp, Multidisciplinary EB Clin, Sydney, NSW, Australia
[6] John Hunter Hosp, Dept Ophthalmol, Newcastle, NSW, Australia
关键词
epidermolysis bullosa; LAMA3 and LAMA3a mutations; laryngo-onycho-cutaneous syndrome; larynx;
D O I
10.1111/j.1442-9071.2006.01436.x
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Eye and adnexal involvement in epidermolysis bullosa can range from symptoms of mild irritation resulting from conjunctival involvement to severe cicatrization of the ocular surface and adnexa. We describe a unique case of granulation tissue in the eyelid margin and conjunctiva in a patient with junctional epidermolysis bullosa. The eyelid granulation tissue resembled granulomas that seen in laryngo-onycho-cutaneous syndrome, which is caused by a mutation in an isoform of the LAMA3 gene, LAMA3a. On investigation, our patient had a combination of a unique mutation in LAMA3 and the mutation I17N in LAMA3a, providing further evidence that laryngo-onycho-cutaneous syndrome is a variant of junctional EB.
引用
收藏
页码:163 / 166
页数:4
相关论文
共 10 条
[1]   Characterization of the nail matrix basement membrane zone: An immunohistochemical study of normal nails and of the nails in Herlitz junctional epidermolysis bullosa [J].
Cameli, N ;
Picardo, M ;
Pisani, A ;
Ortonne, JP ;
Tosti, A .
BRITISH JOURNAL OF DERMATOLOGY, 1996, 134 (01) :182-184
[2]   Eye involvement in inherited epidermolysis bullosa: Experience of the national epidermolysis bullosa registry [J].
Fine, JD ;
Johnson, LB ;
Weiner, M ;
Stein, A ;
Cash, S ;
Deleoz, J ;
Devries, DT ;
Suchindran, C .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2004, 138 (02) :254-262
[3]   Revised classification system for inherited epidermolysis bullosa: Report of the Second International Consensus Meeting on diagnosis and classification of epidermolysis bullosa [J].
Fine, JD ;
Eady, RAJ ;
Bauer, EA ;
Briggaman, RA ;
Bruckner-Tuderman, L ;
Christiano, A ;
Heagerty, A ;
Hintner, H ;
Jonkman, MF ;
McGrath, J ;
McGuire, J ;
Moshell, A ;
Shimizu, H ;
Tadini, G ;
Uitto, J .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2000, 42 (06) :1051-1066
[4]   Mutational hotspots in the LAMB3 gene in the lethal (Herlitz) type of junctional epidermolysis bullosa [J].
Kivirikko, S ;
McGrath, JA ;
Pulkkinen, L ;
Uitto, J ;
Christiano, AM .
HUMAN MOLECULAR GENETICS, 1996, 5 (02) :231-237
[5]   An unusual N-terminal deletion of the laminin α3a isoform leads to the chronic granulation tissue disorder laryngo-onycho-cutaneous syndrome [J].
McLean, WHI ;
Irvine, AD ;
Hamill, KJ ;
Whittock, NV ;
Coleman-Campbell, CM ;
Mellerio, JE ;
Ashton, GS ;
Dopping-Hepenstal, PJH ;
Eady, RAJ ;
Jamil, T ;
Phillips, RJ ;
Shabbir, SG ;
Haroon, TS ;
Khurshid, K ;
Moore, JE ;
Page, B ;
Darling, J ;
Atherton, DJ ;
van Steensel, MAM ;
Munro, CS ;
Smith, FJD ;
McGrath, JA .
HUMAN MOLECULAR GENETICS, 2003, 12 (18) :2395-2409
[6]  
Murrell DF, 2005, J INVEST DERMATOL, V125, pA10
[7]  
MURRELL DF, 2003, P INT S EP BULL OCT
[8]   Laminin 5 mutations in junctional epidermolysis bullosa: molecular basis of Herlitz vs non-Herlitz phenotypes [J].
Nakano, A ;
Chao, SC ;
Pulkkinen, L ;
Murrell, D ;
Bruckner-Tuderman, L ;
Pfendner, E ;
Uitto, J .
HUMAN GENETICS, 2002, 110 (01) :41-51
[9]  
SHABBIR G, 1986, BIOMEDICA, V2, P16
[10]   Progress in epidermolysis bullosa: Genetic classification and clinical implications [J].
Uitto, J ;
Richard, G .
AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS, 2004, 131C (01) :61-74