Cornification Flashcards
Ichthyosis vulgaris
AD
Profilaggrin
Spares flexures
X-linked ichthyosis
XLR Steroid sulfatase (aryl sulfatase c) Spares palms, sol es, flexures Comma shaped corneal opacities Failure of labor progression Cryptochoridism Screen for contiguous gene deletion syndrome w Kallmann syndrome and XLR chondrodysplasia punctata
Lamellar ichthyosis
AR
TGM1; ABCA12; CYP4F22
Collodion baby
Epidermolytic ichthyosis (EHK), bullous CIE
AD
K1 - PPK
K10 - no PPK
Corrugated cardboard
Ichthyosis bullosa of Siemens
AD
K2e
Corrugated cardboard
Nearly identical to epidermolytic ichthyosis but with unusually fragile skin - Mauserung
Congenital ichthyosiform erythroderma - nonbullous CIE
TGM1; ALOX 12B/E3
Collodion baby
Harlequin ichthyosis
AR/sporadic
ABCA12
No lamellar granules
Decreased calpain
Sjogren-Larrson
AR FALDH Spastic tetraplegia, scissor gate Glistening dot retinitis pigmentosa Very itchy from leukotrine B4 Scandinavians
Refsum
AR
Phytanoyl coenzyme A hydroxylase or peroxin 7
Salt and pepper retinitis pigmentosa and deafness
Ataxia
Heart block
Need diet low in green vegetables, dairy and ruminant fats
Genoderms with cryptochordism
Noonan Fabry’s X-ichthyosis Rubinstein-Taybi Cornelia de Lange
Keratin 1 and 10
Bullous CIE
Keratin 2
Siemens
Keratins 1, 9, 16
Epidermolytic PPK (Vorner)
Keratins 1 and 16
Non-epidermolytic PPK (Unna-Thost; focal)
Keratins 4 and 13
White sponge nevus of Cannon
Keratins 5 and 14
EBS, Dowling-Meara type
EBS, Koebner type
EBS, Weber-Cockayne type
EBS, with mottled pigmentation
Keratin 14
EBS, AR type
Keratin 5
Dowling-Degos
Keratins 6a and 16
Pachyonychia congenita 1 (Jackson-Lewandrowsky)
Keratins 6b and 17
Pachyonychia congenita 2 (Jackson-Lawlor)
Keratins t and 17
Steatocystoma multiplex
Keratins 81, 83 and 86
Monilethrix
Loricrin
Vohwinkel
Progressive symmetric erythrokeratoderma
Filaggrin
IV
AD
Connexin 26
Vohwinkel
KID
PPK with deafness
Connexin 30.3, 31
Erythrokeratoderma variabilis
Connexin 30
Hidrotic ectodermal dysplasia
Connexin 43
Oculo-dental-digital dysplasia
Connexin 47
Milroy disease (hereditary lymphedema)
Chondrodysplasia punctata
Conradi-Hunermann
Rhizomelic CDP
XLR CDP
CHILD
Conradi-Hunermann
XLD EBP - defective cholesterol biosynthesis Blaschkoid ichthyosiform erythroderma resolves by 1 yo with linear and follicular atrophoderma Cataracts Stippled epiphyses Increased risk if mom has SLE
CHILD
XLD
3b-hydroxysteroid dehydrogenase
Congenital hemidysplasia w ichthyosiform erythroderma and limb defects (all ipsilateral)
Verruciform xanthomas
Netherton
AR SPINK5 encodes LEKT1 At birth with erythroderma Ichthyosis linearis circumflexa Trichorrhexis invaginata AD Hyper IgE Tacrolimus contraindicated Seb derm Anaphylactic food allergy
KID
Connexin 26 Keratitis Ichthyosis Deafness Stippled PPK Progressive b/l keratitis - avoid retinoids SCC, infections
Porokeratotic eccrine ostial and dermal duct nevus
Darier
AD ATP2A2 Acrokeratosis verruciformis of Hopf - flat warty papules on dorsal hands Cobblestone oral and rectal mucosae Recurrent infections Worsened by lithium
Hailey-Hailey
AD
ATP2C1
Longitudinal erythronychia
Diffuse PPK
Vorner
Unna-Thost
Mutilating: mal de meleda
Olmsted
Vohwinkel and variant
PPK w transgradiens: mal de meleda
Papillon-Lefevre
Haim-Munk
Clouston (hidrotic ectodermal dysplasia)
Naxos
EBS, Dowling-Meara
Vorner (epidermolytic)
AD
K9>1
Diffuse symmetric non-transgrediens
Identical to Unna-Thost but epidermolytic
Unna-Thost (non-epidermolytic)
AD
K1
Identical to Vorner but not epidermolytic
Mal de Meleda
AR
SLURP1
Malodorous gloves and stockings
Hyperkeratotic plaques on elbows and knees
Olmsted
AD
TRPV3
Periorificial keratotic plaques (more severe than in mal de meleda)
Vohwinkel
AD Connexin 26 Diffuse honeycombed PPK Starfish keratotic plaques over joints Pseudo-ainhum Deafness
PPK with autoamputation
Vohwinkel Mal de Meleda Olmsted Acral keratoderma Pachyonychia congenita
Vohwinkel variant
AD
Loricrin
In contrast to classic has ichthyosis and no deafness
Papillon-Lefevre
AR
CTSC cathepsin C
Transgrediens and hyperkeratosis over elbows and knees
Severe periodontitis w teeth loss
Pyogenic infections
Asymptomatic dural calcifications of tentorium and choroid attachements
Naxos
AR Plakoglobin Diffuse PPK Woolly hair Right ventricle arrhythmogenic cardiomyopathy
Striate PPK
AD
Desmoglein 1 and Desmoplakin
Fingers, palms
Howel-Evans
AD TOC (tylosis and esophageal cancer); inhibits EGFR Focal pressure-related non-transgrediens Esophageal cancer Oral leukoplakia