Derm genetics Flashcards

Be able to recall the inheritance pattern (AD/AR), genetic aberration, associated clinical findings and histology of cutaneous lesions in dysplastic nevus syndrome Be able to recall the inheritance pattern (AD/AR), genetic aberration, associated clinical findings and histology of cutaneous lesions in basal cell nevus syndrome (Gorlin syndrome) Be able to recall the inheritance pattern (AD/AR), genetic aberration, associated clinical findings and histology of cutaneous lesions in neurofibromato

1
Q

occurence of malignant melanoma in one or more 1st degree relatives
50+ melanocytic nevi

A

dysplastic nevi

syndrome

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2
Q

displastic nevis syndrome inheritance

A

AD, incomplete penetrance

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3
Q

mutation in displastic nevis syndrome

A

CDKN2A (9p21)

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4
Q

risk of melanoma in displastic nevis syndrome

A

100%

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5
Q

nevis shows bridging of adjecent nests, increased singe malanocytes along basal layer, papillary dermal fibrosis

A

displastic nevis syndrome

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6
Q

nevoid basal cell carcinoma syndrome inheratice

A

AD

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7
Q

gene defect in nevoid basal cell carcinoma syndrome

A

PTCH 9q22

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8
Q

gene type involved in PTCH

A

sonic hedgehog

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9
Q

other than skin findings in nevoid basal cell carcinoma syndrome

A

medulloblastoma, ovarian fibroma, odontogenic keratocyst, rib abnormalities, palmar pits

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10
Q

palmar pits

A

nevoid basal cell carcinoma syndrome

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11
Q

odontoenic karatocyst

A

nevoid basal cell carcinoma syndrome

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12
Q

histology of nevoid basal cell carcinoma syndrome

A

proliferation of basolid cells extending down from overlying epidermis
peripheral palisading
stomal clefting

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13
Q

cafe au lait, axillary freckling and lish nodules found in

A

Neurofibromatosis type 1

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14
Q

Neurofibromatosis type 1 gene defect

A

17q11

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15
Q

Neurofibromatosis inheritance

A

AD (both)

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16
Q

Neurofibromatosis type 2 gene defect

A

22q

17
Q

bilateral schannomas, multiple meningiomas, cafe au lait

A

Neurofibromatosis type 2

18
Q

unencapulated, well demarcated proliferation of spindle cells

A

neurofibromas

19
Q

muir-torre inheritance

A

AD

20
Q

gene defect in muir-torre

A

defect in DNA mismatch repair

21
Q

bejin and malignant sebacous tumors

A

muir-torre

22
Q

muir-torre has a high risk of:

A

underlying adenocarcinoma, usually gastrointestinal

23
Q

yellow-pink tumors on head and neck

A

sebacous tumor

24
Q

multivaculated cytoplasm, basaloid proliferation, mitosis, necrosis

A

sebacous carcinoma

25
Q

cowden’s syndrome inheritance

A

AD

26
Q

cowden’s syndrome gene defect

A

10q22,

27
Q

PTEN

A

cowden’s syndrome

28
Q

multiple mamattomas and benign follicular neoplasms

A

cowden’s syndrome

29
Q

internal malignacies with cowdens;

A

carcinoma of breast and thyroid, ovarian cysts, neuromas, GI polyps

30
Q

dermal nodule composed of cells with clear cytoplasm, with no mitosis or atypia

A

trichilemmoma

31
Q

inheritance of xeroderma pigmentosa

A

AR

32
Q

extreme photosensitivity

A

xerodoma pigmentosa

33
Q

tuberous sclerosis gene defect

A

TCS1/2

34
Q

protein defects in tuberous sclerosis

A

hamartin and tuberin

35
Q

internal malignancies with tuberous sclerosis

A

renal, CNS tumors

36
Q

mental retardatiom, seizures and skin findings

A

tuberous sclerosis

37
Q

multiple facial angiofibromas, ash leaf macules, shagreen patch

A

tuberous sclerosis

38
Q

genetic defect in an elemsnt responsible for skin integrity

A

epidermolysis bullosa

39
Q

autoimmune disease that can be aquired later resulting in blistering

A

epidermolysis bullosa