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

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

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
cowden's syndrome inheritance
AD
26
cowden's syndrome gene defect
10q22,
27
PTEN
cowden's syndrome
28
multiple mamattomas and benign follicular neoplasms
cowden's syndrome
29
internal malignacies with cowdens;
carcinoma of breast and thyroid, ovarian cysts, neuromas, GI polyps
30
dermal nodule composed of cells with clear cytoplasm, with no mitosis or atypia
trichilemmoma
31
inheritance of xeroderma pigmentosa
AR
32
extreme photosensitivity
xerodoma pigmentosa
33
tuberous sclerosis gene defect
TCS1/2
34
protein defects in tuberous sclerosis
hamartin and tuberin
35
internal malignancies with tuberous sclerosis
renal, CNS tumors
36
mental retardatiom, seizures and skin findings
tuberous sclerosis
37
multiple facial angiofibromas, ash leaf macules, shagreen patch
tuberous sclerosis
38
genetic defect in an elemsnt responsible for skin integrity
epidermolysis bullosa
39
autoimmune disease that can be aquired later resulting in blistering
epidermolysis bullosa