Genes Flashcards
LEOPARD SYNDROME (Moynahan syndrome)
PTPNII - encodes a tyrosine phosphatase Shp2
Lamellar ichthyosis
transglutaminase 1
Bloom Syndrome
RecQL2, the BLM gene mutation, encodes for DNA helicase
Pseudoxanthoma elasticum
ABCC6 gene (ATP-using cell transporter)
Ehlers-Danlos syndrome
collagen 5
Tyrosine phosphatase Shp2
LEOPARD SYNDROME
Carney Complex (LAMB/NAME) syndrome
PRKAR1A gene, AD
Howell-Evans Syndrome
envoplakin
Osteogenesis Imperfecta
Collagen Type 1 (alpha1 AND alpha2 genes)
Collagen Type 1
Osteogenesis Imperfecta
Howell-Evans Syndrome
envoplakin
EBS Dowling Meara
EB Simplex type (split - basal layer)
AD
K5/K14
Weber-Cockayne
Localized EB Simplex
AD
K5/K14
Koebner
(Generalized)
EB Simplex
AD
K5/K14
EB Muscular Dystrophy
EB Simplex
ONLY AR EBS
Defect: Plectin
EB Mottled Pigmentation
EBS
Herliz- type EB
(EB Lethalis)
Junctional EB -split at basement membrane (lamina lucida)
AR
Laminin-5 (laminin 332)
Non-Herlitz EB
(Generalized Atrophic Benign EB, or GABEB)
JEB
AR
Laminin 5 OR BPAG2(BP180)
dyskerin
Dyskeratosis Congenita
Mode of inheritance for Dyskeratosis Congenits
XLR!!!!
&
AD
Dyskeratosis Congenita
DKC1 gene, which encodes protein dyskerin, which interacts with telemorases
This Genoderm’s dysfunctional protein interacts with telemorases and increases sister chromatid exchanges
Dyskeratosis Congenita
EB with gene defect in alpha-6-beta-4 integrin
Junctional EB with pyloric atresia
EB Lethalis
Laminin 5 (Laminin 332)
*EB Lethalis is also called Herlitz
Other name for EB Herlitz type
EB Lethalis
Type of EB caused by a premature termination codon
EB Lethalis (Herlitz)
Other name for EB Non-Herlitz
Generalized atrophic benign EB
Gene defect in Non Herlitz Junctional EB
Laminin 5 (Laminin 332) OR BP180 (BPAG2)
Hay Wells
Ectodermal Dysplasia (Ankyloblepharon-Ectodermal Dysplasia-Clefting Syndrome)
=p63
Busche-Ollendorf Syndrome
LEMD3 (MAN1)
Inheritance pattern for Buscke-Ollendorf Syndrome?
AD
LEMD3
Buschke-Ollendorf Syndrome
MAN1
Buscke-Ollendorf Syndrome
how many variants of XP are there?
seven complement groups (A-G), and one XP variant
defects in proteins encoded in the nucleotide excision repair pathway (NER)
All the XP types (with the exception of XP variant)
What is the XP variant mutation?
mutation in the DNA polymerase
which type of XP has a mutation in a DNA polymerase? (As opposed to the nucleotide excision pathway)
XP variant
Inheritance pattern of XP
AR
Familial melanoma
CDK2NA (INK4A)
Which chromosome is the PTCHD gene located on?
Chromosome 9q
upregulation of which oncogene is found in 50% of SCCs in immunosuppressed pts?
c-myc
loss of function of which gene was recently found in 75% of all cutaneous SCCs?
NOTCHED
Mutation in Ferguson Smith?
TGFBR1 gene (as a reminder, ferguson smith is multiple KAs syndrome)
The most important factor in the development of NMSC is…
skin phenotype!!! (thought it would be sun exposure but no)
Most frequent HPV types in EDV
HPV 5&8
All of the hereditary fever syndromes (the CAPS kind, or cryopryrin associated) are due to defects in what gene?
NOMID/CINCA
Muckle wells
Familial cold urticaria
NLRP3 (which encodes the protein cryopryin)
*new little rheum patients, cryin!
What two disorders have mutations in keratin 5?
Dowling Degos
&
EB simplex with mottled pigmentation
DSAP
SART3
SART3
DSAP
STK11 gene
Peutz-Jeghers Syndrome
Peutz-Jeghers Syndrome
STK11 gene
a serine threonine kinase
Peutz-Jeghers Sydnrome (STK11)
Bannayan-Riley-Ruvalcaba Syndrome
PTEN
Defect in lamellar ichthyosis
Transglutaminase 1
Bloom syndrome and Rothmund-Thompson both have defects in what cellular product?
DNA helicases
What two genoderms have defects in DNA Helicase?
Bloom syndrome and Rothmund Thompson
Muehrckes bands
Hypoalbunemia, chemotherapy, CHF!
Transverse white bands parallel to the lunula
Transverse white bands parallel to the lunula
Muerkes bands (CHF, hypoalbunemia, chemo)
Terry’s nails
Proximal 2/3 white nail, distal 1/3 brown/pink
Cirrhosis, hypoalbunemia, diabetes, cardiac disease
Splinter hemorrhages
Trauma, PSO, endocarditis, vasculitis
Which medications can cause onycholysis?
NSAID, PUVA, TCN
Trachyonychia
20 nail dystrophy (found in alopecia areata, LP, PSO, eczema)
What diseases are trachyonychia found in?
20 nail dystrophy - PSO, LP, AA, eczema
Red lunula
COPD, cirrhosis, RA, SLE, cardiac failure, aa, CO poisoning
Nail pitting
PSO, AA
What are large 2mm pits in the nail called?
Elkonyxis
Large 2mm pits in the nails
Elkonyxis
Longitudinal ridging and fissuring of the plate
Onychorrhexis (normal with agin), also seen in LP, trauma, repeated wet dry cycles
Onychorrhexis
Longitudinal ridging in the nail matrix (normal with age, cause by trauma, LP)
Onychomadesis
Detachment of the nail plate from proximal nail fold - shedding of the nail
TEN, autoimmune, medications (chemo), trauma
What nail finding can you see in TEN?
Onychomadesis
Detachment of the nail plate from proximal nail fold
Onychomadiesis
“Nail shedding”
Onychomadiesis
What conditions and medications do you see onychomadiesis in?
PCN, TEN/SJS, syphilis, pemphigus, radiation, carbamazepine, lithium, doxycycline
Photo-onychomadesis is cause by which medication?
Doxycycline
Doxycycline can cause what nail condition?
Photo-onychomadiesis
Carbamazepine can cause what nail condition?
Onychomadiesis
Chemo causes what nail finding
Onychomadiesis (nail shedding) - detachment of the nail plate from the proximal nail fold
Transverse lines of entire nail breadth in all nails
Mees lines
Arsenic poisoning!
Nail finding in arsenic poisoning
Mees lines!
Transverse ridging in all nails full width of nails
Mees lines
Arsenic poisoning
Transverse ridging in all nails full breadth of the nail
GI polyposis, alopecia, generalized pigmentation, nail dystrophy
Cronkite-Canada Syndrome
Cronkite-Canada Syndrome
Nail dystrophy, generalized pigmentation, GI polypoidosis, alopecia
Spoon Nails
Iron deficiency
Koilonychia
Koilonychia
Iron deficiency, thyroid abnormality (spoon nails)
Beau’s lines
Severe systemic even (in all nails), or trauma (in one nail)
Transverse depression in nail plate surface
Terry’s nails
Cirrhosis, DM, cardiac disease
Yellow nail syndrome
Absent lunula
Yellow nails
Lymphedema
Pleural effusions
Absent lunula
Yellow nails
Lymphedema
Pleural effusions
Yellow nail syndrome
Absent lunula
Yellow nail syndrome
AND
Renal failure
Hypoplastic nails, triangular lunula
Nail-Patella syndrome (also small knee caps)
Pointed iliac crests
Picture of hypoplastic knee caps
Nail patella syndrome
What can PUVA do to your nails?
Give you blue lunula
EHK mutation
Keratin1, keratin 10
Lamellar ichthyosis
TGM1 gene or ABCA12
X-linked ichthyosis
STS (steroid sulfatase deficiency, arylsuflstase C)
X-Linked ichtyosis
Steroid sulfatase (STS) , arlysulfatase C
Lamellar ichthyosis gene defect
TGM1 gene (also ABCA)
EHK gene defect
Keratin 1, Keratin 10
Gene defect in Sjogren Larsson syndrome
FALDH gene (“fall down” - bc they have spastic dtetraplegia and the corneal white dot opacities)
CHILD SYNDROME
NSDHL (NADPH steroid dehydrogenase)
CHILD syndrome gene defect
NSDHL (NADPH steroid dehydrogenase-like protein)
Conradi-Hunermann-Happle Syndrome
EBP gene
Emopamil-binding proteins = impaired cholesterol synthesis
Conradi-Hunermann-Happle syndrome is the XLD form of what genoderm?
Condrodrysplasia Punctata
What is the XLD form of Condrodysplasia?
Conradi-Hunermann-Happle syndrome
Condrodysplasia Punctata
Arylsulfatase E
Rhizomelic Chondrodysplasia punctata
PEX7
PEX7
Rhizomelic Chondrodysplasia Punctata
EBP gene
Conradi-Hunermann-Happle Syndrome
KID Syndrome
GJB2, encodes connexin 26
GJB2 gene defect, encoding connexin 26
KID Syndrome. (Konnexin 26)
PAHX gene
Refsum
Refsum
PAHX, or PEX7
PEX7 gene
Refsum
Infantile Refsum
PEX1, PEX2, PEX26
Darier Disease
ATP2A2
ATP2A2
Darier
What protein does the mutation in Darier encode?
SERCA2 (sarcoendoplasmic reticulum calcium ATPase), the gene defect is ATP2A2
Acral/mucosal melanoma
KIT
Uveal melanoma
GNAQ
Non-Sun damaged skin melanoma
BRAF
Brooke Speigler
CLYD
CLYD
Brooke Speigler
Acrodermatitis Enteropathica
SLC39A4
Mendes de Costa (Erythrokeratodermia Variabilis)
Connexin 31, Connexin 30 (GJB3, GJB4)
Gene defect in Lipoid Proteinosis
ECM-1 gene
*also gene defect in Lichen Sclerosus
What two disorders harbor gene mutations to ECM-1?
Lichen Sclerosus and Lipoid Proteinosis
Other gene defect besides PTEN for Cowden syndrome
KILLN
KILLN gene
Cowden (also PTEN)
Name three disorders with PTEN mutation
Cowden
Bannayan-Riley
Proteus
Gene defect in Werners
Werner (adult progeria) defect is Recql2
Gene defect in Progeria (childhood form - Hutchison Gilford)
Laminin A gene (Werner or adult progeria is RecQL2)
Lamin A (LNMA)
Hutchison-Gilford Progeria (congenital progeria)
1 plant family causing airborne ACD
Compositae (Asteracea - dandelions, chrysanthemum, sunflower)
Mutation in ATP7A
Menkes, XLR
Mutation in Menkes
ATP7A, XLR. This is a defect in a copper transporter
hHb1, hHb6 gene defect
Monilethrix
*note DSG4 in the AR recessive form
Mutation in piebaldism
C-KIT
Red-heads have this mutation
This mutation increases what ratio related to melanin?
MC1-R gene
Increases the phenomelanin:eumelanin ratio which gives the red hair fair skin phenotype and increases the risk of melanoma
Gene defect in Proteus
AKT-1 (used to be PTEN)
H syndrome
SLC29A3 (encodes a nucleoside transporter)
TWIST2 gene
Seitles Syndrome (*setters syndrome - bilateral aplasia cutis, long eyelashes, leonine faces, upward slanting eyebrows, peurto ricans)
Name the disease associated with each gene:
SLC29A3
SLC39A4
SLC49A2
SLC29A3-H syndrome
SLC39A4-Acrodermatitis enteropathica
SLC49A2- Vitiligo
What syndrome is holocarboxolase deficiency seen in?
Multiple carboxylase deficiency