Genoderm Summary Table Flashcards
Acrodermatitis Enteropathica
Acrodermatitis Enteropathica - AR - SLC39A4 - Scaly eczematous plaques: perioral, perianal, hands, feet, scalp
AEC Syndrome (Hay-Wells Syndrome)
AEC Syndrome (Hay-Wells Syndrome) - AD - P63 (p63 protein) - Erosive scalp dermatitis, 80% cleft lip/palate, ankyloblepharon, hypotrichosis
Albinism, Oculocutaneous Type 1
Albinism, Oculocutaneous Type 1 - AR - TYR (tyrosinase) - Severe nystagmus, incr SCC risk, pink nevi
Albinism, Oculocutaneous Type 2
Albinism, Oculocutaneous Type 2 - AR - OCA2 gene (P protein) - most frequent form in Africans. Nystagmus, light brown hair, pigmented nevi
Albinism, Oculocutaneous Type 3
Albinism, Oculocutaneous Type 3 - AR - TRP-1 (tyrosine-related protein) - Nystagmus, blue/brown iris, light brown hair/skin
Albright Hereditary Osteodystrophy
Albright Hereditary Osteodystrophy - AD - GNAS1 (encodes alpha subunit for stimulatory G protein of adenylate cyclase: Gs) - Pseudohypoparathyroidism, short stature, shortened 4th metacarpal, soft tissue calcification and ossification (i.e. osteoma cutis)
Alkaptonuria
Alkaptonuria - AR - HGD (homogentisate oxidase) - Dark urine on standing, ochronosis, valvular heart disease, arthritis, renal calculi, red-black ear wax
Ataxia-Telangiectasia (Louis-Bar Syndrome)
Ataxia-Telangiectasia (Louis-Bar Syndrome) - AR - ATM (ataxia-telangiectasia mutated: chromosomal strand break repair) - incr Leukemia/lymphoma, incr sensitivity to ionizing radiation, incr sinopulmonary infections, progressive ataxia, telangiectasias
Atrichia with Papules (Congenital Atrichia with Papules)
Atrichia with Papules (Congenital Atrichia with Papules) - AR - HR (hairless gene: zinc finger) - Normal hair at birth but not replaced after hair sheds, follicular papules (± resembles keratosis pilaris)
Bannayan-Riley-Ruvacalba Syndrome
Bannayan-Riley-Ruvacalba Syndrome - AD - PTEN (tumor suppressor gene) - Macrocephaly, lipomas, hemangiomas, genital lentigines, trichilemmomas, incr breast/thyroid/GI CA
Bazex Syndrome (Bazex-Dupre-Christol)
Bazex Syndrome (Bazex-Dupre-Christol) - XLD - Unknown (gene linked to Xq24-q27) - Multiple BCCs, hypotrichosis, hypohidrosis, follicular atrophoderma (circumscribed areas on dorsal hands/feet)
Beare-Stevenson Cutis Gyrata Syndrome
Beare-Stevenson Cutis Gyrata Syndrome - AD - FGFR2 (fibroblast growth factor receptor 2) - Cutis gyrata, acanthosis nigricans, craniosynostosis (premature fusion of certain bones in skull)
Beckwith-Wiedemann Syndrome
Beckwith-Wiedemann Syndrome - AD (<15%) - CDKN1C (cyclin-dependent kinase inhibitor 1c, aka p57 or Kip2) - Macroglossia, circular depression (helices of ears), gigantism, midline abdominal wall defects, neonatal hypoglycemia, organomegaly, incr Wilms tumor
Berardinelli-Seip Syndrome (Congenital Generalized Lipodystrophy)
Berardinelli-Seip Syndrome (Congenital Generalized Lipodystrophy) - AR - BSCL2 - Acanthosis nigricans, type 2 diabetes mellitus, generalized lipodystrophy
Birt-Hogg-Dubé Syndrome
Birt-Hogg-Dubé Syndrome - AD - FLCN (folliculin) - incr Fibrofolliculomas, trichodiscomas, lipomas, incr CA (renal/colon/medullary thyroid), lung cysts
Björnstad Syndrome
Björnstad Syndrome - AR, AD - BCS1L - Deafness, pili torti
Bloom Syndrome
Bloom Syndrome - AR - BLM (RECQL3: DNA helicase) - Oral SCC, leukemia/lymphoma, GI CA, incr infections, poikiloderma, photosensitivity, hypogonadism
Brooke-Spiegler Syndrome
Brooke-Spiegler Syndrome - AD - CYLD (cylindromatosis) - Multiple trichoepitheliomas, cylindromas, spiradenomas, ± BCCs
Bruton Agammaglobulinemia
Bruton Agammaglobulinemia - XLR - BTK (Bruton tyrosine kinase) - Decr B cells with decr Ig levels, eczema resembling atopic dermatitis, recurrent bacterial infections like impetigo/furunculosis (especially encapsulated organisms)
Buschke-Ollendorf Syndrome
Buschke-Ollendorf Syndrome - AD - LEMD3 - Osteopoikilosis, connective tissue nevi (dermatofibrosis lenticularis disseminata)
Carney Complex (LAMB, NAME)
Carney Complex (LAMB, NAME) - AD - PRKAR1_ (protein kinase c-AMP-dependent regulatory type 1 _) - Psammomatous schwannomas, thyroid disease, multiple lentigines, blue nevi, testicular tumors, cutaneous and cardiac myxomas
Chédiak-Higashi Syndrome
Chédiak-Higashi Syndrome - AR - LYST1 (lysosomal transport) - Oculocutaneous albinism, ataxia, giant lysosomal granules, muscle weakness
CHILD syndrome (Congenital Hemidysplasia with Ichthyosiform Erythroderma and Limb Defects)
CHILD syndrome (Congenital Hemidysplasia with Ichthyosiform Erythroderma and Limb Defects) - XLD - NSDHL gene mutation - Unilateral ichthyosiform erythroderma, limb/visceral hypoplasia, stippled epiphyses
Chondrodysplasia Punctata
Chondrodysplasia Punctata - XLR - Arylsulfatase E - Ichthyosis, sparse hair, stippled epiphyses (punctate chondral calcifications)
Chondrodysplasia Punctata, Rhizomelic
Chondrodysplasia Punctata, Rhizomelic - AR - PEX7 (peroxisomal biogenesis disorder) - Stippled epiphyses, accumulation of phytanic acid, follicular atrophoderma, scarring alopecia, cataracts, rhizomelia (striking shortening of proximal limbs)
Chondrodysplasia Punctate, XLD (Conradi-Hünermann-Happle Syndrome)
Chondrodysplasia Punctate, XLD (Conradi-Hünermann-Happle Syndrome) - XLD - EBP (emopamil-binding protein) - Ichthyosiform erythroderma (along lines of Blaschko), follicular atrophoderma, patchy alopecia, cataracts, stippled epiphyses
Chronic Granulomatous Disease
Chronic Granulomatous Disease - XLR (mostly) - CYBB (cytochrome B, b subunit _ phagocyte NADPH oxidase defect, so unable to deliver respiratory burst for catalase-positive bacteria) - Recurrent infections, initially with staph infections around ears/nose, lymphadenopathy, cutaneous abscesses, suppurative lymphadenitis
Citrullinemia
Citrullinemia - AD - ASS (arginosuccinate synthetase, in urea cycle) - Lethargy, poor feeding, seizures, vomiting
Cockayne Syndrome
Cockayne Syndrome - AR - ERCC8 (CSA) & ERCC6 (CSB) - Premature aging, cataracts, cachectic dwarfism, retinitis pigmentosa, photosensitivity
Congenital Contractural Arachnodactyly
Congenital Contractural Arachnodactyly - AD - FBN2 (fibrillin-2) - Crumpled ears, arachnodactyly, long limbs, scoliosis
Congenital Ichthyosiform Erythroderma (Nonbullous CIE)
Congenital Ichthyosiform Erythroderma (Nonbullous CIE) - AR - TGM1 (transglutaminase-1) & ALOX12B (lipoxygenase) & ALOXE3 (lipoxygenase) - Collodion membrane, generalized erythroderma with fine scaling (flexural involvement), palmoplantar keratoderma (PPK)
Cowden Syndrome (Multiple Hamartoma Syndrome)
Cowden Syndrome (Multiple Hamartoma Syndrome) - AD - PTEN (tumor suppressor gene) - Trichilemmomas, oral papillomas, incr CA (breast, thyroid follicular, colon), fibrocystic breast changes, cobblestoning of mucosa
Cutis Laxa
Cutis Laxa - AR - FBLN5 (fibulin 5) - Loose pendulous skin with decreased elasticity, diverticulae (bladder/GI), pulmonary emphysema, pulmonary artery stenosis
Cutis Laxa
Cutis Laxa - AD - ELN (elastin), FBLN5 - Loose pendulous skin, systemic involvement uncommon
Cutis Laxa (Occipital Horn Syndrome, EDS IX)
Cutis Laxa (Occipital Horn Syndrome, EDS IX) - XLR - ATP7A (copper transport disease) - Mild skin laxity, skeletal malformations, GU tract abnormalities, joint laxity
Darier Disease (Darier-White Disease) (Keratosis Follicularis)
Darier Disease (Darier-White Disease) (Keratosis Follicularis) - AD - SERCA2 (calcium-dependent ATPase 2A2) - Acrokeratosis verruciformis, warty papules/plaques in seborrheic distribution, red/white longitudinal streaking of nails with v-shaped nicks at free margin
Dyskeratosis Congenita (Zinsser-Engman-Cole Syndrome)
Dyskeratosis Congenita (Zinsser-Engman-Cole Syndrome) - Various (see right) - XLR - DKC1 (dyskerin: ribosome assembly chaperone), AD - TERC (telomerase RNA component) - Reticulate gray brown hyperpigmentation, dystrophic nails, alopecia, premalignant leukoplakia, pancytopenia, continuous lacrimation, incr malignancy
EB Recessive Dystrophic (RDEB-HS) (Hallopeau-Siemens)
EB Recessive Dystrophic (RDEB-HS) (Hallopeau-Siemens) - AR - Type VII collagen (premature termination codon) - Severe widespread bullae at birth, scarring on hands/feet (mitten deformity), nail dystrophy, mucosal strictures, incr oral/esophageal/skin SCCs
EB, Dominant Dystrophic (DDEB) (Cockayne-Touraine)
EB, Dominant Dystrophic (DDEB) (Cockayne-Touraine) - AD - Type VII collagen (anchoring fibrils) - Bullae mainly over extremities, nail dystrophy, less severe than RDEB
EB Simplex (Dowling-Meara)
EB Simplex (Dowling-Meara) - AD - K5/14 (EM: clumped tonofilaments in basal layer) - Herpetiform bullae, early death, PPK, nail dystrophy, mucosal involvement (laryngeal, esophageal)
EB Simplex (EBS) (Weber-Cockayne) (Localized)
EB Simplex (EBS) (Weber-Cockayne) (Localized) - AD - K5/14 (keratin) - Onset in childhood, bullae mainly in extremities (hands, feet), heals without scarring
EBS with Muscular Dystrophy
EBS with Muscular Dystrophy - AR - Plectin (hemidesmosome) - Muscular (myotonic) dystrophy, widespread bullae at birth, scarring, early death
EB Junctional (JEB) (Herlitz) (EB Lethalis) - Split at lamina Lucida
EB Junctional (JEB) (Herlitz) (EB Lethalis) - Split at lamina Lucida - AR - LAMA3 (subunit of laminin 5, now called laminin 332 ) (premature termination codon) - Widespread bullae, exuberant perioral granulation tissue, early death, enamel defects, severe mucosal involvement (respiratory/GI tract), ± hoarseness
EB Junctional (Non-Herlitz) (Generalized Atrophic Benign EB)
EB Junctional (Non-Herlitz) (Generalized Atrophic Benign EB) - AR - Laminin 332 (5) or BPAG2 - Bullae, mild oral involvement, scarring alopecia, improves over time
EB Junctional with Pyloric Atresia
EB Junctional with Pyloric Atresia - AR - _6_4 (integrin) - Bullae, pyloric atresia, hydronephrosis, mucosal erosions
Ectodermal Dysplasia with Skin Fragility
Ectodermal Dysplasia with Skin Fragility - AD - Plakophilin 1 and 2 (mainly) - Fragile bullae and erosions/crust, perioral fissuring and cheilitis, PPK, nail dystrophy
EEC Syndrome (Ectrodactyly, Ectodermal Dysplasia, Cleft Lip/Palate)
EEC Syndrome (Ectrodactyly, Ectodermal Dysplasia, Cleft Lip/Palate) - AD - p63 gene - Cleft lip/palate, ectodermal dysplasia, ectrodactyly (absence of one or more central digits of hand or foot, also called ‘lobster claw deformity’)
Epidermodysplasia Verruciformis
Epidermodysplasia Verruciformis - AR - EVER1, EVER2 - Abnormal susceptibility to human papillomaviruses of the skin (often HPV 5/8/47), incr SCCs
Epidermolytic Hyperkeratosis (Generalized EHK) (Bullous CIE)
Epidermolytic Hyperkeratosis (Generalized EHK) (Bullous CIE) - AD - K1, K10 (clumping of keratin filaments in suprabasal layers) - Erythema/blistering in infancy and replaced by hyperkeratosis (flexural predominance)
Erythrokeratoderma Variabilis (Mendes da Costa)
Erythrokeratoderma Variabilis (Mendes da Costa) - AD (mainly) - GJB3 and GJB4 (connexin 31 and 30.3) - Transient erythematous figurate patches, fixed hyperkeratotic plaques
Fabry Disease (Angiokeratoma Corporis Diffusum)
Fabry Disease (Angiokeratoma Corporis Diffusum) - XLR - _-Galactosidase A - Angiokeratomas, pain/paresthesia of limbs, whorled corneal opacities, hypohidrosis, renal and coronary insufficiency, ‘maltese crosses’ (birefringent lipids in urine)
Familail Mediterranean Fever (FMF)
Familail Mediterranean Fever (FMF) - AR - MEFV (pyrin, also known as marenostrin) - Recurrent febrile episodes with self-limited but painful episodes of synovitis, peritonitis, pleuritis
Familial Partial Lipodystrophy (FPLD)
Familial Partial Lipodystrophy (FPLD) - AD - LMNA (lamins A and C) - Absence of subcutaneous fat, muscular appearing arms/legs, acanthosis nigricans, diabetes mellitus
Focal Dermal Hypoplasia (Goltz Syndrome)
Focal Dermal Hypoplasia (Goltz Syndrome) - XLD - POCRN (X chromosome: encodes acyltransferase) - Alopecia, fat herniation, osteopathia striata, mucocutaneous papillomas and pits
Gardner Syndrome (Familial Polyposis of the Colon)
Gardner Syndrome (Familial Polyposis of the Colon) - AD - APC (adenomatosis polyposis coli) - GI polyps, incr colon cancer, osteomas (jaw), supernumerary teeth, epidermoid cysts, CHRPE (congenital hypertrophy retinal pigment epithelium)