Dermatopathia pigmentosa reticularis
Dermatopathia pigmentosa reticularis | |
---|---|
Other names | Dermatopathic pigmentosa reticularis[1]: 511 |
Dermatopathia pigmentosa reticularis has an autosomal dominant pattern of inheritance | |
Specialty | Medical genetics |
Dermatopathia pigmentosa reticularis (DPR) is a rare,
Signs and Symptoms (Presentation)
Symptoms include lack of sweat glands, thin hair, brittle nails, mottled skin, and lack of fingerprints.[6] It is also characterized by a widespread, early-onset reticulate hyperpigmentation.[7] Those affected may also have adermatoglyphia, abnormal epithelial differentiation, palmoplantar hyperkeratosis of the palms and soles, acral dorsal blistering, as well as hypohidrosis or hyperhidrosis.[7][8][5]
DPR is very similar to the related
Molecular Genetics
The disease interval for DPR was found to harbor 230 genes associated with the condition.
Interestingly, a study conducted on five families using a two-point linkage analysis of the combined genotyping data for three families across the NFJS/DPR candidate region generated an
The disruption of the KRT14 gene in DPR suggests this gene is important during the early development of dermatoglyphics and sweat glands.[10] Because of the aforementioned genetic similarity between NFJS and DPR, some researchers have suggested treating the disorders as a single condition.[10]
Diagnosis
Diagnosis of DPR begins with review of a patient's medical history, laboratory results, and clinical examination of symptoms. Biopsy and histopathological examination can be used to test for the presence of hyperkeratosis, parakeratosis, follicular plugging, and basal cell melanization, all indicators of DPR. Furthermore, abnormalities in skin pigmentation patterns as well as the presence of palmoplantar keratoderma with yellow tinting of the skin can indicate a possible case of DPR.[12] Despite the presence of outward indicators, routine blood testing will not yield abnormal results. While the aforementioned symptoms of DPR are outwardly identifiable, DPR is a rare genetic disease that requires genetic analysis to yield a confirmed diagnosis.[13]
The Genetic Testing Registry lists 15 clinical genetic tests used in obtaining a diagnosis of this disorder. Two of these tests utilize
Management
To date, there is no medical treatment specific to DPR, however symptom management of palmoplantar hyperkeratosis as well as other, secondary symptoms is possible through the use of topical steroids, keratolytics, and emollients. Furthermore, cold compresses can be used to treat blistering.[14]
Epidemiology
Since first being reported, only 12 cases of DPR have been described and diagnosed.[15] Many studies and diagnoses have come from the same family, but a single case report was found in India.[5][16] In a study conducted by Lugassy et al., the five families being studied were from geographically different places: one family, for example was Swiss, another was from the United States, and a third was from the United Kingdom.[5]
See also
References
- ISBN 0-07-138076-0.
- ^ PMID 1303619.
- ISBN 0-7216-2921-0.
- PMID 1303619.
- ^ PMID 16960809.
- ^ "OMIM Clinical Synopsis - #125595 - DERMATOPATHIA PIGMENTOSA RETICULARIS; DPR". www.omim.org. Retrieved 13 October 2018.
- ^ a b c "Dermatopathia pigmentosa reticularis - Conditions - GTR - NCBI". www.ncbi.nlm.nih.gov. Retrieved 2021-04-26.
- PMID 1303619.
- ^ "OMIM Entry - # 125595 - DERMATOPATHIA PIGMENTOSA RETICULARIS; DPR". www.omim.org. Retrieved 13 October 2018.
- ^ PMID 16960809.
- ^ "OMIM Entry - # 125595 - DERMATOPATHIA PIGMENTOSA RETICULARIS; DPR". www.omim.org. Retrieved 2021-04-26.
- PMID 30983613.
- ^ "Dermatopathia pigmentosa reticularis | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program". rarediseases.info.nih.gov. Retrieved 2021-04-26.
- ^ "Dermatopathia Pigmentosa Reticularis Treatment & Management: Medical Care, Activity, Prevention". 2019-11-22.
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(help) - PMID 23440032.
- S2CID 26110458.