Clinical Heterogeneity of 1649delG Mutation in the Tail Domain of Keratin 5: A Japanese Family with Epidermolysis Bullosa Simplex with Mottled Pigmentation

Twenty-five- and 22-y-old Japanese women, who are cousins, presented with distal skin fragility, widespread small, pigmented macules, and toenail deformity. Blisters occurred between the epidermis and the dermis with degeneration of the basal cells, suggesting epidermolysis bullosa simplex with mott...

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Veröffentlicht in:Journal of investigative dermatology 2005-07, Vol.125 (1), p.83-85
Hauptverfasser: Horiguchi, Yuji, Sawamura, Daisuke, Mori, Ryoko, Nakamura, Hideki, Takahashi, Kenzo, Shimizu, Hiroshi
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container_issue 1
container_start_page 83
container_title Journal of investigative dermatology
container_volume 125
creator Horiguchi, Yuji
Sawamura, Daisuke
Mori, Ryoko
Nakamura, Hideki
Takahashi, Kenzo
Shimizu, Hiroshi
description Twenty-five- and 22-y-old Japanese women, who are cousins, presented with distal skin fragility, widespread small, pigmented macules, and toenail deformity. Blisters occurred between the epidermis and the dermis with degeneration of the basal cells, suggesting epidermolysis bullosa simplex with mottled pigmentation (EBS-MP). Electron microscopy of the pigmented spots demonstrated vacuolization of basal cells as well as disturbed junctional structures and incontinence of pigmentation. Gene analysis resulted in detection of a heterozygous deletion of a guanine nucleotide in exon 9 at position 1649. P25L mutation was not detected in either case. It is possible that EBS-MP occurs not only based on the P25L mutation of the keratin 5 molecule, but also because of other types of mutations of epidermal keratin genes.
doi_str_mv 10.1111/j.0022-202X.2005.23790.x
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subjects 1649 del G mutation of KS
Adult
Asian Continental Ancestry Group - genetics
Base Sequence
Biological and medical sciences
Bullous diseases of the skin
Dermatology
DNA Mutational Analysis
Epidermolysis Bullosa Simplex - genetics
Epidermolysis Bullosa Simplex - pathology
epidermolysis bullosa simplex with mottled pigmentation
Female
Frameshift Mutation
Genetic Predisposition to Disease
Humans
Japan
Keratin-5
Keratins - genetics
Medical sciences
Molecular Sequence Data
Pedigree
Polymerase Chain Reaction
Skin Pigmentation
vacuolization degeneration of basal cells
title Clinical Heterogeneity of 1649delG Mutation in the Tail Domain of Keratin 5: A Japanese Family with Epidermolysis Bullosa Simplex with Mottled Pigmentation
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