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Published on: May 15, 2019
Juvenile hyaline fibromatosis
M Larralde1, A Santos-Muñoz, I Calb
1Pediatric Dermatology Division, Ramos Mejia Hospital, Buenos Aires, Argentina. cymluna@fmed.uba.ar
Insights
Juvenile hyaline fibromatosis (JHF) is a rare genetic disorder presenting in infancy with distinctive skin lesions and joint contractures. This report details a case study highlighting the characteristic clinical and pathological features of JHF.
Area of Science:
- Genetics
- Dermatology
- Pediatrics
Background:
- Juvenile hyaline fibromatosis (JHF) is an exceptionally rare autosomal recessive disorder.
- It typically manifests in infancy or early childhood.
- Key features include papulonodular skin lesions, soft tissue masses, gingival hypertrophy, and joint contractures.
Observation:
- This report presents a case of an 8-month-old boy with JHF.
- The patient exhibited stiffness in the knees and elbows.
- Clinical manifestations included pink papules on the face and perianal area, scalp nodules, and severe gingival hypertrophy.
Findings:
- Histopathological examination revealed distinctive light and electron microscopic findings consistent with JHF.
- Ultrastructural analysis confirmed the diagnosis.
- The case aligns with the known clinical and pathological spectrum of JHF.
Implications:
- This case underscores the importance of recognizing the characteristic clinical signs of JHF in infants and young children.
- Accurate diagnosis relies on integrating clinical presentation with histopathological and ultrastructural evidence.
- Further research into the pathophysiology of JHF may elucidate potential therapeutic targets.
Abstract:
Juvenile hyaline fibromatosis (JHF) is a rare autosomal recessive disease with onset in infancy or early childhood. It is characterized by papulonodular skin lesions, soft tissue masses, gingival hypertrophy, and flexion contractures of the large joints. The light and electron microscopic features are very distinctive. Here we report an 8-month-old boy with characteristic stiffness of the knees and elbows and pink confluent papules on the paranasal folds, and periauricular and perianal regions. He also had hard nodules all over the scalp and around the mouth, and severe gingival hypertrophy. Histologic and ultrastructural features were typical of JHF. Clinical features, pathology, and physiology are discussed.
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