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A case of juvenile hyaline fibromatosis

Savaş Yayli1, Sibel Uncu, Köksal Alpay

  • 1Department of Dermatology, Medicine Faculty of Karadeniz Technical University, Trabzon, Turkey. savas_an@yahoo.com

Insights

Juvenile hyaline fibromatosis (JHF) is a rare genetic disorder causing skin lesions and tissue masses. This case report details a 14-month-old boy diagnosed with JHF, highlighting its characteristic symptoms and histopathology.

Area of Science:

  • Dermatology
  • Genetics
  • Pathology

Background:

  • Juvenile hyaline fibromatosis (JHF) is a rare, autosomal recessive disorder.
  • Characterized by papulonodular skin lesions, soft tissue masses, joint contractures, gingival hypertrophy, and osteolytic bone lesions.
  • Onset typically occurs in infancy or early childhood.

Observation:

  • A 14-month-old boy presented with characteristic JHF symptoms.
  • Lesions included confluent pink papules on the face and nodular lesions in periauricular and perianal areas.
  • The patient exhibited gingival hypertrophy and joint contractures, with a history of consanguineous parents.

Findings:

  • Histopathological examination confirmed JHF.
  • Findings included increased fibroblasts within a hyalinized connective tissue stroma.
  • The accumulation of amorphous hyaline material is a hallmark of JHF.

Implications:

  • This case reinforces the clinical and histopathological diagnostic criteria for JHF.
  • Understanding JHF aids in early diagnosis and management of affected children.
  • Further research into the genetic basis and treatment options for JHF is warranted.

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