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Reticular Dermis01:15

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The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
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Restrictive dermopathy: report and review.

Pawini Khanna1, John M Opitz, Enid Gilbert-Barness

  • 1Pediatric Pathology, University of South Florida College of Medicine, Tampa, Florida, USA.

Fetal and Pediatric Pathology
|June 24, 2008
PubMed
Summary

Restrictive dermopathy is a rare genetic disorder causing extremely tight skin, leading to restricted fetal movement and often fatal outcomes shortly after birth. This case report details the condition and its differential diagnoses.

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Area of Science:

  • Genetics
  • Dermatology
  • Neonatology

Background:

  • Restrictive dermopathy is a rare autosomal recessive disorder.
  • It is characterized by extreme skin tautness and fetal akinesia deformation sequence.
  • The condition is typically fatal neonatally.

Observation:

  • The case presented exhibits classic signs of restrictive dermopathy.
  • Diagnostic findings include taut skin with a near absence of dermal elastic fibers.
  • Internal organ anomalies are usually minor or absent.

Findings:

  • The pathogenetic mechanisms underlying restrictive dermopathy remain largely unknown.
  • Fewer than 50 cases have been reported globally.
  • This report contributes to the limited case studies available.

Implications:

  • Understanding restrictive dermopathy is crucial for accurate diagnosis and genetic counseling.
  • Further research into its pathogenesis may reveal therapeutic targets.
  • This case highlights the importance of considering rare genetic disorders in neonatal critical care.