Juvenile hyaline fibromatosis
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Updated: May 24, 2026

Assessment and Characterization of Hyaloid Vessels in Mice
Published on: May 15, 2019
Jayashree Krishnamurthy1, Bibhas Saha Dalal, Sunila
1Department of Pathology, JSS Medical College, Mysore, India .
Insights
Juvenile hyaline fibromatosis is a rare genetic disorder causing skin nodules and other issues. Early diagnosis and genetic counseling are crucial due to its progressive nature and lack of specific treatment.
Area of Science:
- Genetics
- Dermatology
- Pathology
Background:
- Juvenile hyaline fibromatosis (JHF) is a rare autosomal-recessive connective tissue disorder.
- Characterized by papular/nodular skin lesions, gingival hyperplasia, joint contractures, and bone involvement.
- Associated with aberrant glycosaminoglycan synthesis by fibroblasts.
Purpose of the Study:
- To report a case of JHF in a pediatric patient.
- To describe the clinical presentation and histopathological findings.
- To highlight the importance of genetic counseling and future diagnostic possibilities.
Main Methods:
- Case report of a 5-year-old female with a history of consanguineous marriage.
- Clinical examination for skin nodules.
- Fine needle aspiration cytology and histopathological examination of nodules.
Main Results:
- The patient presented with multiple, recurrent, painless, variable-sized nodules.
- Cytology and histology revealed benign spindle cells in a Periodic acid Schiff-positive myxoid background.
- JHF follows a progressive course, with limited lifespan and no current specific treatment.
Conclusions:
- JHF requires genetic counseling due to a 25% recurrence risk in offspring.
- Recent gene mapping offers potential for developing antenatal diagnostic techniques.
- Further research is needed for effective JHF management strategies.
Abstract:
Juvenile hyaline fibromatosis is a rare, autosomal-recessive disease characterized by papular and nodular skin lesions, gingival hyperplasia, joint contractures and bone involvement in variable degrees. It is a connective tissue disorder with aberrant synthesis of glycosaminoglycans by fibroblasts. We report a 5-year-old female born of first-degree consanguineous marriage who presented with multiple, recurrent, painless, variable-sized nodules. Fine needle aspiration cytology smears and the subsequent histopathological examination from the nodules showed benign spindle cells in a Periodic acid Schiff-positive myxoid background. The disease has a relentlessly progressive course, with most patients surviving only up to the 4(th) decade. As of now, there is no specific treatment for this disorder. Genetic counseling is essential to explain to parents about a 25% chance of having a diseased baby in any pregnancy. With the gene being mapped recently, techniques for antenatal diagnosis are likely to be established.
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