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Lipoid proteinosis in a six-year-old child
Surajit Nayak1, Basanti Acharjya
1Department of Skin and VD, MKCG Medical College and Hospital, Berhampur, Orissa, India.
Insights
Lipoid proteinosis (LiP) is a rare genetic disorder affecting the ECM1 gene. This case highlights a young girl with LiP presenting with unusual skin lesions, including eyelid margin abnormalities.
Area of Science:
- Genetics
- Dermatology
- Rare Diseases
Background:
- Lipoid proteinosis (LiP) is a rare autosomal recessive disorder.
- It results from loss-of-function mutations in the extracellular matrix protein 1 (ECM1) gene.
- LiP is characterized by hoarseness, waxy skin deposits, and scarring.
Observation:
- A 6-year-old female child presented with recurrent vesicullobullous lesions.
- The patient also exhibited beaded lesions on her eyelid margins.
- These symptoms are consistent with Lipoid proteinosis.
Findings:
- The case details a pediatric patient diagnosed with Lipoid proteinosis.
- The presentation included characteristic skin and eyelid findings.
- This case underscores the varied clinical manifestations of LiP.
Implications:
- Early diagnosis of LiP is crucial for managing associated complications.
- Understanding ECM1 gene mutations aids in genetic counseling.
- Further research into LiP pathogenesis may reveal novel therapeutic targets.
Abstract:
Lipoid proteinosis (LiP) (OMIM 247100) is a rare autosomal recessive disease caused by loss of function mutations in the extracellular matrix protein 1 gene, ECM1, on chromosome 1q21. Clinically characterized by hoarseness in early infancy, followed by waxy papules and plaques on the face and body along with pox-like and acneiform scars. We report here a 6-year-old female child with LiP, who presented to our OPD for recurrent vesicullobullous lesions and beaded lesions over eyelid margins.
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