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Published on: March 24, 2011
Clinical and Genetic Characteristics of Ectodermal Dysplasia in Four Indian Children
Divya Kamat1, Rahul Mahajan1, Debajyoti Chatterjee2
1Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
This study analyzes four patients with ectodermal dysplasias (EDs), identifying genetic mutations linked to hypohidrotic ectodermal dysplasia (HED) and autoimmune polyglandular syndrome (APS) type 1. The findings highlight clinic-genetic correlations and novel variants in ED.
Area of Science:
- Genetics
- Dermatology
- Endocrinology
Background:
- Ectodermal dysplasias (EDs) are a group of genetic disorders affecting ectodermal derivatives like skin, hair, nails, and teeth.
- Next-generation sequencing (NGS) is crucial for diagnosing EDs by identifying causative genetic variants.
Observation:
- Four patients with diverse ectodermal dysplasia phenotypes were analyzed using NGS.
- Three patients presented with hypohidrotic ectodermal dysplasia (HED), and one with autoimmune polyglandular syndrome (APS) type 1.
- Specific mutations were identified in the EDA, C1orf172, and AIRE genes, including novel variants.
Findings:
- Two patients with X-linked HED (XLHED) harbored known mutations in the EDA gene.
- A novel mutation in C1orf172 was identified in a patient with HED and urticaria pigmentosa.
- A patient with APS type 1 and ectodermal features presented with compound heterozygous mutations in the AIRE gene.
Implications:
- This study establishes clinic-genetic correlations in ED patients, aiding diagnosis and genetic counseling.
- The identification of novel variants expands the known mutational spectrum for EDs.
- Understanding these genetic underpinnings is vital for targeted therapies and improved patient outcomes.
Introduction:
Ectodermal dysplasias (EDs) affect structures derived from the ectoderm such as skin, its appendages, nail, and teeth. In this series, we describe four patients presenting with a clinical phenotype of dysplasia of one or more ectodermal structures who underwent next-generation sequencing for mutational analysis.
Case Series:
The clinical phenotype of three patients was hypohidrotic ectodermal dysplasia (HED) and one patient was diagnosed with autoimmune polyglandular syndrome (APS) type 1. Two patients with classical clinical features of X-linked HED (XLHED) had mutations in EDA gene; variant c.924+ 8C>G (5' proximal splice site) and c.760C>T (p.Gln254Ter). Case 3 had clinical phenotype of HED with urticaria pigmentosa, which was confirmed on skin biopsy and immunohistochemistry. This patient was found to have mutation in C1orf172; c.449G>A (p.Arg150Gln) which has not been reported previously. Case 4 was diagnosed to have APS type 1 with cutaneous features of discoloration of teeth and chronic mucocutaneous candidiasis. This patient had a compound heterozygous mutation of AIRE gene. The two variants detected were c.169C>T (p.Gln57Ter) and c.47C>T (p.Thr16Met).
Conclusion:
The present series highlights the clinic-genetic correlation in four patients with features of ED. Two variants of uncertain significance and two previously unreported variants were also found in this study.
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