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Updated: May 23, 2025

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Clinical and Genetic Characterization of 8 Patients with Syndromic Patterned Cutaneous Hypopigmentation: A
Zhuo Ran Cai1, Jean-François Soucy2,3, Frédérique Tihy2,3
1Division of Dermatology, Montreal University Hospital Center, Montreal, QC, Canada.
Journal of Cutaneous Medicine and Surgery
|May 3, 2025
Summary
Patterned cutaneous hypopigmentation (PCH) with systemic findings often has a genetic cause. Comprehensive genomic evaluation of skin and blood is recommended for affected individuals.
Area of Science:
- Genetics
- Dermatology
- Medical Genomics
Background:
- Patterned cutaneous hypopigmentation (PCH) is associated with various extracutaneous manifestations.
- Understanding the genetic basis of syndromic PCH is crucial for diagnosis and management.
Purpose of the Study:
- To determine the clinical and genetic characteristics of patients presenting with PCH and extracutaneous involvement.
- To investigate the underlying genetic causes of syndromic PCH.
Main Methods:
- Clinical reassessment of 8 patients with PCH and neurological involvement.
- Whole exome sequencing of patient blood and lesional skin biopsies.
- Array comparative genomic hybridization on patient skin and blood samples.
Main Results:
- Identified chromosomal abnormalities (trisomy 7, 14, 13q13-ter deletion) and pathogenic mutations (NBEA, USP9X, DDX3X, NIPBL, RHOA) in all studied patients.
- Observed various extracutaneous anomalies including musculoskeletal, acral, ophthalmologic, and dental issues.
- Detected narrow and broad bands along the lines of Blaschko in the majority of patients.
Conclusions:
- Syndromic PCH is consistently linked to chromosomal or monogenic causes.
- Comprehensive genomic evaluation, including lesional skin and peripheral blood, is essential for patients with PCH and systemic findings.
- Improved clinical and genetic characterization will enhance understanding and management of syndromic PCH.
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