多重皮瘤和BAP1瘤倾向综合征
Alexandra Lebensohn1, Azam Ghafoor2, Luke Bloomquist3
1Genetics Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
JAMA dermatology
|May 17, 2024
概括
指甲异常,特别是多重皮瘤,在患有BAP1瘤倾向综合征 (BAP1 TPDS) 的人群中很常见. 这一发现可能有助于在风险家庭中早期检测BAP1TPDS.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 遗传学 遗传学 是一个
背景情况:
- BRCA1关联蛋白 (BAP1) 瘤倾向综合征 (TPDS) 是一种罕见的遗传疾病.
- 它显著增加了各种癌症的风险,包括黑色素瘤和间皮瘤.
- 早期识别对于癌症监测和遗传咨询至关重要.
研究的目的:
- 调查BAP1基因中具有病原性生殖系变异的个体中指甲异常的患病率和特征.
- 评估指甲发现是否可以作为BAP1TPDS的早期指标.
主要方法:
- 一项前性队列研究招募了47名具有已知的致病性BAP1生殖系变异的个体.
- 皮肤学评估包括病史,体检,摄影和指甲活检.
- 组织病理学证实了指甲的变化,重点是皮瘤.
主要成果:
- 在87.2%的参与者中,指甲异常存在.
- 常见的发现包括白血病,裂纹出血,阴病和远端指甲皮症.
- 在83.0%的患者中观察到类似于牛皮皮瘤的变化,通常影响多个指甲.
结论:
- BAP1 TPDS经常与指甲异常有关,特别是皮瘤.
- 这些指甲发现可能作为一种新的皮肤标志,用于早期检测BAP1 TPDS.
- 识别这些迹象可以帮助风险家庭成员和患有BAP1相关癌症的患者.
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