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Case report. Novel and recurrent COL7A1 mutations in Chinese patients with dystrophic epidermolysis bullosa pruriginosa.
[dystrophic epidermolysis bullosa]
Dystrophic
epidermolysis
bullosa
pruriginosa
(
DEB-Pr
)
is
a
rare
subtype
of
dystrophic
epidermolysis
bullosa
(
DEB
)
.
This
disease
is
characterized
by
severe
itching
,
lichenoid
nodules
or
prurigo-like
lesions
,
and
linear
scarring
with
a
predilection
for
the
extensor
limbs
.
Pathogenic
mutations
in
the
type
VII
collagen
alpha
1
(
COL
7
A
1
)
gene
have
been
identified
.
We
analyzed
mutations
in
the
COL
7
A
1
gene
in
a
Chinese
family
including
5
affected
individuals
with
typical
DEB-Pr
and
in
a
patient
previously
reported
with
sporadic
DEB-Pr
.
The
entire
coding
region
and
exon-intron
boundaries
of
COL
7
A
1
were
detected
by
polymerase
chain
reaction
and
direct
sequencing
.
We
identified
one
novel
heterozygote
mutation
(
c
.
6842
G
>
T
,
p
.
G
2281
V
)
and
a
second
mutation
(
c
.
5443
G
>
A
,
p
.
G
1815
R
)
reported
previously
in
patients
with
DEB
.
Our
findings
contribute
to
the
COL
7
A
1
mutation
database
and
further
reveal
the
genetic
and
phenotypic
heterogeneity
of
DEB-Pr
.
Diseases
Validation
Diseases presenting
"scarring with a predilection for the extensor limbs"
symptom
dystrophic epidermolysis bullosa
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