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Mutational founder effect in recessive dystrophic epidermolysis bullosa families from Southern Tunisia.
[dystrophic epidermolysis bullosa]
Dystrophic
epidermolysis
bullosa
(
DEB
)
is
a
group
of
heritable
bullous
skin
disorders
caused
by
mutations
in
the
COL
7
A
1
gene
.
One
of
the
most
severe
forms
of
DEB
is
the
severe
generalized
[
recessive
dystrophic
epidermolysis
bullosa
(
RDEB-SG
)
]
subtype
,
which
is
inherited
in
an
autosomal
recessive
manner
.
This
subtype
is
most
often
due
to
COL
7
A
1
mutations
resulting
in
a
premature
termination
codon
on
both
alleles
.
We
report
here
,
the
molecular
investigation
of
15
patients
belonging
to
14
nuclear
families
from
the
city
of
Sfax
in
Southern
Tunisia
,
with
clinical
features
of
RDEB-SG
complicated
by
squamous
cell
carcinoma
in
3
patients
.
We
identified
two
novel
mutations
,
p
.
Val
769
LeufsX
1
and
p
.
Ala
2297
SerfsX
91
,
in
addition
to
one
previously
reported
mutation
(
p
.
Arg
2063
Trp
)
.
The
p
.
V
al
769
LeufsX
1
mutation
was
shared
by
11
families
and
haplotype
analysis
indicated
that
it
is
a
founder
mutation
.
The
p
.
A
la
2297
SerfsX
91
mutation
was
a
private
mutation
found
in
only
one
family
.
Together
with
the
previously
described
recurrent
mutations
in
Tunisia
,
screening
for
the
founder
p
.
V
al
769
LeufsX
1
mutation
should
provide
a
rapid
molecular
diagnosis
tool
for
mutation
screening
in
RDEB
patients
from
Southern
Tunisia
and
possibly
from
other
Mediterranean
populations
sharing
the
same
genetic
background
.
Diseases
Validation
Diseases presenting
"squamous cell carcinoma"
symptom
carcinoma of the gallbladder
child syndrome
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
junctional epidermolysis bullosa
kallmann syndrome
kindler syndrome
liposarcoma
monosomy 21
oculocutaneous albinism
oral submucous fibrosis
papillon-lefèvre syndrome
This symptom has already been validated