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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
"recessive dystrophic epidermolysis bullosa"
symptom
child syndrome
dystrophic epidermolysis bullosa
junctional epidermolysis bullosa
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