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Hallopeau-Siemens dystrophic epidermolysis bullosa due to homozygous 5818delC mutation in the COL7A gene.
[dystrophic epidermolysis bullosa]
Epidermolysis
bullosa
(
EB
)
is
a
group
of
inherited
mechanobullous
skin
disease
.
The
dystrophic
EB
(
DEB
)
,
one
subtype
of
EB
,
is
inherited
in
an
autosomal
dominant
DEB
or
in
an
autosomal
recessive
(
RDEB
)
.
DEB
is
caused
by
mutations
in
the
COL
7
A
1
gene
encoding
type
VII
collagen
,
the
major
component
of
anchoring
fibrils
.
Over
300
pathogenic
mutations
have
been
detected
within
COL
7
A
in
DEB
.
Patients
with
the
Hallopeau-
Siemens
type
(
HS
-RDEB
)
,
most
severe
form
of
DEB
,
frequently
have
premature
termination
codon
(
PTC
)
mutations
on
both
alleles
.
PTC
mutations
on
both
alleles
result
in
depleted
mRNA
and
α
1
helix
,
and
failure
to
form
the
triple
helix
structure
characteristic
of
type
VII
collagen
.
As
patients
with
HS
-RDEB
usually
have
a
pair
of
heterozygous
PTC
mutations
,
there
have
been
rarely
reported
homozygous
ones
in
HS
-RDEB
.
We
report
the
first
case
of
HS
-RDEB
homozygous
PTC
mutations
of
5818
delC
in
both
COL
7
A
1
alleles
.
This
case
report
suggests
the
positional
effect
of
PTC
mutations
and
vigilance
against
early
infantile
death
in
EB
including
HS
-RDEB
.
Diseases
Validation
Diseases presenting
"first case"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
gm1 gangliosidosis
harlequin ichthyosis
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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