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Epidermolysis bullosa simplex with mottled pigmentation - mutation analysis proved the diagnosis in a four-generation pedigree.
[epidermolysis bullosa simplex]
Epidermolysis
bullosa
simplex
with
mottled
pigmentation
(
EBS-
MP
)
is
a
rare
variant
of
the
basal
form
of
EBS
,
characterized
by
mild
intraepidermal
blistering
due
to
lysis
of
basal
keratinocytes
and
with
a
progressive
reticular
hyperpigmentation
on
the
trunk
and
extremities
.
A
Â
limited
number
of
cases
-
to
date
twenty
unrelated
families
-
have
been
published
from
all
over
the
world
,
including
thirteen
reports
from
Europe
.
We
here
Â
report
the
first
Hungarian
case
in
a
four
generation
pedigree
with
EBS-
MP
symptoms
and
prove
the
diagnosis
by
mutation
analysis
.
A
Â
heterozygous
p
.
Pro
25
Leu
mutation
in
the
first
exon
of
KRT
5
,
together
with
the
heterozygous
polymorphism
p
.
Gly
138
Glu
,
was
identified
in
all
the
five
affected
family
members
studied
.
Our
report
extends
the
limited
number
of
EBS-
MP
cases
and
gives
further
evidence
that
KRT
5
mutations
are
responsible
for
this
rare
phenotype
.
Diseases
Validation
Diseases presenting
"limited number"
symptom
22q11.2 deletion syndrome
achondroplasia
cholangiocarcinoma
congenital diaphragmatic hernia
dedifferentiated liposarcoma
dentinogenesis imperfecta
epidermolysis bullosa simplex
erythropoietic protoporphyria
liposarcoma
neonatal adrenoleukodystrophy
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
trochlear dysplasia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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