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Identification of novel and known KRT5 and KRT14 mutations in 53 patients with epidermolysis bullosa simplex: correlation between genotype and phenotype.
[epidermolysis bullosa simplex]
Basal
epidermolysis
bullosa
simplex
(
EBS
)
is
a
hereditary
skin
blistering
disorder
resulting
in
most
cases
from
missense
mutations
in
the
keratin
5
(
KRT
5
)
or
keratin
14
(
KRT
14
)
genes
.
 
To
identify
the
underlying
mutations
in
different
EBS
subtypes
and
correlate
genotype
and
phenotype
.
Mutation
analysis
was
performed
in
53
patients
with
EBS
and
their
families
by
direct
sequencing
of
the
KRT
5
and
KRT
14
genes
.
 
We
identified
39
different
mutations
,
of
which
15
have
not
been
published
previously
.
Three
novel
deletion
/
insertion
mutations
,
among
them
one
in
-frame
duplication
,
were
associated
with
the
rare
phenotype
of
EBS
with
mottled
pigmentation
.
We
identified
for
the
first
time
a
patient
with
compound
heterozygosity
for
KRT
5
mutations
causing
Dowling-
Degos
disease
and
EBS
.
 
Identification
of
novel
mutations
and
genotype-phenotype
correlations
in
EBS
allow
improved
understanding
of
disease
pathogenesis
as
well
as
better
patient
management
.
Diseases
Validation
Diseases presenting
"the rare phenotype of ebs with mottled pigmentation"
symptom
epidermolysis bullosa simplex
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