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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
"first time"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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