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A new homozygous nonsense mutation in LAMA3A underlying laryngo-onycho-cutaneous syndrome.
[junctional epidermolysis bullosa]
Laryngo-onycho-
cutaneous
(
LOC
)
syndrome
is
a
subtype
of
autosomal
recessive
junctional
epidermolysis
bullosa
in
which
there
is
prominent
skin
and
mucosal
granulation
tissue
that
can
lead
to
delayed
wound
healing
,
laryngeal
obstruction
and
blindness
.
Thus
far
,
all
cases
are
of
Punjabi
ancestry
and
have
been
shown
to
result
from
a
founder
mutation
in
the
LAMA
3
gene
,
notably
involving
a
single
nucleotide
insertion
mutation
in
exon
39
,
which
is
specific
to
the
LAMA
3
A
(
designated
exon
1
of
LAMA
3
A
)
and
not
the
LAMA
3
B
1
or
LAMA
3
B
2
isoforms
.
Here
,
we
describe
a
new
pedigree
with
LOC
syndrome
.
Affected
individuals
(
from
Iran
)
have
the
characteristic
clinicopathological
and
molecular
features
of
LOC
syndrome
:
prominent
granulation
tissue
(
especially
affecting
the
eyes
)
,
normal
intensity
laminin-
332
immunostaining
at
the
dermal-epidermal
junction
,
and
autosomal
recessive
mutations
in
the
LAMA
3
A
-
specific
exon
.
The
pathogenic
mutation
is
a
homozygous
nonsense
mutation
,
designated
p
.
Gln
57
X
,
which
just
affects
the
laminin-
α
3
a
transcript
.
These
findings
therefore
expand
the
molecular
basis
of
LOC
syndrome
.
Diseases
Validation
Diseases presenting
"homozygous nonsense mutation"
symptom
epidermolysis bullosa simplex
junctional epidermolysis bullosa
kindler syndrome
papillon-lefèvre syndrome
triple a syndrome
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