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Detection of novel LAMA3 mutation in Herlitz junctional epidermolysis bullosa in a Jordanian family.
[junctional epidermolysis bullosa]
The
Herlitz
junctional
epidermolysis
bullosa
(
H-
JEB
)
subtype
usually
presents
as
a
severe
lethal
inherited
variant
of
epidermolysis
bullosa
(
EB
)
caused
by
a
homozygous
mutation
in
the
genes
LAMA
3
,
LMAB
3
,
or
LAMAC
3
.
Each
gene
encodes
one
of
the
three
chains
of
heterotrimer
laminin-
332
proteins
(
including
the
alpha-
3
chain
,
beta
-
3
chain
and
gamma-
2
-
chain
)
responsible
for
the
adherence
of
the
epidermis
to
the
underlying
dermis
.
The
aim
of
this
report
is
to
add
to
the
existing
knowledge
about
EB
by
describing
a
novel
mutation
in
a
gene
responsible
for
genodermatosis
.
A
case
of
a
Jordanian
male
neonate
,
born
to
healthy
,
first
cousin
consanguineous
parents
,
who
developed
nonhealing
blistering
skin
and
mucous
membrane
lesions
,
crusted
erosions
with
significant
granulation
tissue
and
dystrophic
nails
immediately
after
birth
is
described
.
The
patient
was
diagnosed
as
having
a
novel
LAMA
3
mutation
causing
(
H-
JEB
)
by
immunofluorescence
mapping
and
molecular
analysis
.
Both
parents
and
this
baby
's
sibling
were
shown
to
be
heterozygous
carriers
of
the
same
mutation
.
Pre-implantation
diagnosis
using
molecular
analysis
for
subsequent
pregnancies
in
this
family
is
crucial
for
managing
any
new
pregnancy
.
Diseases
Validation
Diseases presenting
"inherited variant of epidermolysis bullosa"
symptom
junctional epidermolysis bullosa
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