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Encephalocraniocutaneous lipomatosis.
[proteus syndrome]
Encephalocraniocutaneous
lipomatosis
(
ECCL
)
is
a
sporadically
occurring
neurocutaneous
disorder
of
unknown
aetiology
.
It
has
repeatedly
been
discussed
as
a
localised
form
of
Proteus
syndrome
.
In
2006
,
the
first
large
series
of
patients
was
reported
,
and
diagnostic
criteria
were
proposed
.
To
better
define
the
phenotypic
spectrum
and
natural
history
of
ECCL
and
to
revise
diagnostic
criteria
.
54
patients
with
ECCL
were
reviewed
.
Eye
anomalies
(
mainly
choristomas
)
and
skin
lesions
(
non-
scarring
alopecia
,
naevus
psiloliparus
,
subcutaneous
fatty
masses
,
nodular
skin
tags
,
aplastic
scalp
defects
)
may
be
unilateral
or
bilateral
and
occur
in
a
consistent
pattern
.
Central
nervous
system
anomalies
consist
of
intracranial
and
intraspinal
lipomas
,
congenital
abnormalities
of
the
meninges
,
and
putative
focal
vascular
defects
resulting
in
highly
asymmetrical
changes
.
About
two
-thirds
of
patients
have
a
normal
development
or
mild
retardation
only
,
and
half
of
them
have
seizures
.
No
correlation
between
the
extent
of
central
nervous
system
anomalies
and
neurological
features
could
be
established
.
Aortic
coarctation
,
progressive
bone
cysts
and
jaw
tumours
may
be
associated
.
Revised
diagnostic
criteria
are
proposed
.
ECCL
is
considered
to
differ
from
Proteus
syndrome
in
particular
,
but
oculoectodermal
syndrome
is
possibly
a
mild
variant
.
Pathogenetically
,
mosaicism
for
a
mutated
autosomal
gene
involved
in
multiple
mesenchymal
tumours
and
vasculogenesis
,
with
or
without
a
second
hit
event
,
is
discussed
.
Diseases
Validation
Diseases presenting
"scarring"
symptom
acute rheumatic fever
cutaneous mastocytosis
cystinuria
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erythropoietic protoporphyria
focal myositis
junctional epidermolysis bullosa
kindler syndrome
malignant atrophic papulosis
oral submucous fibrosis
papillon-lefèvre syndrome
primary hyperoxaluria type 1
proteus syndrome
This symptom has already been validated