Nonsyndromic hereditary gingival fibromatosis: Characterization of a family and review of genetic etiology

Autor: Henriqueta Coimbra Silva, Elisabete Peres Resende, Ana C. Antunes, Maria Teresa Xavier, Sérgio Matos
Rok vydání: 2020
Předmět:
Zdroj: Special Care in Dentistry. 40:320-328
ISSN: 1754-4505
0275-1879
DOI: 10.1111/scd.12458
Popis: Our aim is to describe a family with a nonsyndromic form of hereditary gingival fibromatosis (HGF) and discuss genetic characteristics of this rare disease by reviewing reported cases. A mother and three descendants were diagnosed with HGF. There was marked variable expressivity: from severe generalized gingival overgrowth in a 16-year-old boy (the proband) to minimal manifestations in the mother. The proband was submitted to gingivectomy and gingivoplasty. In younger siblings, the disease remained stable for 5 years, suggesting that clinical surveillance is a good option. The diagnosis was supported by histopathological examination. Analysis of this family and literature-reported cases supports that HGF most frequently shows an autosomal dominant inheritance with high penetrance and variable expressivity. Neomutations and gonadal mosaicism do not seem to be a rare event. Although five loci have been mapped by linkage analysis, only two genes, SOS1 and REST, were identified in four families.
Databáze: OpenAIRE