New clinical aspects of hereditary mucoepithelial dysplasia

Autor: W. Spohn, Meinhard Robinow, W. O. Wentling, M. D. Urban, R. Schosser
Rok vydání: 1991
Předmět:
Zdroj: American Journal of Medical Genetics. 39:338-341
ISSN: 1096-8628
0148-7299
DOI: 10.1002/ajmg.1320390318
Popis: Hereditary mucoepithelial dysplasia (HMD) is a multiepithelial disorder. It is transmitted as an autosomal dominant trait (McKusick: Mendelian Inheritance in Man—Catalogs of Autosomal Dominant, Autosomal Recessive, and X-Linked Phenotypes, 8th edition. Baltimore: The Johns Hopkins University Press, pp 499, 1988). HMD is characterized by variable combinations of lesions of skin, hair, orificial mucosa, gingiva, eyes, and lungs. In some previously described patients, the corneal and pulmonary lesions were progressive and led to blindness, recurrent pneumonia, and/or premature death. On light microscopy, the lesion is characterized by dyskeratosis and, on electron microscopy, by a paucity of gap junctions and desmosomes. Here, we describe a new 5′generation kindred in which affected individuals had the same histologic characteristics but a some-what different clinical spectrum and a more benign course. HMD should be considered in the differential diagnosis of childhood alopecia, follicular hyperkeratosis, keratoconjunctivitis, juvenile cataracts, gingival hyperemia, restrictive lung disease, and esophageal stenosis or webs.
Databáze: OpenAIRE