Clinical and genetic characteristics of ectodermal dysplasia in four Indian children

Introduction: Ectodermal dysplasias (EDs) affect structures derived from the ectoderm such as skin, its appendages, nail, and teeth. In this series, we describe four patients presenting with a clinical phenotype of dysplasia of one or more ectodermal structures who underwent next-generation sequenci...

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Main Authors: Divya Kamat, Rahul Mahajan, Debajyoti Chatterjee, Jaivinder Yadav, Rakesh Kumar, Devi Dayal, Dipankar De, Sanjeev Handa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=1;spage=54;epage=57;aulast=Kamat
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author Divya Kamat
Rahul Mahajan
Debajyoti Chatterjee
Jaivinder Yadav
Rakesh Kumar
Devi Dayal
Dipankar De
Sanjeev Handa
author_facet Divya Kamat
Rahul Mahajan
Debajyoti Chatterjee
Jaivinder Yadav
Rakesh Kumar
Devi Dayal
Dipankar De
Sanjeev Handa
author_sort Divya Kamat
collection DOAJ
description Introduction: Ectodermal dysplasias (EDs) affect structures derived from the ectoderm such as skin, its appendages, nail, and teeth. In this series, we describe four patients presenting with a clinical phenotype of dysplasia of one or more ectodermal structures who underwent next-generation sequencing for mutational analysis. Case Series: The clinical phenotype of three patients was hypohidrotic ectodermal dysplasia (HED) and one patient was diagnosed with autoimmune polyglandular syndrome (APS) type 1. Two patients with classical clinical features of X-linked HED (XLHED) had mutations in EDA gene; variant c.924+ 8C>G (5′ proximal splice site) and c.760C>T (p.Gln254Ter). Case 3 had clinical phenotype of HED with urticaria pigmentosa, which was confirmed on skin biopsy and immunohistochemistry. This patient was found to have mutation in C1orf172; c.449G>A (p.Arg150Gln) which has not been reported previously. Case 4 was diagnosed to have APS type 1 with cutaneous features of discoloration of teeth and chronic mucocutaneous candidiasis. This patient had a compound heterozygous mutation of AIRE gene. The two variants detected were c.169C>T (p.Gln57Ter) and c.47C>T (p.Thr16Met). Conclusion: The present series highlights the clinic-genetic correlation in four patients with features of ED. Two variants of uncertain significance and two previously unreported variants were also found in this study.
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spelling doaj.art-1714020b1f0f457ab5c52842f471864d2022-12-22T02:21:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112022-01-01671545710.4103/ijd.ijd_406_21Clinical and genetic characteristics of ectodermal dysplasia in four Indian childrenDivya KamatRahul MahajanDebajyoti ChatterjeeJaivinder YadavRakesh KumarDevi DayalDipankar DeSanjeev HandaIntroduction: Ectodermal dysplasias (EDs) affect structures derived from the ectoderm such as skin, its appendages, nail, and teeth. In this series, we describe four patients presenting with a clinical phenotype of dysplasia of one or more ectodermal structures who underwent next-generation sequencing for mutational analysis. Case Series: The clinical phenotype of three patients was hypohidrotic ectodermal dysplasia (HED) and one patient was diagnosed with autoimmune polyglandular syndrome (APS) type 1. Two patients with classical clinical features of X-linked HED (XLHED) had mutations in EDA gene; variant c.924+ 8C>G (5′ proximal splice site) and c.760C>T (p.Gln254Ter). Case 3 had clinical phenotype of HED with urticaria pigmentosa, which was confirmed on skin biopsy and immunohistochemistry. This patient was found to have mutation in C1orf172; c.449G>A (p.Arg150Gln) which has not been reported previously. Case 4 was diagnosed to have APS type 1 with cutaneous features of discoloration of teeth and chronic mucocutaneous candidiasis. This patient had a compound heterozygous mutation of AIRE gene. The two variants detected were c.169C>T (p.Gln57Ter) and c.47C>T (p.Thr16Met). Conclusion: The present series highlights the clinic-genetic correlation in four patients with features of ED. Two variants of uncertain significance and two previously unreported variants were also found in this study.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=1;spage=54;epage=57;aulast=Kamatectodermal dysplasianext-generation sequencingpediatric dermatology
spellingShingle Divya Kamat
Rahul Mahajan
Debajyoti Chatterjee
Jaivinder Yadav
Rakesh Kumar
Devi Dayal
Dipankar De
Sanjeev Handa
Clinical and genetic characteristics of ectodermal dysplasia in four Indian children
Indian Journal of Dermatology
ectodermal dysplasia
next-generation sequencing
pediatric dermatology
title Clinical and genetic characteristics of ectodermal dysplasia in four Indian children
title_full Clinical and genetic characteristics of ectodermal dysplasia in four Indian children
title_fullStr Clinical and genetic characteristics of ectodermal dysplasia in four Indian children
title_full_unstemmed Clinical and genetic characteristics of ectodermal dysplasia in four Indian children
title_short Clinical and genetic characteristics of ectodermal dysplasia in four Indian children
title_sort clinical and genetic characteristics of ectodermal dysplasia in four indian children
topic ectodermal dysplasia
next-generation sequencing
pediatric dermatology
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=1;spage=54;epage=57;aulast=Kamat
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AT jaivinderyadav clinicalandgeneticcharacteristicsofectodermaldysplasiainfourindianchildren
AT rakeshkumar clinicalandgeneticcharacteristicsofectodermaldysplasiainfourindianchildren
AT devidayal clinicalandgeneticcharacteristicsofectodermaldysplasiainfourindianchildren
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