Gingival Hypertrophy in a Child with Hyaline Fibromatosis Syndrome

Hyaline fibromatosis syndrome (HFS) is a rare autosomal recessive genetic disorder characterized by accumulation of hyalinized fibrous tissue with cutaneous, mucosal, osteoarticular, and systemic involvement. The condition is caused by a mutation of ANTXR2 gene that results in a faulty synthesis of...

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Main Authors: Predrag Knežević, Marko Tarle, Lucija Ida Fratrić, Antonia Tarle, Hana Knežević-Krajina, Darko Macan
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2020-01-01
Series:Acta Stomatologica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/342469
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author Predrag Knežević
Marko Tarle
Lucija Ida Fratrić
Antonia Tarle
Hana Knežević-Krajina
Darko Macan
author_facet Predrag Knežević
Marko Tarle
Lucija Ida Fratrić
Antonia Tarle
Hana Knežević-Krajina
Darko Macan
author_sort Predrag Knežević
collection DOAJ
description Hyaline fibromatosis syndrome (HFS) is a rare autosomal recessive genetic disorder characterized by accumulation of hyalinized fibrous tissue with cutaneous, mucosal, osteoarticular, and systemic involvement. The condition is caused by a mutation of ANTXR2 gene that results in a faulty synthesis of a transmembrane protein which leads up to excessive deposition of hyaline material in extracellular space. The first signs may be present at birth or appear during infancy, and joint stiffness is the first, most common, symptom. Other manifestations include joint contractures, hyperpigmented macules over bony prominences of the joints, and gingival hypertrophy. The symptom that raises suspicion of HFS is present later, along with subcutaneous growths. The progression of the disease includes enteropathy with extensive protein loss, chronic diarrhea and frequent infections. We present a case of a five-year-old girl with severe gingival hypertrophy that caused difficulties in eating and speaking. To the best of our knowledge, this is also the first patient in Croatia with a confirmed ANTXR2 gene mutation described in the literature.
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spelling doaj.art-3b49b20511f54d7b90e19cc20694559e2024-04-15T16:06:15ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102020-01-01541697410.15644/asc54/1/8Gingival Hypertrophy in a Child with Hyaline Fibromatosis SyndromePredrag Knežević0Marko Tarle1Lucija Ida Fratrić2Antonia Tarle3Hana Knežević-Krajina4Darko Macan5Department of Maxillofacial and Oral Surgery, University Hospital Dubrava, Zagreb, Croatia; University of Zagreb School of Dental Medicine, Zagreb, CroatiaDepartment of Maxillofacial and Oral Surgery, University Hospital Dubrava, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, CroatiaKustec Dental Polyclinic, Zagreb, CroatiaUniversity of Zagreb School of Dental Medicine, Zagreb, CroatiaUniversity of Zagreb School of Medicine, Zagreb, CroatiaDepartment of Maxillofacial and Oral Surgery, University Hospital Dubrava, Zagreb, Croatia; University of Zagreb School of Dental Medicine, Zagreb, CroatiaHyaline fibromatosis syndrome (HFS) is a rare autosomal recessive genetic disorder characterized by accumulation of hyalinized fibrous tissue with cutaneous, mucosal, osteoarticular, and systemic involvement. The condition is caused by a mutation of ANTXR2 gene that results in a faulty synthesis of a transmembrane protein which leads up to excessive deposition of hyaline material in extracellular space. The first signs may be present at birth or appear during infancy, and joint stiffness is the first, most common, symptom. Other manifestations include joint contractures, hyperpigmented macules over bony prominences of the joints, and gingival hypertrophy. The symptom that raises suspicion of HFS is present later, along with subcutaneous growths. The progression of the disease includes enteropathy with extensive protein loss, chronic diarrhea and frequent infections. We present a case of a five-year-old girl with severe gingival hypertrophy that caused difficulties in eating and speaking. To the best of our knowledge, this is also the first patient in Croatia with a confirmed ANTXR2 gene mutation described in the literature.https://hrcak.srce.hr/file/342469Systemic HyalinosisGingival HypertrophyGingivectomyExtracellular MatrixANTXR2 gene
spellingShingle Predrag Knežević
Marko Tarle
Lucija Ida Fratrić
Antonia Tarle
Hana Knežević-Krajina
Darko Macan
Gingival Hypertrophy in a Child with Hyaline Fibromatosis Syndrome
Acta Stomatologica Croatica
Systemic Hyalinosis
Gingival Hypertrophy
Gingivectomy
Extracellular Matrix
ANTXR2 gene
title Gingival Hypertrophy in a Child with Hyaline Fibromatosis Syndrome
title_full Gingival Hypertrophy in a Child with Hyaline Fibromatosis Syndrome
title_fullStr Gingival Hypertrophy in a Child with Hyaline Fibromatosis Syndrome
title_full_unstemmed Gingival Hypertrophy in a Child with Hyaline Fibromatosis Syndrome
title_short Gingival Hypertrophy in a Child with Hyaline Fibromatosis Syndrome
title_sort gingival hypertrophy in a child with hyaline fibromatosis syndrome
topic Systemic Hyalinosis
Gingival Hypertrophy
Gingivectomy
Extracellular Matrix
ANTXR2 gene
url https://hrcak.srce.hr/file/342469
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AT markotarle gingivalhypertrophyinachildwithhyalinefibromatosissyndrome
AT lucijaidafratric gingivalhypertrophyinachildwithhyalinefibromatosissyndrome
AT antoniatarle gingivalhypertrophyinachildwithhyalinefibromatosissyndrome
AT hanaknezevickrajina gingivalhypertrophyinachildwithhyalinefibromatosissyndrome
AT darkomacan gingivalhypertrophyinachildwithhyalinefibromatosissyndrome