Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODY

SUMMARY Maturity-onset diabetes of the young (MODY) is a heterogeneous group of monogenic forms of diabetes mellitus with distinct clinical features. Clinical dermatological phenotypes in MODY patients are very rare in literature. This report describes a patient with HNF1A-MODY presenting with necro...

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Main Authors: Gabriela Irene Garcia Brandes, Renata Peixoto-Barbosa, Ana Paula Gomes Meski, Fernando M. A. Giuffrida, André F. Reis
Format: Article
Language:English
Published: Brazilian Society of Endocrinology and Metabolism 2022-05-01
Series:Archives of Endocrinology and Metabolism
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022000300420&tlng=en
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author Gabriela Irene Garcia Brandes
Renata Peixoto-Barbosa
Ana Paula Gomes Meski
Fernando M. A. Giuffrida
André F. Reis
author_facet Gabriela Irene Garcia Brandes
Renata Peixoto-Barbosa
Ana Paula Gomes Meski
Fernando M. A. Giuffrida
André F. Reis
author_sort Gabriela Irene Garcia Brandes
collection DOAJ
description SUMMARY Maturity-onset diabetes of the young (MODY) is a heterogeneous group of monogenic forms of diabetes mellitus with distinct clinical features. Clinical dermatological phenotypes in MODY patients are very rare in literature. This report describes a patient with HNF1A-MODY presenting with necrobiosis lipoidica (NL) and granuloma annulare (GA). A 39-year-old asymptomatic woman, with atypical diabetes diagnosed at age 17, has a confirmed HNF1A mutation on exon 2 (c.392G>A, p.R131Q), classified as Pathogenic by the ACMG guidelines. She has reasonable metabolic control using oral anti-diabetic medications and has no chronic diabetic complications. Clinical and histologic diagnoses of both NL and GA were made. We discuss these conditions and their association with MODY.
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spelling doaj.art-3f6ba9e9b7a14dc582d4078786410cbf2022-12-22T02:45:31ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-42922022-05-0166342042410.20945/2359-3997000000477Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODYGabriela Irene Garcia Brandeshttps://orcid.org/0000-0002-7759-7664Renata Peixoto-Barbosahttps://orcid.org/0000-0002-6133-7497Ana Paula Gomes Meskihttps://orcid.org/0000-0002-8232-7378Fernando M. A. Giuffridahttps://orcid.org/0000-0002-5566-8070André F. Reishttps://orcid.org/0000-0002-3274-4587SUMMARY Maturity-onset diabetes of the young (MODY) is a heterogeneous group of monogenic forms of diabetes mellitus with distinct clinical features. Clinical dermatological phenotypes in MODY patients are very rare in literature. This report describes a patient with HNF1A-MODY presenting with necrobiosis lipoidica (NL) and granuloma annulare (GA). A 39-year-old asymptomatic woman, with atypical diabetes diagnosed at age 17, has a confirmed HNF1A mutation on exon 2 (c.392G>A, p.R131Q), classified as Pathogenic by the ACMG guidelines. She has reasonable metabolic control using oral anti-diabetic medications and has no chronic diabetic complications. Clinical and histologic diagnoses of both NL and GA were made. We discuss these conditions and their association with MODY.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022000300420&tlng=en
spellingShingle Gabriela Irene Garcia Brandes
Renata Peixoto-Barbosa
Ana Paula Gomes Meski
Fernando M. A. Giuffrida
André F. Reis
Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODY
Archives of Endocrinology and Metabolism
title Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODY
title_full Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODY
title_fullStr Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODY
title_full_unstemmed Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODY
title_short Granuloma annulare and necrobiosis lipoidica in a patient with HNF1A-MODY
title_sort granuloma annulare and necrobiosis lipoidica in a patient with hnf1a mody
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022000300420&tlng=en
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