Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old Boy

The acral peeling skin syndrome (APSS) is a rare autosomal recessive disorder clinically characterized by asymptomatic desquamation of the skin limited to the hands and feet and histologically by cleavage at the stratum granulosum and stratum corneum level [Kiritsi et al.: J Invest Dermatol 2010;130...

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Main Authors: S. Kavaklieva, I. Yordanova, L. Bruckner-Tuderman, C. Has
Format: Article
Language:English
Published: Karger Publishers 2013-08-01
Series:Case Reports in Dermatology
Subjects:
Online Access:http://www.karger.com/Article/FullText/354572
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author S. Kavaklieva
I. Yordanova
L. Bruckner-Tuderman
C. Has
author_facet S. Kavaklieva
I. Yordanova
L. Bruckner-Tuderman
C. Has
author_sort S. Kavaklieva
collection DOAJ
description The acral peeling skin syndrome (APSS) is a rare autosomal recessive disorder clinically characterized by asymptomatic desquamation of the skin limited to the hands and feet and histologically by cleavage at the stratum granulosum and stratum corneum level [Kiritsi et al.: J Invest Dermatol 2010;130:1741-1746]. We report on a 10-month-old boy with a history of skin peeling limited to the hands and feet since 2 months of age. Clinical examination revealed erythematous erosions with peripheral desquamation and flaccid blisters. DNA mutation analysis detected two heterozygous TGM5 mutations: c.2T>C, p.M1T in exon 1 and c.337G>T, p.G113C in exon 3 in keeping with the diagnosis of APSS. The clinical presentation of APSS alone might be confusing and strongly resemble epidermolysis bullosa simplex making the differential diagnosis difficult.
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spelling doaj.art-8a31e1b599ff4deaa12b8d20aca922d62022-12-22T01:00:14ZengKarger PublishersCase Reports in Dermatology1662-65672013-08-015221021410.1159/000354572354572Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old BoyS. KavaklievaI. YordanovaL. Bruckner-TudermanC. HasThe acral peeling skin syndrome (APSS) is a rare autosomal recessive disorder clinically characterized by asymptomatic desquamation of the skin limited to the hands and feet and histologically by cleavage at the stratum granulosum and stratum corneum level [Kiritsi et al.: J Invest Dermatol 2010;130:1741-1746]. We report on a 10-month-old boy with a history of skin peeling limited to the hands and feet since 2 months of age. Clinical examination revealed erythematous erosions with peripheral desquamation and flaccid blisters. DNA mutation analysis detected two heterozygous TGM5 mutations: c.2T>C, p.M1T in exon 1 and c.337G>T, p.G113C in exon 3 in keeping with the diagnosis of APSS. The clinical presentation of APSS alone might be confusing and strongly resemble epidermolysis bullosa simplex making the differential diagnosis difficult.http://www.karger.com/Article/FullText/354572Acral peeling skin syndromeTGM5 geneCSTA gene
spellingShingle S. Kavaklieva
I. Yordanova
L. Bruckner-Tuderman
C. Has
Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old Boy
Case Reports in Dermatology
Acral peeling skin syndrome
TGM5 gene
CSTA gene
title Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old Boy
title_full Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old Boy
title_fullStr Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old Boy
title_full_unstemmed Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old Boy
title_short Acral Peeling Skin Syndrome Resembling Epidermolysis Bullosa Simplex in a 10-Month-Old Boy
title_sort acral peeling skin syndrome resembling epidermolysis bullosa simplex in a 10 month old boy
topic Acral peeling skin syndrome
TGM5 gene
CSTA gene
url http://www.karger.com/Article/FullText/354572
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AT iyordanova acralpeelingskinsyndromeresemblingepidermolysisbullosasimplexina10montholdboy
AT lbrucknertuderman acralpeelingskinsyndromeresemblingepidermolysisbullosasimplexina10montholdboy
AT chas acralpeelingskinsyndromeresemblingepidermolysisbullosasimplexina10montholdboy