A p.478I>T KRT1 mutation in a case of annular epidermolytic ichthyosis

Pediatr Dermatol. 2018 Nov;35(6):e414-e415. doi: 10.1111/pde.13643. Epub 2018 Aug 28.

Abstract

Annular epidermolytic ichthyosis (AEI; Online Mendelian Inheritance in Man [OMIM]# 607602) is a rare subtype of epidermolytic ichthyosis that is characterized by polycyclic, migratory erythematous and scaly plaques. It typically results from dominant mutations in the keratin 1 or keratin 10 genes. We present the case of a 5-year-old girl who developed intermittent eruptions of pink, round, scaly, migratory plaques with palmoplantar keratoderma and was originally diagnosed with erythrokeratodermia variabilis et progressiva (EKVP). Genetic analysis revealed a c.1436T>C transition mutation in the keratin 1 gene, and histopathology showed epidermolysis and hyperkeratosis, confirming the diagnosis of AEI.

Keywords: genetic diseases/mechanisms; ichthyosis.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Female
  • Genetic Testing
  • Humans
  • Hyperkeratosis, Epidermolytic / diagnosis*
  • Hyperkeratosis, Epidermolytic / genetics
  • Keratin-1 / genetics*
  • Mutation
  • Skin / pathology

Substances

  • KRT1 protein, human
  • Keratin-1

Supplementary concepts

  • Ichthyosis, Cyclic, with Epidermolytic Hyperkeratosis