학술논문

Papular Epidermal Nevus with 'Skyline' Basal Cell Layer Syndrome--Natural Course: Case Report and Literature Review
Single Case
Document Type
Report
Source
Case Reports in Dermatology. Jan-April 2017, Vol. 9 Issue 1, p1, 5 p.
Subject
Genetic aspects
Nevus -- Genetic aspects
Epilepsy -- Genetic aspects
Gene mutation
Neurologic manifestations
Intellectual disabilities
Seizures (Medicine)
Language
English
Abstract
Introduction We hypothesize that the typical skin alterations, confirmed in biopsies, in combination with the neurological symptoms that occurred in 6 out of 15 young patients describe a new neurocutaneous [...]
Papular epidermal nevus with "skyline" basal cell layer (PENS) is a very rare type of keratinocytic nevus and is associated with extracutaneous findings such as neurological symptoms in about 50% of the cases. Therefore, it is also referred to as PENS syndrome. Clinically visible hyperkeratotic papules and plaques already appear at birth or shortly thereafter, while neurological symptoms such as epilepsy and mental retardation manifest themselves during childhood. Genetics suggests gonadal mosaicism as a possible cause for the disease. Another hypothesis is that genetic mutation can occur in a mendelian trait or through a paradominant inheritance. Keywords Papular epidermal nevus with "skyline" basal cell layer * Hyperkeratotic papules and plaques * Neurocutaneous syndrome * Mild mental retardation * Epileptic seizures * Gonadal mosaicism * Paradominant inheritance * Natural course