Reticulated pigmentary changes and Terry's nails in a patient with a TERT variant-associated telomere biology disorder.

IF 1.2 4区医学 Q3 DERMATOLOGY

Pediatric Dermatology Pub Date : 2024-09-03 DOI:10.1111/pde.15735

Sasan D Noveir, Jayden Galamgam, Deeti Pithadia, Amanda Truong, Marcia Hogeling, Carol E Cheng

引用次数: 0

Abstract

Telomere biology disorders (TBD) are a complex set of inherited illnesses characterized by short telomeres. Dyskeratosis congenita (DC), which is now considered a severe TBD phenotype, is characterized by reticulated pigmentary changes, nail dystrophy, premalignant oral leukoplakia, and systemic involvement. This case describes a 2-year-old female with reticulated pigmentary changes and Terry's nails who was found to have a TERT variant and short telomeres; she lacked other mucocutaneous and systemic features of TBD. This report describes a unique clinical presentation of TBD and highlights the importance of upholding suspicion for TBD in individuals with limited or subtle features of classic DC.

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一名 TERT 变异相关端粒生物学紊乱患者的网状色素变化和特里氏指甲。

端粒生物学疾病（TBD）是一组以端粒短小为特征的复杂遗传性疾病。先天性角化不良症（DC）目前被认为是一种严重的 TBD 表型，其特征是网状色素性改变、指甲营养不良、口腔白斑病前期恶变和全身受累。本病例描述了一名患有网状色素性变化和特里氏指甲的 2 岁女性，她被发现患有 TERT 变异和端粒短；她没有 TBD 的其他粘膜和全身特征。本报告描述了 TBD 的一种独特临床表现，并强调了在典型 DC 特征有限或不明显的个体中坚持怀疑 TBD 的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Dermatology 医学-皮肤病学

CiteScore

3.20

自引率

6.70%

发文量

269

审稿时长

1 months

期刊介绍： Pediatric Dermatology answers the need for new ideas and strategies for today''s pediatrician or dermatologist. As a teaching vehicle, the Journal is still unsurpassed and it will continue to present the latest on topics such as hemangiomas, atopic dermatitis, rare and unusual presentations of childhood diseases, neonatal medicine, and therapeutic advances. As important progress is made in any area involving infants and children, Pediatric Dermatology is there to publish the findings.