| Sporadic Blau syndrome with onset of widespread granulomatous dermatitis in the newborn period. | |
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MedLine Citation:
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PMID: 20199415 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Blau syndrome is a dominantly inherited, chronic autoinflammatory disorder characterized by the clinical triad of granulomatous dermatitis, symmetric arthritis, and recurrent uveitis with onset below 4 years of age. It is caused by activating mutations in the nucleotide-binding oligomerization domain 2 (NOD2) gene, previously referred to as CARD15 gene. Noncaseating granulomas in affected tissues are the pathologic hallmark of the condition. We report the lifelong severe disease course in a 14-year-old Caucasian boy with sporadic Blau syndrome. Unusually, granulomatous dermatitis started in the first week of life. Whereas skin involvement faded away spontaneously in subsequent years, polyarthritis and anterior uveitis appeared in the second and third year of life respectively. Mutational analysis of the NOD2 gene revealed a missense mutation (R334W) previously detected in other Blau syndrome pedigrees. With this report, we would like to stress the rare possibility of Blau syndrome in generalized papular rashes of infancy and the importance of histopathologic study for clarification. The finding of early-onset widespread granulomatous dermatitis should prompt eye and joint examination in regular intervals and entail mutational analysis of the NOD2 gene. |
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Authors:
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Johanna Stoevesandt; Henner Morbach; Tammy M Martin; Manfred Zierhut; Hermann Girschick; Henning Hamm |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatric dermatology Volume: 27 ISSN: 1525-1470 ISO Abbreviation: Pediatr Dermatol Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2010-03-04 Completed Date: 2010-06-02 Revised Date: 2011-01-11 |
Medline Journal Info:
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Nlm Unique ID: 8406799 Medline TA: Pediatr Dermatol Country: United States |
Other Details:
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Languages: eng Pagination: 69-73 Citation Subset: IM |
Affiliation:
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Department of Dermatology, University Clinics of Würzburg, Würzburg, Germany. Stoevesandt_J@klinik.uni-wuerzburg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Arthritis / genetics, pathology* Dermatitis / genetics, pathology* Granuloma / genetics, pathology* Humans Infant, Newborn Male Nod2 Signaling Adaptor Protein / genetics Skin Diseases / genetics, pathology* Syndrome Uveitis / genetics, pathology* |
| Chemical | |
Reg. No./Substance:
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0/NOD2 protein, human; 0/Nod2 Signaling Adaptor Protein |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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