Document Detail


An infant with Netherton syndrome and persistent pulmonary hypertension requiring extracorporeal membrane oxygenation.
MedLine Citation:
PMID:  18577046     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Netherton syndrome is a rare genodermatosis characterized by ichthyosiform scaling, hair shaft abnormalities, and atopic features. Affected infants typically have delayed growth and development, immune abnormalities with recurrent infections, and intermittent aminoaciduria. We report a 23-day-old girl who presented with severe primary pulmonary hypertension, exfoliative erythroderma, and trichorrhexis invaginata. Genetic studies confirmed a premature termination mutation R350X in exon 12 of SPINK5. This mutation further supports the genotypic-phenotypic prediction that severe sequela result from premature termination mutations. To our knowledge, this is the first instance of Netherton syndrome associated with primary pulmonary hypertension to be reported. Further postulated is a possible link between excessive desquamation of fetal skin and respiratory failure in a neonate with Netherton syndrome.
Authors:
Cathy A Macknet; Ashraf Morkos; Leela Job; Maria C Garberoglio; Robin D Clark; Kenneth D Macknet; Ricardo L Peverini
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric dermatology     Volume:  25     ISSN:  1525-1470     ISO Abbreviation:  Pediatr Dermatol     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-06-25     Completed Date:  2008-08-28     Revised Date:  2009-03-03    
Medline Journal Info:
Nlm Unique ID:  8406799     Medline TA:  Pediatr Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  368-72     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, California, USA.
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MeSH Terms
Descriptor/Qualifier:
Codon, Nonsense
Consanguinity
DNA Mutational Analysis
Extracorporeal Membrane Oxygenation
Female
Hair / pathology*
Hair Diseases / congenital*,  genetics,  pathology
Humans
Hypertension, Pulmonary / complications,  congenital*,  therapy
Ichthyosiform Erythroderma, Congenital* / genetics
Infant, Newborn
Proteinase Inhibitory Proteins, Secretory / genetics
Skin / pathology
Syndrome
Chemical
Reg. No./Substance:
0/Codon, Nonsense; 0/Proteinase Inhibitory Proteins, Secretory; 0/SPINK5 protein, human

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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