Visual Diagnosis: Unusual Skin Findings in a Premature Infant.

Published on Jun 1, 2021in Pediatrics in Review
· DOI :10.1542/PIR.2018-0274
Sneha Butala , Lauren Pronman + 3 AuthorsQin Yao (Boston Children's Hospital)
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Abstract
References9
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#1Elena Bueno (University of Salamanca)H-Index: 6
#2Javier Cañueto (University of Salamanca)H-Index: 15
Last. Rogelio González-Sarmiento (University of Salamanca)H-Index: 35
view all 7 authors...
4 CitationsSource
#1Su M. Lwin ('KCL': King's College London)H-Index: 10
#2Chao Kai Hsu ('KCL': King's College London)H-Index: 20
Last. John A. McGrath ('KCL': King's College London)H-Index: 86
view all 5 authors...
4 CitationsSource
#1Matthias Schmuth (Innsbruck Medical University)H-Index: 53
#2Verena Martinz (Innsbruck Medical University)H-Index: 2
Last. Robert Gruber (Innsbruck Medical University)H-Index: 20
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Inherited ichthyoses, defined as the generalized form of Mendelian disorders of cornification, are characterized by visible scaling and/or hyperkeratosis of most or all of the skin. This etiologically and phenotypically heterogenous group of conditions is caused by mutations in various different genes important for keratinocyte differentiation and epidermal barrier function. Diagnosing a specific entity is a particular challenge for the nonspecialist presented with the common clinical scaling. F...
46 CitationsSource
The ichthyoses encompass a variety of genetic disorders marked by abnormal epidermal differentiation. The neonatal period is critical for patients with ichthyosis because of the risk for significant associated morbidity and mortality, with the majority of complications arising as a result of impaired barrier function. This article reviews presentations of ichthyosis in the neonate, outlines risks and complications, and provides strategies for management.
23 CitationsSource
#1Kristjan DerekssonH-Index: 1
#2Sveinn KjartanssonH-Index: 2
Last. Reynir Arngrímsson (University of Iceland)H-Index: 25
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Ichthyosis prematurity syndrome (IPS) is a rare inherited skin disorder. Children are born prematurely with thick skin and have been found to develop neonatal asphyxia due to occlusions in the bronchial tree from debris in the amniotic fluid. At 31 weeks of gestation, separation of amniotic and chorionic membranes was identified as well as polyhydramnion. The child was born 2 weeks later, with thickened skin with a granular appearance and required immediate ventilation and intensive care. At 2 y...
5 CitationsSource
#1Denis Khnykin (Oslo University Hospital)H-Index: 11
#2Jørgen Rønnevig (Oslo University Hospital)H-Index: 1
Last. Frode L. Jahnsen (Oslo University Hospital)H-Index: 48
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Background Ichthyosis prematurity syndrome (IPS) is classified as a syndromic congenital ichthyosis based on the presence of skin changes at birth, ultrastructural abnormalities in the epidermis, and extracutaneous manifestations. Recently, mutations in the fatty acid transporter protein 4 gene have been identified in patients with IPS. Objective We sought to perform a detailed clinical evaluation of patients with IPS identified in Norway. Methods Clinical examination and follow-up of all patien...
39 CitationsSource
#1Maria Sobol (KNU: Taras Shevchenko National University of Kyiv)H-Index: 9
#2Niklas Dahl (Science for Life Laboratory)H-Index: 30
Last. Joakim Klar (Science for Life Laboratory)H-Index: 32
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Background Ichthyosis Prematurity Syndrome (IPS) is an autosomal recessive disorder characterized by premature birth, non-scaly ichthyosis and atopic manifestations. The disease was recently shown to be caused by mutations in the gene encoding the fatty acid transport protein 4 (FATP4) and a specific reduction in the incorporation of very long chain fatty acids (VLCFA) into cellular lipids.
25 CitationsSource
#1Joakim Klar (Uppsala University)H-Index: 32
#2Martina Schweiger (University of Graz)H-Index: 28
Last. Judith FischerH-Index: 49
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Ichthyosis prematurity syndrome (IPS) is an autosomal-recessive disorder characterized by premature birth and neonatal asphyxia, followed by a lifelong nonscaly ichthyosis with atopic manifestations. Here we show that the gene encoding the fatty acid transport protein 4 (FATP4) is mutated in individuals with IPS. Fibroblasts derived from a patient with IPS show reduced activity of very long-chain fatty acids (VLCFA)-CoA synthetase and a specific reduction in the incorporation of VLCFA into cellu...
115 CitationsSource
#1Anette Bygum (OUH: Odense University Hospital)H-Index: 32
#2Per Westermark (Uppsala University)H-Index: 91
Last. Flemming Brandrup (OUH: Odense University Hospital)H-Index: 25
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Ichthyosis prematurity syndrome is a rare syndrome characterized by the clinical triad of premature birth, thick caseous desquamating epidermis, and neonatal asphyxia. We describe two siblings with ichthyosis prematurity syndrome. The index patient was born at gestational week 34. Immediately after birth he developed respiratory distress and needed intubation. Remarkable skin changes were noticed with universal red, edematous and desquamating, spongy skin giving an impression of excessive vernix...
29 CitationsSource
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