Genodermatoses

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Atlas of Dermatology, Dermatopathology and Venereology

Abstract

Genodermatoses comprise a clinically-heterogeneous group of mostly devastating disorders affecting the skin. The inherited monogenic skin disorders include blistering disorders, inflammatory disorders, and disorders of differentiation or development. The discovery of pathogenic mutations in inherited skin diseases represents one of the major landmarks of late twentieth century molecular genetics. Mutation data can provide accurate diagnosis, improve genetic counseling, help define disease mechanisms, establish disease models, and provide a basis for translational research and testing of novel therapeutics. To date, treatment options have in general been limited to symptomatic relief. However, the recent technical evolution in genome editing has ushered in a new era in the development of causal therapies for rare monogenetic diseases such as genodermatoses. In this chapter, the main genodermatoses of significance in dermatology have been addressed.

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References

  • Adil A, Singh AK (2020) Neurofibromatosis type 1. [Updated 2020 May 30]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459358/

  • Ammash NM, Sundt TM, Connolly HM (2008) Marfan syndrome-diagnosis and management. Curr Probl Cardiol 33(1):7–39

    Article  PubMed  Google Scholar 

  • Auerbach A (2011) Fanconi anemia. In: Orphanet. Resource document. https://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=84. Accessed 31 Oct 2020

  • Badame AJ (1989) Progeria. Arch Dermatol 125(4):540–544

    Article  CAS  PubMed  Google Scholar 

  • Bansal M, Manchanda K, Pandey SS (2012) Hypohidrotic ectodermal dysplasia. Int J Trichol 4(3):167–168

    Article  Google Scholar 

  • Beylot C, Martin L (2000) Maladies héréditaires du tissu élastique. Encycl Med Chir Dermatol 98-770-A-10, 23p

    Google Scholar 

  • Bird RJ, Hurren BJ (2016) Anatomical and clinical aspects of Klinefelter’s syndrome. Clin Anat 29(5):606–619

    Article  PubMed  Google Scholar 

  • Bodemer C, Hadj-Rabia S (2017) Incontinentia pigmenti. Dysplasies ectodermiques. In: Saurat JH, Lachapelle JM, Lipsker D, Thomas L, Borradori L (eds) Dermatologie et infections sexuellement transmissibles. Elsevier Masson, pp 372–375

    Google Scholar 

  • Bostwick B, Van den Veyver IB, Sutton VR (2016) Focal dermal hypoplasia. 2008 May 15 [Updated 2016 July 21]. In: Adam MP, Ardinger HH, Pagon RA, Wallace SW, Bean LJH, Stephens K, Amemiya A (eds) GeneReviews® [Internet]. University of Washington, Seattle, pp 1993–2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1543/

  • Brinster NK, Liu V, Diwan AH, McKee PH (2011) Dermatopathology: a volume in the high yield pathology series, 1st edn. Saunders, pp 13–14

    Google Scholar 

  • Brown SJ, Talks SJ, Needham SJ, Taylor AE (2007) Pseudoxanthoma elasticum: biopsy of clinically normal skin in the investigation of patients with angioid streaks. Br J Dermatol 157(4):748–751

    Article  CAS  PubMed  Google Scholar 

  • Chamli A, Litaiem N (2020) Hypomelanosis of Ito. [Updated 2020 June 27]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538268/

  • Chang S, Skakkebæk A, Gravholt CH (2015) Klinefelter syndrome and medical treatment: hypogonadism and beyond. Hormones (Athens) 14(4):531–548

    Google Scholar 

  • Colombi M, Dordoni C, Chiarelli N, Ritelli M (2015) Differential diagnosis and diagnostic flow chart of joint hypermobility syndrome/ehlers-danlos syndrome hypermobility type compared to other heritable connective tissue disorders. Am J Med Genet C Semin Med Genet 169C(1):6–22

    Article  PubMed  Google Scholar 

  • Crawford D, Dearmun A (2016) Down’s syndrome. Nurs Child Young People 28(9):17

    Article  PubMed  Google Scholar 

  • Doyle A, Doyle JJ, Harry DHC (2016) Marfan syndrome. In: Kliegman R, Stanton B, Behrman RE, St Geme JW III, Felice Schor N, Nelson WE (eds) Nelson textbook of pediatrics, 20th edn. Elsevier, Philadelphia, pp 3384–3389

    Google Scholar 

  • Emanuel P (2013) Angiofibroma pathology. In: DermNet. Resource document. https://dermnetnz.org/topics/angiofibroma-pathology. Accessed 31 Oct 2020

  • Eugene DW, Joshi KD (2006) Xeroderma pigmentosa – a disfiguring disease. Kathmandu Univ Med J 4(1):78–81

    CAS  Google Scholar 

  • Farooq A, Walker LJ, Bowling J, Audisio RA (2010) Cowden syndrome. Cancer Treat Rev 36(8):577–583

    Article  CAS  PubMed  Google Scholar 

  • Ferner RE, Huson SM, Thomas N, Moss C, Willshaw H, Evans DG, Upadhyaya M, Towers R, Gleeson M, Steiger C, Kirby A (2007) Guidelines for the diagnosis and management of individuals with neurofibromatosis 1. J Med Genet 44(2):81–88

    Article  CAS  PubMed  Google Scholar 

  • Gara S, Riley CA, Litaiem N (2020) Cutis Laxa. [Updated 2020 Sep 20]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532944/

  • German J (1995) Bloom’s syndrome. Dermatol Clin 13(1):7–18

    Article  CAS  PubMed  Google Scholar 

  • Gilger M (2017) Pediatric Gardner syndrome. In: Pediatrics: general medicine. Resource document. https://emedicine.medscape.com/article/1664300-differential. Accessed 31 Oct 2020

  • Goltz RW, Hult AM, Goldfarb M, Gorlin RJ (1965) Cutis laxa. A manifestation of generalized elastolysis. Arch Dermatol 92(4):373–387

    Article  CAS  PubMed  Google Scholar 

  • Grange DK (2013) Ectodermal dysplasias. In: Rimoin D, Pyeritz R, Korf B (eds) Emery and Rimoin’s principles and practice of medical genetics. Academic, pp 1–26

    Google Scholar 

  • Greven MA, Moshfeghi DM (2016) Incontinentia pigmenti with secondary Raynaud’s phenomenon: a case report and review of the literature. Am J Ophthalmol Case Rep 6:27–29

    Article  PubMed  PubMed Central  Google Scholar 

  • Hacker SM, Ramos-Caro FA, Beers BB, Flowers FP (1993) Juvenile pseudoxanthoma elasticum: recognition and management. Pediatr Dermatol 10(1):19–25

    Article  CAS  PubMed  Google Scholar 

  • Hadj-Rabia S, Bodemer C (2017) Dysplasies ectodermiques. In: Saurat JH, Lachapelle JM, Lipsker D, Thomas L, Borradori L (eds) Dermatologie et infections sexuellement transmissibles. Elsevier Masson, pp 369–371

    Google Scholar 

  • Hafsi W, Badri T, Rice AS (2020) Bloom syndrome. [Updated 2020 July 4]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448138/

  • Hanssen AM, Fryns JP (1995) Cowden syndrome. J Med Genet 32(2):117–119

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hosen MJ, Lamoen A, De Paepe A, Vanakker OM (2012) Histopathology of pseudoxanthoma elasticum and related disorders: histological hallmarks and diagnostic clues. Scientifica (Cairo) 2012:598262

    Google Scholar 

  • Imaeda S (2018) Cockayne syndrome. In: Dermatology. Resource document. https://emedicine.medscape.com/article/1115866-differential. Accessed 31 Oct 2020

  • Itin PH, Burger B (2010) Genodermatosen in der täglichen Praxis – die Rolle des Dermatologen [Genodermatoses for practitioners – principles and concepts]. Ther Umsch 67(9):483–485

    Article  PubMed  Google Scholar 

  • Jondeau G, Detaint D, Arnoult F, Delorme G, Gautier M, Boileau C (2010) Syndrome de Marfan. Encycl Med Chir 5:1–10

    Google Scholar 

  • Joshi A, Nepal G, Shing YK, Panthi HP, Baral S (2019) Pachydermoperiostosis (Touraine-Solente-Gole syndrome): a case report. J Med Case Rep 13(1):39

    Article  PubMed  PubMed Central  Google Scholar 

  • Juhn E, Khachemoune A (2010) Gardner syndrome: skin manifestations, differential diagnosis and management. Am J Clin Dermatol 11(2):117–122

    Article  PubMed  Google Scholar 

  • Karikkineth AC, Scheibye-Knudsen M, Fivenson E, Croteau DL, Bohr VA (2017) Cockayne syndrome: clinical features, model systems and pathways. Ageing Res Rev 33:3–17

    Article  CAS  PubMed  Google Scholar 

  • Keane MG, Pyeritz RE (2008) Medical management of Marfan syndrome. Circulation 117(21):2802–2813

    Article  PubMed  Google Scholar 

  • Kelmenson DA, Hanley M (2017) Dyskeratosis congenita. N Engl J Med 376(15):1460

    Article  PubMed  Google Scholar 

  • Kesler SR (2007) Turner syndrome. Child Adolesc Psychiatr Clin N Am 16(3):709–722

    Article  PubMed  PubMed Central  Google Scholar 

  • Korf BR (2013) Neurofibromatosis. Handb Clin Neurol 111:333–340

    Article  PubMed  Google Scholar 

  • Kubota M, Ohta S, Ando A, Koyama A, Terashima H, Kashii H, Hoshino H, Sugita K, Hayashi M (2015) Nationwide survey of Cockayne syndrome in Japan: incidence, clinical course and prognosis. Pediatr Int 57(3):339–347

    Article  PubMed  Google Scholar 

  • Larizza L, Roversi G, Volpi L (2010) Rothmund-Thomson syndrome. Orphanet J Rare Dis 5:2. https://doi.org/10.1186/1750-1172-5-2. PMID: 20113479; PMCID: PMC2826297

  • Liu Y, West SC (2008) More complexity to the Bloom’s syndrome complex. Genes Dev 22(20):2737–2742

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lo Muzio L (2008) Nevoid basal cell carcinoma syndrome (Gorlin syndrome). Orphanet J Rare Dis 3:32

    Article  PubMed  PubMed Central  Google Scholar 

  • Lovelace PD, May LA (2020) Nail Patella syndrome. [Updated 2020 June 4]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559190/

  • Lu L, ** W, Wang LL (2017) Aging in Rothmund-Thomson syndrome and related RECQL4 genetic disorders. Ageing Res Rev 33:30–35

    Article  CAS  PubMed  Google Scholar 

  • Malfait F, De Paepe A (2014) The Ehlers-Danlos syndrome. Adv Exp Med Biol 802:129–143

    Article  CAS  PubMed  Google Scholar 

  • Michel C (2012) Maladies héréditaires du collagène et du tissu élastique. Traité de médecine AKOS 7(4):1–7

    Article  Google Scholar 

  • Neldner KH (1988) Pseudoxanthoma elasticum. Int J Dermatol 27(2):98–100

    Article  CAS  PubMed  Google Scholar 

  • Neptune ER, Frischmeyer PA, Arking DE, Myers L, Bunton TE, Gayraud B, Ramirez F, Sakai LY, Dietz HC (2003) Dysregulation of TGF-beta activation contributes to pathogenesis in Marfan syndrome. Nat Genet 33(3):407–411

    Article  CAS  PubMed  Google Scholar 

  • Norgauer J, Idzko M, Panther E, Hellstern O, Herouy Y (2003) Xeroderma pigmentosum. Eur J Dermatol 13(1):4–9

    PubMed  Google Scholar 

  • Ong KT, Perdu J, De Backer J, Bozec E, Collignon P, Emmerich J, Fauret AL, Fiessinger JN, Germain DP, Georgesco G, Hulot JS, De Paepe A, Plauchu H, Jeunemaitre X, Laurent S, Boutouyrie P (2010) Effect of celiprolol on prevention of cardiovascular events in vascular Ehlers-Danlos syndrome: a prospective randomised, open, blinded-endpoints trial. Lancet 376(9751):1476–1484

    Article  CAS  PubMed  Google Scholar 

  • Parapia LA, Jackson C (2008) Ehlers-Danlos syndrome – a historical review. Br J Haematol 141(1):32–35

    Article  PubMed  Google Scholar 

  • Patterson JW (2016) Disorders of elastic tissue. In: Weedon’s skin pathology, 4th edn. Elsevier, pp 381–403

    Google Scholar 

  • Poziomczyk CS, Recuero JK, Bringhenti L, Maria FD, Campos CW, Travi GM, Freitas AM, Maahs MA, Zen PR, Fiegenbaum M, Almeida ST, Bonamigo RR, Bau AE (2014) Incontinentia pigmenti. An Bras Dermatol 89(1):26–36

    Article  PubMed  PubMed Central  Google Scholar 

  • Presson AP, Partyka G, Jensen KM, Devine OJ, Rasmussen SA, McCabe LL, McCabe ER (2013) Current estimate of Down Syndrome population prevalence in the United States. J Pediatr 163(4):1163–1168

    Article  PubMed  PubMed Central  Google Scholar 

  • Randle SC (2017) Tuberous sclerosis complex: a review. Pediatr Ann 46(4):e166–e171

    Article  PubMed  Google Scholar 

  • Riboldi GM, Samanta D, Frucht S (2020) Ataxia telangiectasia. [Updated 2020 July 5]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519542/

  • Rice AS, Cook C (2020) Dowling Degos disease. [Updated 2020 Aug 15]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK531470/

  • Ringpfeil F, Uitto J (2012) Heritable disorders of connective tissue. Dermatology 97:1607–1620

    Google Scholar 

  • Roberts AE, Allanson JE, Tartaglia M, Gelb BD (2013) Noonan syndrome. Lancet 381(9863):333–342

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rodriguez FJ, Folpe AL, Giannini C, Perry A (2012) Pathology of peripheral nerve sheath tumors: diagnostic overview and update on selected diagnostic problems. Acta Neuropathol 123(3):295–319

    Article  PubMed  PubMed Central  Google Scholar 

  • Roizen NJ, Patterson D (2003) Down’s syndrome. Lancet 361(9365):1281–1289

    Article  PubMed  Google Scholar 

  • Russo-Menna I, Arancibias C (2010) The Hutchinson-Gilford progeria syndrome: a case report. Minerva Anestesiol 76(2):151–154

    CAS  PubMed  Google Scholar 

  • Sanz MM, German J, Cunniff C (2019) Bloom syndrome. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, LJH B, Stephens K, Amemiya A (eds) GeneReviews® [Internet]. University of Washington, Seattle

    Google Scholar 

  • Savage S (2019) Dyskeratosis congenital. In: Orphanet. Resource document. https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=en&Expert=1775. Accessed 31 Oct 2020

  • Savage SA, Alter BP (2009) Dyskeratosis congenita. Hematol Oncol Clin North Am 23(2):215–231

    Article  PubMed  PubMed Central  Google Scholar 

  • Schepis C, Barone C, Siragusa M, Pettinato R, Romano C (2002) An updated survey on skin conditions in Down syndrome. Dermatology 205(3):234–238

    Article  PubMed  Google Scholar 

  • Shankar Kikkeri N, Nagalli S (2020) Turner syndrome. [Updated 2020 Aug 10]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554621/

  • Sickles CK, Gross GP (2020) Progeria. [Updated 2020 Aug 16]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507797/

  • Stoopler ET, Shanti RM (2019) Dyskeratosis congenita. Mayo Clin Proc 94(9):1668–1669

    Article  PubMed  Google Scholar 

  • Subramanian S, Viswanathan VK (2020) Osteogenesis imperfecta. [Updated 2020 June 25]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536957/

  • Taghavi A, Mirfazaelian H, Shirian S, Aledavood A, Akhgar A (2018) Cowden syndrome. Br J Hosp Med (Lond) 79(6):352–353

    Article  Google Scholar 

  • Tallon B (2010) Histology of trichilemmoma. In: DermNet. Resource document. https://dermnetnz.org/topics/trichilemmoma-pathology. Accessed 31 Oct 2020

  • Tanese K, Niizeki H, Seki A, Otsuka A, Kabashima K, Kosaki K, Kuwahara M, Miyakawa S, Miyasaka M, Matsuoka K, Okuyama T, Shiohama A, Sasaki T, Kudoh J, Amagai M, Ishiko A (2015) Pathological characterization of pachydermia in pachydermoperiostosis. J Dermatol 42(7):710–714

    Article  PubMed  PubMed Central  Google Scholar 

  • Tantcheva-Poór I, Oji V, Has C (2016) A multistep approach to the diagnosis of rare genodermatoses. J Dtsch Dermatol Ges 14(10):969–986

    PubMed  Google Scholar 

  • Thomas ER, Shanley S, Walker L, Eeles R (2008) Surveillance and treatment of malignancy in Bloom syndrome. Clin Oncol 20(5):375–379

    Article  CAS  Google Scholar 

  • Tikoo S, Sengupta S (2010) Time to bloom. Genome Integr 1(1):14

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vennos EM, Collins M, James WD (1992) Rothmund-Thomson syndrome: review of the world literature. J Am Acad Dermatol 27(5 Pt 1):750–762

    Article  CAS  PubMed  Google Scholar 

  • Wang LL, Levy ML, Lewis RA, Chintagumpala MM, Lev D, Rogers M, Plon SE (2001) Clinical manifestations in a cohort of 41 Rothmund-Thomson syndrome patients. Am J Med Genet 102(1):11–17

    Article  CAS  PubMed  Google Scholar 

  • Wang LL, Gannavarapu A, Kozinetz CA, Levy ML, Lewis RA, Chintagumpala MM, Ruiz-Maldanado R, Contreras-Ruiz J, Cunniff C, Erickson RP, Lev D, Rogers M, Zackai EH, Plon SE (2003) Association between osteosarcoma and deleterious mutations in the RECQL4 gene in Rothmund-Thomson syndrome. J Natl Cancer Inst 95(9):669–674

    Article  CAS  PubMed  Google Scholar 

  • Weir CB, St. Hilaire NJ (2020) Epidermal inclusion cyst. [Updated 2020 Aug 11]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532310/

  • Yaghoobi R, Bagherani N (2009) Segmental neurofibromatosis: report of two cases. Iranian J Dermatol 12:22–25

    Google Scholar 

  • Yenisey M, Guler A, Unal U (2004) Orthodontic and prosthodontic treatment of ectodermal dysplasia – a case report. Br Dent J 196(11):677–679

    Article  CAS  PubMed  Google Scholar 

  • Zghal M, Fazaa B, Abdelhak S, Mokni M (2014) Xeroderma pigmentosum. Encycl Med Chir 9(3):1–13

    Google Scholar 

  • Zheng JF, Mo HY, Wang ZZ (2014) Clinicopathological characteristics of xeroderma pigmentosum associated with keratoacanthoma: a case report and literature review. Int J Clin Exp Med 7(10):3410–3414

    PubMed  PubMed Central  Google Scholar 

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Hafsi, W. et al. (2021). Genodermatoses. In: Smoller, B., Bagherani, N. (eds) Atlas of Dermatology, Dermatopathology and Venereology . Springer, Cham. https://doi.org/10.1007/978-3-319-45134-3_20-1

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