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Exuberant Juvenile Hyaline Fibromatosis in Two Patients

Identifieur interne : 007C68 ( Main/Exploration ); précédent : 007C67; suivant : 007C69

Exuberant Juvenile Hyaline Fibromatosis in Two Patients

Auteurs : Mariela Leão Muniz [Brésil] ; Alice Zoghbi Coelho Lobo [Brésil] ; Maria Cecília Da Matta Rivitti Machado [Brésil] ; Neusa Yuriko Sakai Valente [Brésil] ; Chong Ae Kim [Brésil] ; Sílvia Vanessa Lourenço [Brésil] ; Marcello Menta Simonsen Nico [Brésil]

Source :

RBID : ISTEX:C9AF320ADFF1BFAA2308D6F1C58245592A4765C1

Abstract

Abstract:  Juvenile hyaline fibromatosis and infantile systemic hyalinosis are rare autosomal recessive disorders of infancy and early childhood that are histologically characterized by deposition of hyaline material. The main clinical features are papulo‐nodular skin lesions, gingival hypertrophy, joint contractures, and bone abnormalities. However, infantile systemic hyalinosis has a more severe clinical presentation, including visceral involvement and premature death. Very recently, genetic studies identified mutations in the same gene in patients with both conditions, strongly suggesting that they belong to the same disease spectrum. We report two new nonrelated patients who met the criteria for the diagnosis of juvenile hyaline fibromatosis/infantile systemic hyalinosis. Clinical, histopathologic, immunohistochemical, and ultrastructural findings are presented, as well as an extensive review of the literature. Recent information regarding pathogenesis and treatment is discussed.

Url:
DOI: 10.1111/j.1525-1470.2006.00283.x


Affiliations:


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<div type="abstract">Abstract:  Juvenile hyaline fibromatosis and infantile systemic hyalinosis are rare autosomal recessive disorders of infancy and early childhood that are histologically characterized by deposition of hyaline material. The main clinical features are papulo‐nodular skin lesions, gingival hypertrophy, joint contractures, and bone abnormalities. However, infantile systemic hyalinosis has a more severe clinical presentation, including visceral involvement and premature death. Very recently, genetic studies identified mutations in the same gene in patients with both conditions, strongly suggesting that they belong to the same disease spectrum. We report two new nonrelated patients who met the criteria for the diagnosis of juvenile hyaline fibromatosis/infantile systemic hyalinosis. Clinical, histopathologic, immunohistochemical, and ultrastructural findings are presented, as well as an extensive review of the literature. Recent information regarding pathogenesis and treatment is discussed.</div>
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