Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25753/BirthGrowthMJ.v32.i3.26539 |
Resumo: | Introduction: Aquagenic palmoplantar keratoderma (APK) is a rare dermatologic condition characterized by excessive palmar wrinkling that occurs within minutes of exposure to water. Cystic fibrosis (CF) or CF carrier-associated forms, drug-induced cases, and idiopathic forms have been described. The exact pathophysiology remains unknown. Clinical case: A 13-year-old female patient was observed for pruritus and palmar edema after brief contact with water with one month of evolution. Symptoms resolved spontaneously 20 minutes after drying the hands. Study of the cystic fibrosis transmembrane conductance regulator (CFTR) gene revealed an F508del mutation in one allele. Discussion/Conclusion: Similar to what was described in this patient, the F508del mutation has been the most commonly associated with APK in patients with CF. In the present case, APK was the sole manifestation of the patient's CF carrier status. This fact highlights the importance of considering and investigating this type of genetic alteration in these patients. Overall, CF should be considered in patients with APK, and patients with CF should be asked about symptoms of this condition. |
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Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutationAcroqueratodermia aquagénica associada a mutação do gene da fibrose quísticaCase ReportsIntroduction: Aquagenic palmoplantar keratoderma (APK) is a rare dermatologic condition characterized by excessive palmar wrinkling that occurs within minutes of exposure to water. Cystic fibrosis (CF) or CF carrier-associated forms, drug-induced cases, and idiopathic forms have been described. The exact pathophysiology remains unknown. Clinical case: A 13-year-old female patient was observed for pruritus and palmar edema after brief contact with water with one month of evolution. Symptoms resolved spontaneously 20 minutes after drying the hands. Study of the cystic fibrosis transmembrane conductance regulator (CFTR) gene revealed an F508del mutation in one allele. Discussion/Conclusion: Similar to what was described in this patient, the F508del mutation has been the most commonly associated with APK in patients with CF. In the present case, APK was the sole manifestation of the patient's CF carrier status. This fact highlights the importance of considering and investigating this type of genetic alteration in these patients. Overall, CF should be considered in patients with APK, and patients with CF should be asked about symptoms of this condition. Introdução: A acroqueratodermia aquagénica palmoplantar (APK) é uma condição dermatológica rara caracterizada por enrugamento palmar excessivo poucos minutos após exposição a água. Têm sido descritos casos associados a fibrose quística (FC) ou formas associadas ao estado de portador de FC, bem como casos induzidos por fármacos e formas idiopáticas. A fisiopatologia da APK permanece desconhecida. Caso clínico: É descrito o caso clínico de uma menina de 13 anos de idade com queixas de prurido e edema palmar após breve contacto com água com cerca de um mês de evolução. Os sintomas regrediam espontaneamente 20 minutos após a secagem das mãos. O estudo do gene regulador da condutância transmembranar da fibrose quística (CFTR) revelou a mutação F508del num dos alelos. Discussão/Conclusão: À semelhança do presente caso, a mutação F508del é a mais frequentemente associada à APK em doentes com FC. A APK representou a única manifestação do estado portador de FC neste doente. Destaca-se assim a importância de considerar e pesquisar este tipo de alteração genética em doentes com APK. Em conclusão, a FC deve ser considerada em doentes com APK, e os doentes com FC devem ser questionados sobre sintomas de APK.Centro Hospitalar Universitário de Santo António2023-11-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25753/BirthGrowthMJ.v32.i3.26539eng2183-9417Falcão, InêsRodrigues dos Santos, FilipaNeto Magalhães, NunoCunha, Leonorinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T17:28:51Zoai:ojs.revistas.rcaap.pt:article/26539Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:53:51.913885Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation Acroqueratodermia aquagénica associada a mutação do gene da fibrose quística |
title |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation |
spellingShingle |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation Falcão, Inês Case Reports |
title_short |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation |
title_full |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation |
title_fullStr |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation |
title_full_unstemmed |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation |
title_sort |
Aquagenic palmoplantar keratoderma associated with cystic fibrosis gene mutation |
author |
Falcão, Inês |
author_facet |
Falcão, Inês Rodrigues dos Santos, Filipa Neto Magalhães, Nuno Cunha, Leonor |
author_role |
author |
author2 |
Rodrigues dos Santos, Filipa Neto Magalhães, Nuno Cunha, Leonor |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Falcão, Inês Rodrigues dos Santos, Filipa Neto Magalhães, Nuno Cunha, Leonor |
dc.subject.por.fl_str_mv |
Case Reports |
topic |
Case Reports |
description |
Introduction: Aquagenic palmoplantar keratoderma (APK) is a rare dermatologic condition characterized by excessive palmar wrinkling that occurs within minutes of exposure to water. Cystic fibrosis (CF) or CF carrier-associated forms, drug-induced cases, and idiopathic forms have been described. The exact pathophysiology remains unknown. Clinical case: A 13-year-old female patient was observed for pruritus and palmar edema after brief contact with water with one month of evolution. Symptoms resolved spontaneously 20 minutes after drying the hands. Study of the cystic fibrosis transmembrane conductance regulator (CFTR) gene revealed an F508del mutation in one allele. Discussion/Conclusion: Similar to what was described in this patient, the F508del mutation has been the most commonly associated with APK in patients with CF. In the present case, APK was the sole manifestation of the patient's CF carrier status. This fact highlights the importance of considering and investigating this type of genetic alteration in these patients. Overall, CF should be considered in patients with APK, and patients with CF should be asked about symptoms of this condition. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-11-16 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25753/BirthGrowthMJ.v32.i3.26539 |
url |
https://doi.org/10.25753/BirthGrowthMJ.v32.i3.26539 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2183-9417 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário de Santo António |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário de Santo António |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799135136418103296 |