中华皮肤科杂志 ›› 2011, Vol. 44 ›› Issue (7): 514-516.

• 研究报道 • 上一篇    下一篇

幼年性透明蛋白纤维瘤病一例

董翠香1,祝仁霞1,王华章2   

  1. 1. 山东省淄博市临淄区人民医院儿科
    2. 山东 黄岛出入境检验检疫局
  • 收稿日期:2010-08-16 修回日期:2011-02-18 出版日期:2011-07-15 发布日期:2011-07-12
  • 通讯作者: 董翠香 E-mail:dcxlinzi@126.com

Juvenile hyaline fibromatosis: a case report

  • Received:2010-08-16 Revised:2011-02-18 Online:2011-07-15 Published:2011-07-12

摘要:

报道1例幼年性透明蛋白纤维瘤病的临床表现及实验室特点。患儿1岁起病,以皮肤多发纤维瘤及牙龈增生为特征,智力发育正常。皮损组织病理检查显示表皮正常,结节由纺缍状成纤维细胞样细胞和细胞外均一性玻璃样物质混合构成,正常组织结构破坏。玻璃样物为非纤维性,嗜酸性,成纤维细胞胞质透明,可见模糊的束状排列,无细胞异形性和坏死。PCR扩增毛细血管形态发生因子-2基因17个外显子并测序显示:14号外显子发生纯合的剪接突变IVS14 + 1G→T,其父母均为该突变的携带者,符合常染色体隐性遗传方式。

关键词: 常染色体病

Abstract:

The clinical manifestation and laboratory features of juvenile hyaline fibromatosis (JHF) are reported in a 5-year-old girl. Clinical symptoms began at 1 year of age, which was characterized by multiple cutaneous nodules and gingival hyperplasia with normal intelligence. Histopathologic examination of a skin biopsy specimen showed that the epidermis was normal, the nodules were composed of spindle-shaped fibro-blasts embedded in homogeneous, non-fibrous, eosinophilic substance, and normal tissue was disrupted. Moreover, the fibroblasts showed transparent cytoplasm arranged in an obscure bundle-like pattern. No cell atypia or necrosis was observed. PCR amplification and sequencing of the capillary morphogenesis gene-2 (CMG2) revealed a homozygous splicing mutation(IVS14 + 1G→T) in the patient, while both of her parents were heterozygous for the mutation. JHF is inherited in this family in an autosomal recessive manner.

Key words: Autosomal recessive