Paper Report for: Eskiocak_2019_Lipids.Health.Dis_18_232
Reference
Title: A novel mutation of ABHD5 gene in a Chanarin Dorfman patient with unusual dermatological findings Eskiocak AH, Missaglia S, Moro L, Durdu M, Tavian D Ref: Lipids Health Dis, 18:232, 2019 : PubMed
BACKGROUND: Chanarin Dorfman Syndrome (CDS) is a rare autosomal recessive disorder characterized by the multisytemic accumulation of neutral lipids inside the cytoplasmic lipid droplets. This condition is caused by mutations in the abhydrolase domain containing 5 gene (ABHD5). In CDS the skin involvement is the prevalent and always observed clinical feature, consisting of a non-bullous congenital ichthyosiform erythroderma (NCIE). Moreover, a variable involvement of the liver and neuromuscular system can be also observed. In this report, we aimed to perform the clinical and genetic characterization of a patient affected by CDS with atypical dermatological findings, considering this rare inborn error of neutral lipid metabolism. METHODS: Genomic DNA samples obtained from patient and his parents were used to perform the sequencing of the ABHD5 exons and their intron/exon boundaries. Bioinformatic analyses were performed to investigate the possible effect of the identified mutation on protein structure. RESULTS: Here we present the case of a 29-year-old male patient with CDS, who, for long time, has been misdiagnosed as pityriasis rubra pilaris (PRP). He has a history of increasing hyperlipidemia; hepatomegaly associated with hepatosteatosis was also detected. ABHD5 molecular analysis revealed a novel missense mutation, the c.811G > A (p.G271R). Bioinformatic investigations showed that the variant has a deleterious effect on ABHD5 function, probably causing an incorrect folding of the mutant protein. CONCLUSIONS: These results highlihts the importance of genetic testing for ABHD5 in unresolved cases of patients presenting unusual skin lesions, that resemble PRP, associated with a history of hyperlipidemia and nonalcoholic fatty liver.
Eskiocak AH, Missaglia S, Moro L, Durdu M, Tavian D (2019) A novel mutation of ABHD5 gene in a Chanarin Dorfman patient with unusual dermatological findings Lipids Health Dis18: 232
Eskiocak AH, Missaglia S, Moro L, Durdu M, Tavian D (2019) Lipids Health Dis18: 232