Poikiloderma with Neutropenia, Clericuzio-Type Accompanied by Loss of Digits Due to Severe Osteomyelitis

AKDOĞAN N., KINDIŞ E., BOSTAN E., Utine E., ALİKAŞİFOĞLU M., ERSOY EVANS S.

JOURNAL OF CLINICAL IMMUNOLOGY, vol.40, no.6, pp.934-939, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Letter
  • Volume: 40 Issue: 6
  • Publication Date: 2020
  • Doi Number: 10.1007/s10875-020-00815-5
  • Journal Name: JOURNAL OF CLINICAL IMMUNOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.934-939
  • Hacettepe University Affiliated: Yes

Abstract

Poikiloderma with neutropenia (PN), Clericuzio-type is a rare autosomal recessively transmitted genodermatosis caused by biallelic mutations in theUSB1gene and is characterized by early-onset poikiloderma and chronic neutropenia. Nail dystrophy, palmoplantar hyperkeratosis, hypogonadotropic hypogonadism, and recurrent infections can be associated with the disease. Herein, we present a 27-year-old Turkish male patient newly diagnosed as PN, Clericuzio-type after confirmation of a c.531delA (p.His179MetfsX86) homozygous deleterious mutation in exon 5 of theUSB1gene. The presented case highlights the importance of genetic testing for avoiding misdiagnosis based solely on clinical findings, as well as the benefit of a multi-disciplinary diagnostic approach, as he was initially misdiagnosed as Rothmund-Thompson syndrome and subsequently diagnosed as PN, Clericuzio-type at age 27 years.