Presentation
We report on two unrelated patients who presented with typical clinical and histologic features of HMD along with other unreported clinical findings. [ncbi.nlm.nih.gov]
The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Cataracts are present in the majority of individuals, often present as early as the second decade of life. Eyelashes and eyebrows may be sparse. Nystagmus has been reported in some patients. [disorders.eyes.arizona.edu]
We present a sporadic case of HMD with a good long-term visual outcome. Case Report A 2-year-old girl was brought to the eye department with red eyes and photophobia. [healio.com]
Entire Body System
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Juvenile Cataract
HMD should be considered in the differential diagnosis of childhood alopecia, follicular hyperkeratosis, keratoconjunctivitis, juvenile cataracts, gingival hyperemia, restrictive lung disease, and esophageal stenosis or webs. [ncbi.nlm.nih.gov]
HMD should be considered in the differential diagnosis of childhood keratoconjunctivitis, and/or juvenile cataracts associated to multi–epithelial lesions. [iovs.arvojournals.org]
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Loss of Hair
Keratitis and loss of hair had followed a cyclical pattern with worsening in the winter. Family history was unremarkable. Figure 1. [healio.com]
Forty cases of IFAP syndrome have been reported worldwide with different clinical manifestations. [2] An interesting feature of this syndrome is that patients bear a striking resemblance to each other probably due to the loss of hair and photophobia. [ijo.in]
Gastrointestinal
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Perianal Rash
Her general health throughout childhood was affected by repeated respiratory tract infections, constipation, perianal rashes, recurrent hair loss, and angular stomatitis. [healio.com]
Eyes
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Strabismus
Martin, Long-Term Ocular Follow-Up in a Case with Hereditary Mucoepithelial Dysplasia, Journal of Pediatric Ophthalmology & Strabismus, (2010) ., Dermatologic Diseases, Oral and Maxillofacial Pathology, 10.1016/B978-1-4160-3435-3.50018-X, (741-815), [doi.org]
Diseases related with Strabismus and Gastrointestinal hemorrhage In the following list you will find some of the most common rare diseases related to Strabismus and Gastrointestinal hemorrhage that can help you solving undiagnosed cases. [mendelian.co]
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Visual Impairment
Hereditary mucoepithelial dysplasia (HMD) is a rare genodermatosis characterized by nonscarring alopecia, fiery red gums, perineal erythema, and visual impairment. [ncbi.nlm.nih.gov]
impairment Common - Between 50% and 80% cases Seizures Common - Between 50% and 80% cases Growth delay Common - Between 50% and 80% cases Accelerate your rare disease diagnosis with us Learn more Other less frequent symptoms Patients with Strabismus [mendelian.co]
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Red Eye
Case Report A 2-year-old girl was brought to the eye department with red eyes and photophobia. She was found to have bilateral corneal erosions, thin and brittle hair, alopecia, patchy eczema, and erythroderma. [healio.com]
Skin
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Alopecia
Ohkawara, Ichthyosis follicularis with alopecia and photophobia in a mother and daughter, British Journal of Dermatology, 142, 1, (157), (2000). [doi.org]
Hereditary mucoepithelial dysplasia is a dominantly inherited disease, mainly characterized by chronic mucosal lesions associated with keratitis, non-scarring alopecia, keratosis pilaris and perineal intertrigo. [ncbi.nlm.nih.gov]
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Keratosis
Hereditary mucoepithelial dysplasia is a dominantly inherited disease, mainly characterized by chronic mucosal lesions associated with keratitis, non-scarring alopecia, keratosis pilaris and perineal intertrigo. [ncbi.nlm.nih.gov]
Small, skin-colored bumps ( keratosis pilaris ) and early development of cloudy lens ( cataracts ) are also common. Other symptoms may include eye disease that gets worse over time, lung disease and a rough, red tongue. [rarediseases.info.nih.gov]
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Erythema
Hereditary mucoepithelial dysplasia (HMD) is a rare genodermatosis characterized by nonscarring alopecia, fiery red gums, perineal erythema, and visual impairment. [ncbi.nlm.nih.gov]
Nearly all patients clinically display the triad of non‐scarring alopecia, well‐demarcated mucosal erythema and erythematous intertriginous plaques. [doi.org]
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Hyperkeratosis
HMD should be considered in the differential diagnosis of childhood alopecia, follicular hyperkeratosis, keratoconjunctivitis, juvenile cataracts, gingival hyperemia, restrictive lung disease, and esophageal stenosis or webs. [ncbi.nlm.nih.gov]
In addition, there is a congenital hearing loss, palmoplantar hyperkeratosis with leather grain-like keratoderma is present but no follicular hyperkeratosis, and the mode of inheritance is autosomal dominant [ 23 ]. [ojrd.biomedcentral.com]
Examination by the dermatology team revealed follicular hyperkeratosis of the scalp and keratosis pilaris of the arms, legs, and face, but no frank ichthyosis (Figs. 1 and 2 ). [healio.com]
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Follicular Hyperkeratosis
HMD should be considered in the differential diagnosis of childhood alopecia, follicular hyperkeratosis, keratoconjunctivitis, juvenile cataracts, gingival hyperemia, restrictive lung disease, and esophageal stenosis or webs. [ncbi.nlm.nih.gov]
Examination by the dermatology team revealed follicular hyperkeratosis of the scalp and keratosis pilaris of the arms, legs, and face, but no frank ichthyosis (Figs. 1 and 2 ). [healio.com]
Otherwise, follicular hyperkeratosis can be treated using topical keratolytics, urea preparations, and emollients. Topical retinoids are not suitable because of their irritation. [link.springer.com]
Workup
Urine
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Pyuria
[…] oral, nasal, urethral, anal, vaginal, and conjunctival mucosa with the development of cataracts, follicular keratosis, nonscarring alopecia, and often fatal lung disease. 1 The disease is accompanied by hair loss, diarrhea, occasional melena, enuresis, pyuria [healio.com]
Serum
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Anisocytosis
Papanicolaou smears show lack of epithelial cell maturation, poikilocytosis, anisocytosis, large paranuclear cytoplasmic vacuoles, and cytoplasmic strand-shaped inclusions. [ncbi.nlm.nih.gov]
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Poikilocytosis
Papanicolaou smears show lack of epithelial cell maturation, poikilocytosis, anisocytosis, large paranuclear cytoplasmic vacuoles, and cytoplasmic strand-shaped inclusions. [ncbi.nlm.nih.gov]
Treatment
It generally carries a poor visual prognosis due to corneal scarring, amblyopia, and side effects of the treatment. [ncbi.nlm.nih.gov]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
We believe this disorder should be brought to the attention of colposcopists because misinterpreted abnormal cervical Pap tests can lead to unnecessary treatment in such affected individuals. [doi.org]
Treatment typically focuses on individual symptoms of the condition. Source: Genetic and Rare Diseases Information Center (GARD), supported by ORDR-NCATS and NHGRI. [diseaseinfosearch.org]
Prognosis
It generally carries a poor visual prognosis due to corneal scarring, amblyopia, and side effects of the treatment. [ncbi.nlm.nih.gov]
Significantly revised and updated content throughout this edition brings you the latest information on the etiology, clinical features, histopathology, treatment, and prognosis of each disease entity, as well as cutting-edge topics such as bisphosphonate [books.google.de]
Etiology
Significantly revised and updated content throughout this edition brings you the latest information on the etiology, clinical features, histopathology, treatment, and prognosis of each disease entity, as well as cutting-edge topics such as bisphosphonate [books.google.de]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Etiology and outcome of childhood chronic cough using a simple diagnostic approach Pediatric Asthma, Allergy and Immunology. 18: 55-61. DOI: 10.1089/pai.2005.18.55 0.72 2002 Mehdi NF, Weinberger M, Abu-Hasan MN. Radiological case of the month. [academictree.org]
Epidemiology
Insights from a population-based epidemiological study and implications in surgical management. Ann Surg 253:223–230 PubMed CrossRef Google Scholar Yousefzadeh DK (1983) Tubular colonic duplication: review of 1876–1981 literature. [link.springer.com]
Epidemiology The association of ichthyosis follicularis, atrichia, and photophobia was first reported as a syndrome by MacLeod in 1909 in three boys [ 1 ]. [ojrd.biomedcentral.com]
Pathophysiology
Perceptions and pathophysiology of dyspnea and exercise intolerance. Pediatric Clinics of North America. 56: 33-48, ix. PMID 19135580 DOI: 10.1016/j.pcl.2008.10.015 0.72 2008 Mehdi NF, Weinberger MM, Abu-Hasan MN. [academictree.org]
Pediatr Surg Int 25:795–798 PubMed CrossRef Google Scholar Carlyle BE, Borowitz DS, Glick PL (2012) A review of pathophysiology and management of fetuses and neonates with meconium ileus for the pediatric surgeon. [link.springer.com]
Prevention
The disorder is attributed to improper formation of desmosomes and gap junctions, which prevents proper cornification of the epithelial layer of the skin. [en.wikipedia.org]
We used soft lenses with high water content, replaced every 6 weeks on average to prevent problems with build up of proteins. Glaucoma has not been reported in HMD. [healio.com]
[…] topics.Over 200 new illustrations have been added to this popular, visual reference.A new section on bisphosphonate-associated osteonecrosis thoroughly explores and illustrates this recently identified complication resulting from medications used to prevent [ark.no]
Hereditary mucoepithelial dysplasia ia a rare multi-organ disorder associated with abnormal cervical smears, a condition colposcopists should be aware of the prevent over-treatment Department Of Gynaecology, Colchester General Hospital, Colchester, Essex [journals.lww.com]