Dyskeratosis benigna intraepithelialis mucosae et cutis hereditaria is chosen as a descriptive diagnostic term. Hereditary benign intraepithelial dyskeratosis wiley online library. Transient gelatinous plaques form over the cornea, which may. Included in the discussion are frictional keratoses, irritant contact stomatitis, and smokeless tobacco keratoses. Hereditary benign intraepithelial dyskeratosis eyewiki. Jan 01, 2007 hereditary benign intraepithelial dyskeratosis hbid is a rare disorder first described in 1960. Adone baroni, marco palla, francesco saverio aiello, eleonora ruocco, franco faccenda. Request pdf hereditary benign intraepithelial dyskeratosis. Hereditary benign intraepithelial dyskeratosis hbid is a rare disorder characterized by autosomal dominant inheritance, onset in childhood, bilateral limbal conjunctival plaques, chronic relapsing course of ocular irritation and photophobia, and oral lesions resistant to medical and surgical therapy.
Dyskeratosis, hereditary benign intraepithelial how is. White sponge nevus wsn, is an autosomal dominant condition of the oral mucosa the mucous membrane lining of the mouth. This results in lesions which are thick, white and velvety on the inside of the cheeks within the mouth. Herein, we present a new form of corneal intraepithelial dyskeratosis for which we identified the causative gene by using deep sequencing technology. Genetic and developmental disorders of the oral mucosa. Dkbi stands for dyskeratosis, hereditary benign intraepithelial. Hereditary benign intraepithelial dyskeratosis is a rare disorder affecting ocular and oral mucosa with an autosomic dominant pattern of hereditary transmission with high penetrance and variable expressivity. Hereditary benign intraepithelial dyskeratosis hbid mendelial inheritance of man mim identification 127600 is a rare autosomal dominant disorder characterized by elevated epithelial plaques located on the ocular and oral mucous membranes. Hereditary benign intraepithelial dyskeratosis jaad. Hereditary benign intraepithelial dyskerato sis hbid is a rare hereditary disorder affecting the oral and ocular mucosa.
Hereditary benign intraepithelial dyskeratosis hbid is a rare autosomal dominant disorder characterized by elevated epibulbar and oral. Dyskeratosis, hereditary benign intraepithelial listed as dkbi. Feb 10, 2015 definition dyskeratosis is an abnormal keratinization of epithelial cells 3. Mim127600 unan autosomal dominant condition consisting of white spongy lesions of the buccal mucosa, floor of the mouth, ventral lateral tongue, gingiva, and palate. It has been reported primarily, but not exclusively, in individuals of american indian heritage in north carolina. Full text full text is available as a scanned copy of the original print version. It is dyskeratosis, hereditary benign intraepithelial. Hereditary benign intraepithelial dyskeratosis is a rare autosomal dominant disease of the conjunctiva and the oral mucosa caused by a duplication of. Hereditary benign intraepithelial dyskeratosis hbid is a rare, autosomal dominant disease with incomplete penetrance.
Hereditary oral epithelial naevus pachyonychia congenita dyskeratosis congenita tylosis hereditary benign intraepithelial dyskeratosis follicular keratosis leukoedema traumatic mechanical frictional keratosis chemical thermal infective candidosis acute pseudomembranous chronic hyperplastic chronic mucocutaneous syphilitic leukoplakia. Frictional keratosis, contact keratosis and smokeless. Hereditary benign intraepithelial dyskeratosis archives of pathology. Hereditary benign intraepithelial dyskeratosis hbid is a rare inherited disease characterized by elevated plaques on the ocular and oral mucous membranes.
Of approximately 309 individuals who were examined, 74 were affected and 4 were. Hereditary benign intraepithelial dyskeratosis jama network. Hereditary benign intraepithelial dyskeratosis hbid is a rare. Hereditary benign intraepithelial dyskeratosis jama. The eye lesions occur bilaterally and involve the interpalpebral conjunctiva. Hereditary benign intraepithelial dyskeratosis ophthalmology. Hereditary benign intraepithelial dyskeratosis is a rare autosomal dominant disease of the conjunctiva and the oral mucosa caused by a duplication of chromosome 4q35. Hereditary benign intraepithelial dyskeratosis hereditary benign intraepithelial dyskeratosis hbid is an autosomal dominant disorder with a high degree of penetrance occuring in descendants of an inbred isolate of european, africanamerican, and native american haliwa indian origin in northeastern north carolina. The classical form, affecting native american haliwasaponi tribe members, is called hereditary benign intraepithelial dyskeratosis hbid. Pdf hereditary benign intraepithelial dyskeratosis. It is characterized by acanthotic and dyskeratotic epithelium involving the conjunctival and oral mucosa. Dyskeratosis, hereditary benign intraepithelial rooks. Hereditary benign intraepithelial dyskeratosis hbid also known as red eye a condition restricted to a racial isolate group in the carolinas hereditary disorder of keratinization in mucous membranes duplication of chromosomes 4q35 white lesions of the buccal mucosa and lips, bilateral.
However, the efficacy of this treatment modality cannot be assessed due to insufficient available evidence. Whole exome sequencing identifies a mutation for a novel. The disease described here is considered to be a previously unreported entity affecting mucous membranes of the eye and mouth. Background corneal intraepithelial dyskeratosis is an extremely rare condition. Mar 14, 2017 histopathologic featureshistopathologic features prominent hyperparakeratosis marked acanthosis with intracellular edema of the spinous layer parakeratin plugging running deep into the spinous layer similar findings leukedema and hereditary benign intraepithelial dyskeratosis. Transient gelatinous plaques form over the cornea, which may produce temporary blindness. Hereditary benign intraepithelial dyskeratosis is a benign lesion in the oral cavity. Jeghers syndrome, tuberous sclerosis and white sponge nevus. Dec 05, 2019 hereditary benign intraepithelial dyskeratosis hbid is a rare inherited disease characterized by elevated plaques on the ocular and oral mucous membranes. Hereditary benign intraepithelial dyskeratosis witkop disease hereditary benign intraepithelial dyskeratosis hbid is a rare autosomal dominant disorder presenting with bulbar conjunctival and oral plaques. Pdf inherited benign intraepithelial dyskeratosis ibid is a rare genodermatosis, affecting both the oral and conjunctival mucosa.
Dilated superficial vessels in association with the conjunctival plaques give the eye an overall red appearance, which accounts for the. We report a new case of a 10yearold girl with clinicohistological manifestations of ibid and melkersson rosenthal syndrome. Treatment and prognosis no treatment is essential and no malignant potential. A 37yearold woman presented with red irritated eyes fig 1. Whole exome sequencing identifies a mutation for a novel form.
Jan 22, 2019 included in the discussion are frictional keratoses, irritant contact stomatitis, and smokeless tobacco keratoses. Definition dyskeratosis is an abnormal keratinization of epithelial cells 3. Hereditary benign intraepithelial dyskeratosis hbid is an autosomal dominant disorder characterized by elevated epithelial plaques on the ocular and oral mucous membranes. Dyskeratosis, hereditary benign intraepithelial how is dyskeratosis, hereditary benign intraepithelial abbreviated. Full text is available as a scanned copy of the original print version. In case of symptomatic ocular involvement, an ophthalmologist must evaluate the eyes. Hereditary benign intraepithelial dyskeratosis hbid is a rare disorder first described in 1960. Hereditary benign intraepithelial dyskeratosis wikipedia. Hereditary benign intraepithelial dyskeratosis hbio is a rare disorder characterized by autosomal dominant inheritance, onset in childhood, bilateral. The bulbar conjunctiva is involved, especially in the nasal and temporal perilimbal region. Dkbi is defined as dyskeratosis, hereditary benign intraepithelial somewhat frequently.
Hereditary benign intraepithelial dyskeratosis is a rare disorder affecting ocular and oral mucosa with an autosomic dominant pattern of hereditary. Danlos syndrome, hereditary benign intraepithelial dyskeratosis, keratosis follicularis, lipoid proteinosis, multiple hamartoma syndrome, pachyonychia congenita, peutz. The patient, however, had always lived in philadelphia. Hereditary benign intraepithelial dyskeratosis hbid is a rare autosomal dominant disorder of the conjunctiva and oral mucosa first described. Histopathologic featureshistopathologic features prominent hyperparakeratosis marked acanthosis with intracellular edema of the spinous layer parakeratin plugging running deep into the spinous layer similar findings leukedema and hereditary benign intraepithelial dyskeratosis. Hereditary benign intraepithelial dyskeratosis hbid is a rare autosomal dominant disorder characterized by elevated epibulbar and oral plaques and hyperemic conjunctival blood vessels. Hereditary benign intraepithelial dyskeratosis hbid is a benign disease of the conjunctiva, cornea, and oral mucosa. Darierwhites disease,1,2 hereditary benign intraepithelial dyskeratosis,3 white sponge nevus of cannon,4 and pachyonychia congenita of.
In the mouth it appears similar to white sponge nevus, with painless, diffuse, folded and spongy white plaques. Hbid is a rare autosomal dominant disorder character ized by elevated epibulbar and oral plaques. Links to pubmed are also available for selected references. A mother and her daughter had hereditary benign intraepithelial dyskeratosis of the bulbar conjunctiva. Case report hhereditary benign intraepithelial dyskeratosis. Dkbi dyskeratosis, hereditary benign intraepithelial. In the eye it appears as gelatinous plaques on bulbar perilimbal conjunctiva. We have examined and obtained dna on two large families affected by hbid.
Conjunctival epithelial tumors encompass a wide spectrum of conjunctival and corneal squamous cell proliferation including benign squamous papilloma, keratoacanthoma, hereditary benign intraepithelial dyskeratosis, dacryoadenoma, intraepithelial neoplasia, and malignant squamous cell carcinomas scc. How is dyskeratosis, hereditary benign intraepithelial abbreviated. Oral lesions with dyskeratosis linkedin slideshare. This entity is also known as witkopvon sallman syndrome. The latter may resemble other dermatologic conditions that affect the oral mucosa, such as white sponge nevus. A duplication in chromosome 4q35 is associated with. The first report of a direct association between nlrp1 mutations and disease was published in 20 by soler et al. Their persistence upon stretching, and specific microscopic features help separate them from leukoedema. Nov 28, 2019 hereditary benign intraepithelial dyskeratosis. A 37yearold male bookkeeper presented with an almost 30year history of itching and keratotic papular lesions of the skin.
In conclusion, we therefore propose nlrp1 a59p to be a novel autosomal dominant genetic aetiology of corneal intraepithelial dyskeratosis with incomplete penetrance, an extremely rare disorder with the classical form known as hereditary benign intraepithelial dyskeratosis. Inherited benign intraepithelial dyskeratosis ibid is a rare genodermatosis, affecting both the oral and conjunctival mucosa. Hereditary benign intraepithelial dyskeratosis conditions. To date, all but one published case trace their ancestry back to an indian tribe in north carolina. Darierwhites disease,1,2 hereditary benign intraepithelial dyskeratosis,3 white sponge nevus of. It has been reported primarily, but not exclusively, in individuals.
Intraepithelial dyskeratosis definition of intraepithelial. Dyskeratosis benigna intraepithelialis mucosae et cutis. Get a printable copy pdf file of the complete article 347k, or click on a page image below to browse page by page. The latter may resemble other dermatologic conditions that affect the oral mucosa, such as white. Overview and classification of conjunctival and corneal. Frictional keratosis, contact keratosis and smokeless tobacco.
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