Clinical and molecular epidemiology of erythropoietic protoporphyria in Italy (notice n° 602988)

détails MARC
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fixed length control field 03484cam a2200493 4500500
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control field 20250121154701.0
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Language code of text/sound track or separate title fre
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Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Ventura, Paolo
Relator term author
245 00 - TITLE STATEMENT
Title Clinical and molecular epidemiology of erythropoietic protoporphyria in Italy
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020.<br/>
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General note 58
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Summary, etc. Background: Erythropoietic protoporphyria (EPP) is a rare inherited disease associated with heme metabolism, characterized by severe life-long photosensitivity and liver involvement. Objective: To provide epidemiological data of EPP in Italy. Materials & Methods: Prospective/retrospective data of EPP patients were collected by an Italian network of porphyria specialist centres (Gruppo Italiano Porfiria, GrIP) over a 20-year period (1996-2017). Results: In total, 179 patients (79 females) with a clinical and biochemical diagnosis of EPP were assessed, revealing a prevalence of 3.15 cases per million persons and an incidence of 0.13 cases per million persons/year. Incidence significantly increased after 2009 (due to the availability of alfa-melanotide, which effectively limits skin photosensitivity). Mean age at diagnosis was 28 years, with only 22 patients (12.2%) diagnosed ≤10 years old. Gene mutations were assessed in 173 (96.6%) patients; most (164; 91.3%) were FECH mutations on one allele in association with the hypomorphic variant, c.315-48C, on the other (classic EPP), and nine (5.2%) were ALAS2 mutations (X-linked EPP). Only one case of autosomal recessive EPP was observed. Of the 42 different FECH mutations, 15 are novel, three mutations collectively accounted for 45.9% (75/164) of the mutations (c.215dupT [27.2%], c.901_902delTG [11.5%] and c.67 + 5G &gt; A [7.2%]), and frameshift mutations were prevalent (33.3%). A form of light protection was used by 109/179 (60.8%) patients, and 100 (56%) had at least one α-melanotide implant. Three cases of severe acute liver involvement, requiring OLT, were observed. Conclusion: These data define, for the first time, the clinical and molecular epidemiology of EPP in Italy.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element X-Link EPP
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element protoporphyrin
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element cutaneous porphyrias
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element ferrochelatase
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element photodermatosis
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element erythropoietic protoporphyria
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Brancaleoni, Valentina
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Di Pierro, Elena
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Graziadei, Giovanna
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Macrì, Annelise
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Carmine Guida, Claudio
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Nicolli, Annamaria
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Rossi, Maria Teresa
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Granata, Francesca
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Fiorentino, Valeria
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Fustinoni, Silvia
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Sala, Raffella
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Pinton, Piergiacomo Calzavara
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Trevisan, Andrea
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Marchini, Stefano
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Cuoghi, Chiara
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Marcacci, Matteo
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Corradini, Elena
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Sorge, Fiammetta
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Aurizi, Caterina
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Savino, Maria Grazia
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Cappellini, Maria Domenica
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Pietrangelo, Antonello
Relator term author
786 0# - DATA SOURCE ENTRY
Note European Journal of Dermatology | 30 | 5 | 2020-09-01 | p. 532-540 | 1167-1122
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-european-journal-of-dermatology-2020-5-page-532?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-european-journal-of-dermatology-2020-5-page-532?lang=en&redirect-ssocas=7080</a>

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