000 02641cam a2200277 4500500
005 20250216003908.0
041 _afre
042 _adc
100 1 0 _aZhang, Jingwen
_eauthor
700 1 0 _a Wang, Yumeng
_eauthor
700 1 0 _a Zhou, Shengru
_eauthor
700 1 0 _a Yuan, Chunyu
_eauthor
700 1 0 _a Yang, Yifan
_eauthor
700 1 0 _a Li, Ming
_eauthor
700 1 0 _a Li, Min
_eauthor
245 0 0 _aThe variant c.1670G>A in the SREBF1 gene is associated with unusual clinical manifestations of IFAP syndrome
260 _c2025.
500 _a23
520 _aBackgroundIchthyosis follicularis, atrichia and photophobia (IFAP) syndrome is a rare genetic genodermatosis. According to previous reports, in addition to MBTPS2 variants, variants in SREBF1 (encoding SREBP1) can also cause IFAP syndrome. SREBF1 variants can also result in hereditary mucoepithelial dysplasia (HMD). These two diseases exhibit some similar clinical features.ObjectivesWe report two cases of IFAP syndrome with atypical clinical features associated with the c.1670G>A variant in the SREBF1 gene, and review the clinical characteristics of all reported cases of IFAP syndrome and HMD patients with SREBF1 variants to date.Materials & MethodsWhole-exome sequencing was performed for the two patients, and immunohistochemistry was performed on samples from psoriatic-like plaques on the right lower limb of one of the patients. A PubMed search was conducted to identify all patients with IFAP syndrome and HMD with SREBF1 variants.ResultsA missense variant c.1670G>A in SREBF1 was identified in our two patients. The heterozygous SREBF1 variant was not identified in their parents. Immunohistochemistry of samples from the psoriatic-like plaques on the lower limb from one of the patients showed enhanced staining for IL-17A and S100A8, with reduced nuclear translocation of SREBP1.ConclusionWe describe two cases of IFAP syndrome without apparent photophobia, one of which exhibited severe psoriasis-like plaques limited to the extensor sides of both lower limbs. Immunohistochemical results of the lower limb lesions showed partial resemblance to psoriatic lesions. In addition, a comparative review of the clinical features of all published HMD and IFAP syndrome cases is presented.
690 _aSREBF1
690 _apsoriatic-like plaque
690 _ahereditary mucoepithelial dysplasia (HMD)
690 _aIFAP syndrome
786 0 _nEuropean Journal of Dermatology | 34 | 6 | 2025-02-06 | p. 662-668 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2024-6-page-662?lang=en&redirect-ssocas=7080
999 _c1077662
_d1077662