Abstract
Acral peeling skin syndrome (APSS) is a rare autosomal recessive condition, characterized by asymptomatic peeling of the skin of the hands and feet, often linked to mutations in the gene TGM5. However, more recently recessive loss of function mutations in CSTA, encoding cystatin A, have been linked with APSS and exfoliative ichthyosis. We describe the clinical features in two sisters with APSS, associated with a novel large homozygous deletion encompassing exon 1 of CSTA.
© 2015 British Association of Dermatologists.
MeSH terms
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Child
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Child, Preschool
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Cystatin A / genetics*
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Cystatin A / metabolism*
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Cystatin A / physiology
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DNA Mutational Analysis
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Erythema / pathology
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Female
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Foot / pathology
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Hand / pathology
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Homozygote
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Humans
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Hyperopia / congenital
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Ichthyosis / etiology
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Ichthyosis / genetics
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Mutation / genetics*
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Pedigree
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Skin / pathology*
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Skin / physiopathology*
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Skin Diseases / congenital*
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Skin Diseases / genetics
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Skin Diseases / pathology
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Skin Diseases / physiopathology
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White People
Supplementary concepts
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Peeling skin syndrome, acral type