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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Cancer Prone Disease Section Short Communication Rombo syndrome Jean-Loup Huret Genetics, Dept Medical Information, University of Poitiers, CHU Poitiers Hospital, F-86021 Poitiers, France (JLH) Published in Atlas Database: September 2011 Online updated version : http://AtlasGeneticsOncology.org/Kprones/RomboID10169.html DOI: 10.4267/2042/46949 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2012 Atlas of Genetics and Cytogenetics in Oncology and Haematology Differential Diagnosis Identity Inheritance Rare disorder, with less than 10 cases described, with a probable autosomal dominant transmission, as suggested by the family tree of four generations in the princeps report (Michaëlsson et al., 1981). Clinics Neoplastic risk Basal cell carcinomas are a frequent complication. Genes involved and proteins Note The gene involved in this rare disease is unknown. Phenotype and clinics Skin changes appear at the age of 6-10 years, with cyanotic redness, acral erythema, thin implantation of hair and absent eyelashes (hypotrichosis). Atrophoderma vermiculatum (severe skin atrophy) of the face and sun-exposed areas, telangiectasia and milia-like papules develop in adulthood. Histology of the skin shows highly irregular distribution of elastin in the upper dermis, with areas without elastin and others with clumps of elastin, vascular proliferation and lymphocytes infiltration (Michaëlsson et al., 1981; Van Steensel et al., 2001). Atlas Genet Cytogenet Oncol Haematol. 2012; 16(2) Resembles Bazex-Dupré-Christol syndrome, which is a X-linked dominant disease. 156 References Michaëlsson G, Olsson E, Westermark P. The Rombo syndrome: a familial disorder with vermiculate atrophoderma, milia, hypotrichosis, trichoepitheliomas, basal cell carcinomas and peripheral vasodilation with cyanosis. Acta Derm Venereol. 1981;61(6):497-503 van Steensel MA, Jaspers NG, Steijlen PM. A case of Rombo syndrome. Br J Dermatol. 2001 Jun;144(6):1215-8 This article should be referenced as such: Huret JL. Rombo syndrome. Atlas Genet Cytogenet Oncol Haematol. 2012; 16(2):156.