Bloch–Sulzberger syndrome (Incontinentia pigmenti)

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Abstract

 

Bloch–Sulzberger syndrome or Incontinentia pigmenti is a genetic disease that causes skin pathology in the first days of a child's life and is suspected of identifying the disease.

The article presents the characteristic signs of this syndrome and the pronounced manifestations of the disease. A presumptive case of a girl born in a family without a burdened anamnesis: the first manifestations of the disease appeared on the fifth day of life, were represented by linearly arranged vesicular-bullous rashes on an erythematous background and were regarded as a skin infection. Due to the ineffectiveness of the therapy, the patient was consulted by a dermatovenerologist, geneticist, neurologist. The child was consulted again at 5.5 years old: the article presents the data of a medical and genetic study and distant clinical signs of this syndrome in the form of hyperpigmented spots in combination with foci of atrophy, alopecia and dental anomalies in the sixth year of life.

Thus, the clinical signs of Bloch–Sulzberger syndrome made it possible to diagnose the disease at the newborn stage, which, in turn, helped to avoid unjustified prescribing of various systemic medications, to develop an individual treatment plan for the child and, as a result, contributed to the prevention of the development of complications of the disease and to improve the patient's quality of life.

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About the authors

Svetlana N. Shchava

Volgograd State Medical University

Email: snchava@rambler.ru
ORCID iD: 0000-0002-4946-6624
SPIN-code: 7449-7277

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, 1 Pavshikh Bortsov square, 400131 Volgograd

Marina A. Shishkina

Volgograd State Medical University

Author for correspondence.
Email: marinashishkina_derm@mail.ru
ORCID iD: 0000-0001-5479-3075
SPIN-code: 5446-8406

Assistant Lecturer

Russian Federation, 1 Pavshikh Bortsov square, 400131, Volgograd

References

  1. Nirmalasari DA, Tabri F, Waspodo N, et al. Incontinentia pigmenti / Bloch-Sulzberger syndrome: A case report. Acta Dermatovenerol Alp Pannonica Adriat. 2022;31(1):39–41.
  2. Ellis KT, Ovejero D, Choate KA. Cutaneous mosaicism: Special considerations for women. Int J Women’s Dermatol. 2021;7(5, Part A):539–544. doi: 10.1016/j.ijwd.2021.10.004
  3. Gianfaldoni S, Tchernev S, Wollina U, Lotti T. Incontinentia pigmenti: A case report of a complex systemic disease. Open Access Maced J Med Sci. 2017;5(4):501–505. doi: 10.3889/oamjms.2017.128
  4. Poziomczyk CS, Recuero JK, Bringhenti L, et al. Incontinentia pigmenti. An Bras Dermatol. 2014;89(1):26–36 doi: 10.1590/abd1806-4841.20142584
  5. Ivanova IN, Serdyukova EA, Eremina GV. Incontinence of pigment. Russ J Skin Venereal Dis. 2012;(4):40–42. (In Russ).
  6. Slesarenko NA, Utz SR, Grashkina IG, et al. Pigment incontinence (Bloch-Sulzberger syndrome). Saratov J Med Scientific Res. 2015;11(3):457–462. (In Russ).
  7. Zemskov MA, Kotlova VB, Dolgikh VS, et al. Bloch-Sulzberger syndrome (pigment incontinence): Rare genodermatosis with eye involvement. Consilium Medicum. 2019;21(12.2):52–53. (In Russ). doi: 10.26442/24143537.2019.2.190363
  8. Landy SJ, Donnai D. Incontinentia pigmenti (Bloch-Sulzberger syndrome). J Med Genet. 1993;30(1):53–59. doi: 10.1136/jmg.30.1.53

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Patient M., 5th day of life: Vesicular-bullous rashes in the area of the inner surface of the left knee joint.

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3. Fig. 2. Patient M., 5th day of life: Vesicular-bullous rashes in the region of the inner surface of the right radiocarpal joint, cubital fossa, armpit.

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4. Fig. 3. Patient M. in the process of treatment.

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5. Fig. 4. Mother of the girl, light brown spot in the area of the right leg.

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6. Fig. 5. Patient M., 5.5 years old, brown spots and superficial atrophy in the right armpit.

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7. Fig. 6. Patient M., 5.5 years: brown spot in the left armpit.

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8. Fig. 7. Patient M., 5.5 years old: cicatricial atrophy in the area of the scalp.

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9. Fig. 8. Patient M., 5.5 years: old dental anomalies.

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Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80653 от 15.03.2021 г
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