Identical COL71A1 heterozygous mutations resulting in different dystrophic epidermolysis bullosa phenotypes

Pediatr Dermatol. 2018 Mar;35(2):e94-e98. doi: 10.1111/pde.13367. Epub 2017 Dec 22.

Abstract

Dystrophic epidermolysis bullosa is a rare blistering condition caused by mutations in the COL7A1 gene. Different clinical variants have been described, with dominant and recessive inheritance, but no consistent findings have been elucidated to establish a genotype-phenotype correlation. We present three unrelated patients with two identical pathogenic compound heterozygous mutations in the COL7A1 gene that developed different clinical forms of dystrophic epidermolysis bullosa-epidermolysis bullosa pruriginosa and mild recessive non-Hallopeau-Siemens-raising the possibility of other genetic or environmental modifying factors responsible for the phenotype of the disease.

Keywords: COL7A1 mutation; dystrophic epidermolysis bullosa; genotype-phenotype correlation; pruriginous epidermolysis bullosa.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • Collagen Type VII / genetics*
  • Epidermolysis Bullosa Dystrophica / genetics*
  • Female
  • Genetic Association Studies
  • Heterozygote
  • Humans
  • Male
  • Mutation
  • Pedigree
  • Phenotype
  • Skin / pathology

Substances

  • COL7A1 protein, human
  • Collagen Type VII