Inflammatory peeling skin syndrome caused a novel mutation in CDSN

Arch Dermatol Res. 2012 Apr;304(3):251-5. doi: 10.1007/s00403-011-1195-z. Epub 2011 Dec 7.

Abstract

Generalized peeling skin syndrome (PSS) is a rare autosomal recessive dermatosis manifesting with continuous exfoliation of the stratum corneum. The inflammatory (type B) subtype of PSS was recently found to be caused by deleterious mutations in the CDSN gene encoding corneodesmosin, a major component of desmosomal junctions in the uppermost layers of the epidermis. In the present study, we assessed a 10-month-old baby, who presented with generalized superficial peeling of the skin. Using PCR amplification and direct sequencing, we identified the third PSS-associated mutation in CDSN, a homozygous 4 bp duplication in the second exon of the gene (c.164_167dup GCCT; p.Thr57ProfsX6). These data further support the notion that corneodesmosin deficiency impairs cell-cell adhesion in the upper epidermis, paving the way for an abnormal inflammatory response due to epidermal barrier disruption.

Publication types

  • Case Reports

MeSH terms

  • Base Sequence
  • Dermatitis, Exfoliative / genetics*
  • Dermatitis, Exfoliative / pathology
  • Desmosomes / genetics
  • Female
  • Glycoproteins / genetics*
  • Haplotypes
  • Homozygote
  • Humans
  • Infant
  • Intercellular Signaling Peptides and Proteins
  • Male
  • Molecular Sequence Data
  • Mutation*
  • Syndrome

Substances

  • CDSN protein, human
  • Glycoproteins
  • Intercellular Signaling Peptides and Proteins