Five cases are reported of Noonan's syndrome, all of which presented keratosis pilaris atrophicans faciei (ulerythema ophryogenes). This dermatosis fulfils the criteria mentioned by Noonan & Ehmke (1963) as a pointer for the investigation of cardiac anomalies, especially of the pulmonary artery.
Plexiform neurofibromas are benign tumors originating from peripheral nerve
sheaths, generally associated with Neurofibromatosis Type 1 (NF1). They are
diffuse, painful and sometimes locally invasive, generating cosmetic problems.
This report discusses an adolescent patient who presented with an isolated,
giant plexiform neurofibroma on her leg that was confused with a vascular lesion
due to its clinical aspects. Once the diagnosis was confirmed by surgical
biopsy, excision of the lesion was performed with improvement of the
symptoms.
Nevoid basal cell carcinoma (BCC) syndrome, or Gorlin syndrome, is a rare autosomal dominant disorder associated with mutations in the patched 1 gene, PTCH1. It is characterized by the presence of multiple BCCs in association with disorders affecting the bones, the skin, the eyes, and the nervous system. We describe 6 cases of nevoid BCC syndrome evaluated in our department. Palmoplantar pitting was observed in all 6 patients, multiple BCCs in 5 patients (83%), skeletal anomalies in 3 patients (50%), and odontogenic keratocysts in 1 patient (17%). We would like to stress the importance of early diagnosis and treatment in nevoid BCC syndrome and the need for continuous, long-term follow-up by a multidisciplinary team.
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