2015
DOI: 10.1111/pde.12666
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Extensive and Progressing Congenital Dermal Melanocytosis Leading to Diagnosis of GM1 Gangliosidosis

Abstract: Congenital dermal melanocytosis (CDM) is a birthmark composed of macular blue-grey hyperpigmentation commonly observed in the lumbosacral region of infants. Generally resolving by childhood, it is traditionally considered a benign condition, but it may be a sign of underlying lysosomal storage disease. We report a case of biopsy-confirmed CDM in a 2-month-old girl of Brazilian descent later diagnosed with infantile GM1 gangliosidosis.

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Cited by 5 publications
(4 citation statements)
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“…Nevertheless, it might also be seen with spinal dysraphism, cleft lip/palate and in the context of phacomatosis pigmentovascularis, accompanying vascular malformations and several forms of epidermal and other dermal melanocytic proliferations . In addition, the generalized and progressive forms of MS have been shown to be associated with inborn errors of metabolism such as inherited storage diseases . These lesions with underlying disorders may be more heavily pigmented .…”
Section: Classical Variants Of Dermal Melanocytosesmentioning
confidence: 99%
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“…Nevertheless, it might also be seen with spinal dysraphism, cleft lip/palate and in the context of phacomatosis pigmentovascularis, accompanying vascular malformations and several forms of epidermal and other dermal melanocytic proliferations . In addition, the generalized and progressive forms of MS have been shown to be associated with inborn errors of metabolism such as inherited storage diseases . These lesions with underlying disorders may be more heavily pigmented .…”
Section: Classical Variants Of Dermal Melanocytosesmentioning
confidence: 99%
“…53,60 In addition, the generalized and progressive forms of MS have been shown to be associated with inborn errors of metabolism such as inherited storage diseases. 52,53,[66][67][68][69] These lesions with underlying disorders may be more heavily pigmented. 52 Hence, extensive or multiple MSs, with permanent/progressive course, require special attention, 60 to provide early diagnosis of storage diseases and prevent irreversible organ damage.…”
Section: Mongolian Spotmentioning
confidence: 99%
“…While most Mongolian spots are benign and not associated with any systemic disorders,[ 1 ] they can indicate inborn errors of metabolism when they are irregular, extensive, persistent or progressive. [ 2 3 ] Common diseases associated with such Mongolian spots include lysosomal storage disorders such as GM1-gangliosidosis, Hurler syndrome, Hunter syndrome, and Niemann-Pick disease [ Figure 2 ]. [ 4 ] It is proposed that abnormal accumulated metabolites in these disorders bind to tyrosine kinase receptors, resulting in increased nerve growth factor.…”
mentioning
confidence: 99%
“…Extensive and progressive Mongolian spots can lead to the diagnosis of lysosomal storage disorders in absence of systemic features. [ 2 3 ]…”
mentioning
confidence: 99%