BackgroundFamilial progressive hyper- and hypopigmentation (FPHH) is a rare
genodermatosis that is characterized by diffuse hyper- and hypopigmented
spots on the skin and mucous membranes. It is caused by a pathogenic
mutation of the KITLG gene.ObjectivesTo investigate the clinical features and mutation of the KITLG gene in a
Chinese family with FPHH.MethodsHistopathological and immunohistochemical analysis of lesions from the
proband was performed. The KITLG gene was screened for the presence of
mutations.ResultsA Chinese family containing 14 individuals with FPHH was described, and the
proband was a 5-year-old girl showing diffuse hyper- and hypopigmented
lesions on her extremities and trunk. Histopathological and
immunohistochemical staining for S100 and HMB45 of skin biopsy specimens
from the hyperpigmented areas showed a striking increase in melanin
throughout the epidermis, especially in the basal cell layer, and staining
of hypopigmented area specimens displayed lower levels of melanin in the
epidermis. Mutation analysis of the KITLG gene was performed, but no
mutation was found.Study limitationsThe new pathogenic gene was not found.ConclusionA family with FPHH was described. Analysis revealed that its members did not
have any mutations of the KITLG gene, which provided evidence for genetic
heterogeneity of this genodermatosis.