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Shagreen patch

MedGen UID:
96599
Concept ID:
C0432363
Congenital Abnormality
SNOMED CT: Shagreen patch (254244007)
 
HPO: HP:0009721

Definition

A plaque representing a connective-tissue nevus. Connective tissue naevi are uncommon skin lesions that occur when the deeper layers of the skin do not develop correctly or the components of these layers occur in the wrong proportion. Shagreen patches are oval-shaped and nevoid, skin-colored or occasionally pigmented, smooth or crinkled. The word shagreen refers to a type of roughened untanned leather. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVShagreen patch

Conditions with this feature

Tuberous sclerosis 1
MedGen UID:
344288
Concept ID:
C1854465
Disease or Syndrome
Tuberous sclerosis complex (TSC) involves abnormalities of the skin (hypomelanotic macules, confetti skin lesions, facial angiofibromas, shagreen patches, fibrous cephalic plaques, ungual fibromas); brain (subependymal nodules, cortical tubers, and subependymal giant cell astrocytomas [SEGAs], seizures, intellectual disability / developmental delay, psychiatric illness); kidney (angiomyolipomas, cysts, renal cell carcinomas); heart (rhabdomyomas, arrhythmias); and lungs (lymphangioleiomyomatosis [LAM], multifocal micronodular pneumonocyte hyperplasia). Central nervous system tumors are the leading cause of morbidity and mortality; renal disease is the second leading cause of early death.
Tuberous sclerosis 2
MedGen UID:
348170
Concept ID:
C1860707
Disease or Syndrome
Tuberous sclerosis complex (TSC) involves abnormalities of the skin (hypomelanotic macules, confetti skin lesions, facial angiofibromas, shagreen patches, fibrous cephalic plaques, ungual fibromas); brain (subependymal nodules, cortical tubers, and subependymal giant cell astrocytomas [SEGAs], seizures, intellectual disability / developmental delay, psychiatric illness); kidney (angiomyolipomas, cysts, renal cell carcinomas); heart (rhabdomyomas, arrhythmias); and lungs (lymphangioleiomyomatosis [LAM], multifocal micronodular pneumonocyte hyperplasia). Central nervous system tumors are the leading cause of morbidity and mortality; renal disease is the second leading cause of early death.

Professional guidelines

PubMed

Shang S, Mei Y, Wang T, Zheng X, Chen K, Xiong S, Dong Y, Chang Y, Wu X, Kong X, Tan M, Wu L, Zhang Y, Xiao Y, Xie Y, Cai G, Chen X, Li Q
Clin Nephrol 2022 Jun;97(6):328-338. doi: 10.5414/CN110476. PMID: 35142283
Malissen N, Vergely L, Simon M, Roubertie A, Malinge MC, Bessis D
J Am Acad Dermatol 2017 Sep;77(3):464-472.e3. Epub 2017 May 11 doi: 10.1016/j.jaad.2017.04.005. PMID: 28502378
Boixeda P, Sánchez-Miralles E, Azaña JM, Arrazola JM, Moreno R, Ledo A
J Dermatol Surg Oncol 1994 Dec;20(12):808-12. doi: 10.1111/j.1524-4725.1994.tb03709.x. PMID: 7798412

Recent clinical studies

Etiology

Cartron AM, Buccine D, Treichel AM, Lee CR, Moss J, Darling TN
J Eur Acad Dermatol Venereol 2021 May;35(5):1226-1229. Epub 2021 Feb 23 doi: 10.1111/jdv.17161. PMID: 33565654Free PMC Article
Tarasewicz A, Dębska-Ślizień A, Rutkowska B, Szurowska E, Matuszewski M
Transplant Proc 2018 Jul-Aug;50(6):1904-1909. Epub 2018 Mar 15 doi: 10.1016/j.transproceed.2018.03.028. PMID: 30056926
Bongiorno MA, Nathan N, Oyerinde O, Wang JA, Lee CR, Brown GT, Moss J, Darling TN
JAMA Dermatol 2017 Jul 1;153(7):660-665. doi: 10.1001/jamadermatol.2017.0298. PMID: 28445558Free PMC Article
Nathan N, Wang JA, Li S, Cowen EW, Haughey M, Moss J, Darling TN
J Am Acad Dermatol 2015 Nov;73(5):802-8. Epub 2015 Sep 11 doi: 10.1016/j.jaad.2015.07.018. PMID: 26365597Free PMC Article
Nath J, Dubey A, Pavan R
Indian J Dermatol Venereol Leprol 2015 Jan-Feb;81(1):23-8. doi: 10.4103/0378-6323.148560. PMID: 25566892

Diagnosis

Shang S, Mei Y, Wang T, Zheng X, Chen K, Xiong S, Dong Y, Chang Y, Wu X, Kong X, Tan M, Wu L, Zhang Y, Xiao Y, Xie Y, Cai G, Chen X, Li Q
Clin Nephrol 2022 Jun;97(6):328-338. doi: 10.5414/CN110476. PMID: 35142283
Bongiorno MA, Nathan N, Oyerinde O, Wang JA, Lee CR, Brown GT, Moss J, Darling TN
JAMA Dermatol 2017 Jul 1;153(7):660-665. doi: 10.1001/jamadermatol.2017.0298. PMID: 28445558Free PMC Article
Islam MP, Roach ES
Handb Clin Neurol 2015;132:97-109. doi: 10.1016/B978-0-444-62702-5.00006-8. PMID: 26564073
Granata A, Mignami R
Kidney Int 2009 Jun;75(12):1364. doi: 10.1038/ki.2008.440. PMID: 19483759
Hurst JS, Wilcoski S
Am Fam Physician 2000 Feb 1;61(3):703-8, 710. PMID: 10695583

Therapy

Craiu DC, Bastian AE, Zurac SA, Băilă SL, Croitoru M, Craiu M, Diaconu R, Vinţan MA, Bârcă DG
Rom J Morphol Embryol 2022 Jan-Mar;63(1):181-189. doi: 10.47162/RJME.63.1.19. PMID: 36074682Free PMC Article
Tarasewicz A, Dębska-Ślizień A, Rutkowska B, Szurowska E, Matuszewski M
Transplant Proc 2018 Jul-Aug;50(6):1904-1909. Epub 2018 Mar 15 doi: 10.1016/j.transproceed.2018.03.028. PMID: 30056926
Wang S, Liu Y, Wei J, Zhang J, Wang Z, Xu Z
Pediatr Dermatol 2017 Sep;34(5):572-577. Epub 2017 Aug 2 doi: 10.1111/pde.13204. PMID: 28771801
Malissen N, Vergely L, Simon M, Roubertie A, Malinge MC, Bessis D
J Am Acad Dermatol 2017 Sep;77(3):464-472.e3. Epub 2017 May 11 doi: 10.1016/j.jaad.2017.04.005. PMID: 28502378
Nathan N, Wang JA, Li S, Cowen EW, Haughey M, Moss J, Darling TN
J Am Acad Dermatol 2015 Nov;73(5):802-8. Epub 2015 Sep 11 doi: 10.1016/j.jaad.2015.07.018. PMID: 26365597Free PMC Article

Prognosis

Shang S, Mei Y, Wang T, Zheng X, Chen K, Xiong S, Dong Y, Chang Y, Wu X, Kong X, Tan M, Wu L, Zhang Y, Xiao Y, Xie Y, Cai G, Chen X, Li Q
Clin Nephrol 2022 Jun;97(6):328-338. doi: 10.5414/CN110476. PMID: 35142283
Tarasewicz A, Dębska-Ślizień A, Rutkowska B, Szurowska E, Matuszewski M
Transplant Proc 2018 Jul-Aug;50(6):1904-1909. Epub 2018 Mar 15 doi: 10.1016/j.transproceed.2018.03.028. PMID: 30056926
Jóźwiak S, Schwartz RA, Janniger CK, Michałowicz R, Chmielik J
Int J Dermatol 1998 Dec;37(12):911-7. doi: 10.1046/j.1365-4362.1998.00495.x. PMID: 9888331
Boixeda P, Sánchez-Miralles E, Azaña JM, Arrazola JM, Moreno R, Ledo A
J Dermatol Surg Oncol 1994 Dec;20(12):808-12. doi: 10.1111/j.1524-4725.1994.tb03709.x. PMID: 7798412

Clinical prediction guides

Cartron AM, Buccine D, Treichel AM, Lee CR, Moss J, Darling TN
J Eur Acad Dermatol Venereol 2021 May;35(5):1226-1229. Epub 2021 Feb 23 doi: 10.1111/jdv.17161. PMID: 33565654Free PMC Article
Wang S, Liu Y, Wei J, Zhang J, Wang Z, Xu Z
Pediatr Dermatol 2017 Sep;34(5):572-577. Epub 2017 Aug 2 doi: 10.1111/pde.13204. PMID: 28771801
Bongiorno MA, Nathan N, Oyerinde O, Wang JA, Lee CR, Brown GT, Moss J, Darling TN
JAMA Dermatol 2017 Jul 1;153(7):660-665. doi: 10.1001/jamadermatol.2017.0298. PMID: 28445558Free PMC Article
Nathan N, Wang JA, Li S, Cowen EW, Haughey M, Moss J, Darling TN
J Am Acad Dermatol 2015 Nov;73(5):802-8. Epub 2015 Sep 11 doi: 10.1016/j.jaad.2015.07.018. PMID: 26365597Free PMC Article
Konomi H, Arima M, Tanaka H, Nagai Y
Brain Dev 1982;4(5):367-74. doi: 10.1016/s0387-7604(82)80021-1. PMID: 6291423

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