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Mottled pigmentation

MedGen UID:
163653
Concept ID:
C0860439
Finding
Synonyms: Mottled skin coloring; Mottled skin colouring; Stippled pigmentation
 
HPO: HP:0001070

Definition

Patchy and irregular skin pigmentation. [from HPO]

Conditions with this feature

Mandibuloacral dysplasia with type B lipodystrophy
MedGen UID:
332940
Concept ID:
C1837756
Disease or Syndrome
Mandibuloacral dysplasia with type B lipodystrophy (MADB) is a rare autosomal recessive disorder characterized by postnatal growth retardation, craniofacial anomalies such as mandibular hypoplasia, skeletal anomalies such as progressive osteolysis of the terminal phalanges and clavicles, and skin changes such as mottled hyperpigmentation and atrophy. The lipodystrophy is characterized by generalized loss of subcutaneous fat involving the face, trunk, and extremities. Some patients have a progeroid appearance. Metabolic complications associated with insulin resistance have been reported (Schrander-Stumpel et al., 1992; summary by Simha et al., 2003). For a general phenotypic description of lipodystrophy associated with mandibuloacral dysplasia, see MADA (248370).
Rapadilino syndrome
MedGen UID:
336602
Concept ID:
C1849453
Disease or Syndrome
The RAPADILINO syndrome is an autosomal recessive disorder characterized by short stature, radial ray defects and other malformations, and infantile diarrhea. The acronym is derived from hallmark features: RA for radial; PA for both absent/hypoplastic patellas and cleft/highly arched palate; DI for diarrhea, as well as dislocated joints; LI for little size and limb malformations; and NO for long, slender nose and normal intelligence. RAPADILINO belongs to the Finnish disease heritage (Kaariainen et al., 1989; Siitonen et al., 2003).
Mandibuloacral dysplasia with type A lipodystrophy
MedGen UID:
1757618
Concept ID:
C5399785
Disease or Syndrome
Mandibuloacral dysplasia with type A lipodystrophy (MADA) is an autosomal recessive disorder characterized by growth retardation, craniofacial anomalies with mandibular hypoplasia, skeletal abnormalities with progressive osteolysis of the distal phalanges and clavicles, and pigmentary skin changes. The lipodystrophy is characterized by a marked acral loss of fatty tissue with normal or increased fatty tissue in the neck and trunk. Some patients may show progeroid features. Metabolic complications can arise due to insulin resistance and diabetes (Young et al., 1971; Simha and Garg, 2002; summary by Garavelli et al., 2009). See also MAD type B (MADB; 608612), which is caused by mutation in the ZMPSTE24 gene (606480).
Inflammatory poikiloderma with hair abnormalities and acral keratoses
MedGen UID:
1824066
Concept ID:
C5774293
Disease or Syndrome
Inflammatory poikiloderma with hair abnormalities and acral keratoses (IPHAK) is characterized by mottled hyper- and hypopigmentation of the skin as well as sparse scalp hair and eyelashes, sparse or absent eyebrows, and palmoplantar keratoses (Han et al., 2022).

Professional guidelines

PubMed

Hitzert MM, van der Crabben SN, Baldewsingh G, van Amstel HKP, van den Wijngaard A, van Ravenswaaij-Arts CMA, Zijlmans CWR
Orphanet J Rare Dis 2019 Dec 19;14(1):294. doi: 10.1186/s13023-019-1269-0. PMID: 31856865Free PMC Article
Riahi RR, Bush AE, Cohen PR
Am J Clin Dermatol 2016 Jun;17(3):265-76. doi: 10.1007/s40257-016-0185-5. PMID: 26969582
Kang S, Fisher GJ, Voorhees JJ
Clin Geriatr Med 2001 Nov;17(4):643-59, v-vi. doi: 10.1016/s0749-0690(05)70091-4. PMID: 11535421

Recent clinical studies

Etiology

Zhang L, Zhao Z, Wang P, Zhang G, Wang B, Shi L, Liu X, Zhou Z, Wang X
Photodiagnosis Photodyn Ther 2021 Mar;33:102181. Epub 2021 Jan 8 doi: 10.1016/j.pdpdt.2021.102181. PMID: 33429100
Turcan I, Pasmooij AM, Van den Akker PC, Lemmink H, Sinke RJ, Jonkman MF
JAMA Dermatol 2016 Oct 1;152(10):1137-1141. doi: 10.1001/jamadermatol.2016.2268. PMID: 27384765
Riahi RR, Bush AE, Cohen PR
Am J Clin Dermatol 2016 Jun;17(3):265-76. doi: 10.1007/s40257-016-0185-5. PMID: 26969582
Corden LD, McLean WH
Exp Dermatol 1996 Dec;5(6):297-307. doi: 10.1111/j.1600-0625.1996.tb00133.x. PMID: 9028791
Uttam J, Hutton E, Coulombe PA, Anton-Lamprecht I, Yu QC, Gedde-Dahl T Jr, Fine JD, Fuchs E
Proc Natl Acad Sci U S A 1996 Aug 20;93(17):9079-84. doi: 10.1073/pnas.93.17.9079. PMID: 8799157Free PMC Article

Diagnosis

Rayinda T, van Steensel M, Danarti R
Int J Dermatol 2021 Nov;60(11):1343-1353. Epub 2021 Mar 19 doi: 10.1111/ijd.15498. PMID: 33739439
Nofal A, Salah E
J Am Acad Dermatol 2013 Sep;69(3):e129-40. Epub 2012 Jul 28 doi: 10.1016/j.jaad.2012.06.015. PMID: 22846690
Echeverría-García B, Vicente A, Hernández Á, Mascaró JM, Colmenero I, Terrón A, Escámez MJ, del Río M, González-Enseñat MA, Torrelo A
Pediatr Dermatol 2013 Nov-Dec;30(6):e125-31. Epub 2012 May 29 doi: 10.1111/j.1525-1470.2012.01748.x. PMID: 22640275
Kumar P, Sharma PK, Gautam RK, Jain RK, Kar HK
Int J Dermatol 2007 May;46(5):492-3. doi: 10.1111/j.1365-4632.2007.03248.x. PMID: 17472679
Lautenschlager S, Itin PH
Dermatology 1998;197(3):291-6. doi: 10.1159/000018016. PMID: 9812039

Therapy

Lv J, Yang S, Lv M, Lv J, Sui Y, Guo S
Tissue Cell 2022 Jun;76:101746. Epub 2022 Jan 29 doi: 10.1016/j.tice.2022.101746. PMID: 35182986
Alam M, Hughart R, Champlain A, Geisler A, Paghdal K, Whiting D, Hammel JA, Maisel A, Rapcan MJ, West DP, Poon E
JAMA Dermatol 2018 Dec 1;154(12):1447-1452. doi: 10.1001/jamadermatol.2018.3977. PMID: 30419125Free PMC Article
Riahi RR, Bush AE, Cohen PR
Am J Clin Dermatol 2016 Jun;17(3):265-76. doi: 10.1007/s40257-016-0185-5. PMID: 26969582
Kondo S
J Dermatol Sci 2000 Mar;23 Suppl 1:S30-6. doi: 10.1016/s0923-1811(99)00076-6. PMID: 10764989
Leyden JJ
Br J Dermatol 1990 Apr;122 Suppl 35:1-3. doi: 10.1111/j.1365-2133.1990.tb16118.x. PMID: 2186777

Prognosis

Hoffman L, Smeallie E, Ugonabo N, Chapas A
Lasers Surg Med 2024 Mar;56(3):233-238. Epub 2024 Feb 9 doi: 10.1002/lsm.23767. PMID: 38334165
Rayinda T, van Steensel M, Danarti R
Int J Dermatol 2021 Nov;60(11):1343-1353. Epub 2021 Mar 19 doi: 10.1111/ijd.15498. PMID: 33739439
Bruce S
J Drugs Dermatol 2013 Mar;12(3):S27-31. PMID: 23545930
Garavelli L, D'Apice MR, Rivieri F, Bertoli M, Wischmeijer A, Gelmini C, De Nigris V, Albertini E, Rosato S, Virdis R, Bacchini E, Dal Zotto R, Banchini G, Iughetti L, Bernasconi S, Superti-Furga A, Novelli G
Am J Med Genet A 2009 Oct;149A(10):2258-64. doi: 10.1002/ajmg.a.33005. PMID: 19764019
Kondo S
J Dermatol Sci 2000 Mar;23 Suppl 1:S30-6. doi: 10.1016/s0923-1811(99)00076-6. PMID: 10764989

Clinical prediction guides

Pezzini C, Ciardo S, Guida S, Kaleci S, Chester J, Casari A, Manfredini M, Longo C, Farnetani F, Brugués AO, Pellacani G
Exp Dermatol 2023 Apr;32(4):348-358. Epub 2022 Nov 26 doi: 10.1111/exd.14708. PMID: 36394180
Zhang L, Zhao Z, Wang P, Zhang G, Wang B, Shi L, Liu X, Zhou Z, Wang X
Photodiagnosis Photodyn Ther 2021 Mar;33:102181. Epub 2021 Jan 8 doi: 10.1016/j.pdpdt.2021.102181. PMID: 33429100
Cinotti E, Bovi C, Tonini G, Labeille B, Heusèle C, Nizard C, Schnebert S, Aubailly S, Barthélémy JC, Cambazard F, Cevenini G, Tognetti L, Cartocci A, Rubegni P, Perrot JL
J Eur Acad Dermatol Venereol 2020 Nov;34(11):2652-2658. Epub 2020 Aug 2 doi: 10.1111/jdv.16466. PMID: 32294278
Alam M, Hughart R, Champlain A, Geisler A, Paghdal K, Whiting D, Hammel JA, Maisel A, Rapcan MJ, West DP, Poon E
JAMA Dermatol 2018 Dec 1;154(12):1447-1452. doi: 10.1001/jamadermatol.2018.3977. PMID: 30419125Free PMC Article
Kumar P, Sharma PK, Gautam RK, Jain RK, Kar HK
Int J Dermatol 2007 May;46(5):492-3. doi: 10.1111/j.1365-4632.2007.03248.x. PMID: 17472679

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