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<title>
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Entry
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- #161000 - NAEGELI-FRANCESCHETTI-JADASSOHN SYNDROME; NFJS
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- OMIM
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<a href="#phenotypeMap"><strong>Phenotype-Gene Relationships</strong></a>
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<a href="#description">Description</a>
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<a href="#clinicalFeatures">Clinical Features</a>
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<a href="#mapping">Mapping</a>
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<a href="#inheritance">Inheritance</a>
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<a href="#molecularGenetics">Molecular Genetics</a>
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<a href="#references"><strong>References</strong></a>
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<a href="#contributors"><strong>Contributors</strong></a>
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<a href="#creationDate"><strong>Creation Date</strong></a>
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<div><a href="https://clinicaltrials.gov/search?cond=(NAEGELI-FRANCESCHETTI-JADASSOHN SYNDROME) OR (KRT14)" class="mim-tip-hint" title="Clinical Trials" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Clinical Trials', 'domain': 'clinicaltrials.gov'})">Clinical Trials</a></div>
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<div><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=10921&Typ=Pat" class="mim-tip-hint" title="A list of European laboratories that offer genetic testing." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">EuroGentest</a></div>
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<div><a href="https://www.diseaseinfosearch.org/x/5093" class="mim-tip-hint" title="Network of disease-specific advocacy organizations, universities, private companies, government agencies, and public policy organizations." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Genetic Alliance', 'domain': 'diseaseinfosearch.org'})">Genetic Alliance</a></div>
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<div><a href="https://medlineplus.gov/genetics/condition/naegeli-franceschetti-jadassohn-syndrome-dermatopathia-pigmentosa-reticularis" class="mim-tip-hint" title="Consumer-friendly information about the effects of genetic variation on human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MedlinePlus Genetics', 'domain': 'medlineplus.gov'})">MedlinePlus Genetics</a></div>
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<div><a href="https://www.ncbi.nlm.nih.gov/gtr/all/tests/?term=161000[mim]" class="mim-tip-hint" title="Genetic Testing Registry." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GTR', 'domain': 'ncbi.nlm.nih.gov'})">GTR</a></div>
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<div><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=69087" class="mim-tip-hint" title="European reference portal for information on rare diseases and orphan drugs." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">OrphaNet</a></div>
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<div><a href="https://www.alliancegenome.org/disease/DOID:0111528" class="mim-tip-hint" title="Search Across Species; explore model organism and human comparative genomics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Alliance Genome', 'domain': 'alliancegenome.org'})">Alliance Genome</a></div>
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<div><a href="http://www.informatics.jax.org/disease/161000" class="mim-tip-hint" title="Phenotypes, alleles, and disease models from Mouse Genome Informatics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MGI Mouse Phenotype', 'domain': 'informatics.jax.org'})">MGI Mouse Phenotype</a></div>
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<span>
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<span class="mim-tip-bottom" qtip_title="<strong>Looking for this gene or this phenotype in other resources?</strong>" qtip_text="Select a related resource from the dropdown menu and click for a targeted link to information directly relevant.">
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<a id="title" class="mim-anchor"></a>
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<a id="number" class="mim-anchor"></a>
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<div class="text-right">
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<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
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<strong>SNOMEDCT:</strong> 239084001<br />
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<strong>ORPHA:</strong> 69087<br />
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<strong>DO:</strong> 0111528<br />
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">ICD+</a>
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</div>
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<div>
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<span class="h3">
|
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<span class="mim-font mim-tip-hint" title="Phenotype description, molecular basis known">
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<span class="text-danger"><strong>#</strong></span>
|
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161000
|
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</span>
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</span>
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</div>
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</div>
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<div>
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<a id="preferredTitle" class="mim-anchor"></a>
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<h3>
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<span class="mim-font">
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NAEGELI-FRANCESCHETTI-JADASSOHN SYNDROME; NFJS
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</span>
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</h3>
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</div>
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<div>
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<br />
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</div>
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<div>
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<a id="alternativeTitles" class="mim-anchor"></a>
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<div>
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<p>
|
|
<span class="mim-font">
|
|
<em>Alternative titles; symbols</em>
|
|
</span>
|
|
</p>
|
|
</div>
|
|
<div>
|
|
<h4>
|
|
<span class="mim-font">
|
|
NAEGELI SYNDROME<br />
|
|
NFJ SYNDROME
|
|
</span>
|
|
</h4>
|
|
</div>
|
|
</div>
|
|
<div>
|
|
<br />
|
|
</div>
|
|
|
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
<div>
|
|
<a id="phenotypeMap" class="mim-anchor"></a>
|
|
<h4>
|
|
<span class="mim-font">
|
|
<strong>Phenotype-Gene Relationships</strong>
|
|
</span>
|
|
</h4>
|
|
<div>
|
|
<table class="table table-bordered table-condensed table-hover small mim-table-padding">
|
|
<thead>
|
|
<tr class="active">
|
|
<th>
|
|
Location
|
|
</th>
|
|
<th>
|
|
Phenotype
|
|
</th>
|
|
<th>
|
|
Phenotype <br /> MIM number
|
|
</th>
|
|
<th>
|
|
Inheritance
|
|
</th>
|
|
<th>
|
|
Phenotype <br /> mapping key
|
|
</th>
|
|
<th>
|
|
Gene/Locus
|
|
</th>
|
|
<th>
|
|
Gene/Locus <br /> MIM number
|
|
</th>
|
|
</tr>
|
|
</thead>
|
|
<tbody>
|
|
|
|
<tr>
|
|
<td>
|
|
<span class="mim-font">
|
|
<a href="/geneMap/17/549?start=-3&limit=10&highlight=549">
|
|
17q21.2
|
|
</a>
|
|
</span>
|
|
</td>
|
|
<td>
|
|
<span class="mim-font">
|
|
Naegeli-Franceschetti-Jadassohn syndrome
|
|
|
|
</span>
|
|
</td>
|
|
<td>
|
|
<span class="mim-font">
|
|
<a href="/entry/161000"> 161000 </a>
|
|
</span>
|
|
</td>
|
|
<td>
|
|
<span class="mim-font">
|
|
|
|
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
|
|
|
|
</span>
|
|
</td>
|
|
<td>
|
|
<span class="mim-font">
|
|
|
|
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
|
|
|
|
</span>
|
|
</td>
|
|
<td>
|
|
<span class="mim-font">
|
|
KRT14
|
|
</span>
|
|
</td>
|
|
<td>
|
|
<span class="mim-font">
|
|
<a href="/entry/148066"> 148066 </a>
|
|
</span>
|
|
</td>
|
|
</tr>
|
|
|
|
</tbody>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div>
|
|
|
|
|
|
<div class="btn-group ">
|
|
<a href="/clinicalSynopsis/161000" class="btn btn-warning" role="button"> Clinical Synopsis </a>
|
|
<button type="button" id="mimPhenotypicSeriesToggle" class="btn btn-warning dropdown-toggle mimSingletonFoldToggle" data-toggle="collapse" href="#mimClinicalSynopsisFold" onclick="ga('send', 'event', 'Unfurl', 'ClinicalSynopsis', 'omim.org')">
|
|
<span class="caret"></span>
|
|
<span class="sr-only">Toggle Dropdown</span>
|
|
</button>
|
|
</div>
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
<div class="btn-group">
|
|
<button type="button" class="btn btn-success dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
|
|
PheneGene Graphics <span class="caret"></span>
|
|
</button>
|
|
<ul class="dropdown-menu" style="width: 17em;">
|
|
<li><a href="/graph/linear/161000" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Linear'})"> Linear </a></li>
|
|
<li><a href="/graph/radial/161000" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Radial'})"> Radial </a></li>
|
|
</ul>
|
|
</div>
|
|
<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
|
|
|
|
|
|
|
|
<div>
|
|
<p />
|
|
</div>
|
|
|
|
|
|
<div id="mimClinicalSynopsisFold" class="well well-sm collapse mimSingletonToggleFold">
|
|
<div class="small" style="margin: 5px">
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
<div>
|
|
<div>
|
|
<span class="h5 mim-font">
|
|
<strong> INHERITANCE </strong>
|
|
</span>
|
|
</div>
|
|
<div style="margin-left: 2em;">
|
|
|
|
<div>
|
|
<span class="mim-font">
|
|
|
|
- Autosomal dominant <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/263681008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">263681008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/771269000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">771269000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0443147&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0443147</a>, <a href="https://bioportal.bioontology.org/search?q=C1867440&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1867440</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span><br />
|
|
|
|
</span>
|
|
</div>
|
|
|
|
</div>
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
<div>
|
|
<div>
|
|
<span class="h5 mim-font">
|
|
<strong> HEAD & NECK </strong>
|
|
</span>
|
|
</div>
|
|
<div style="margin-left: 2em;">
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
<div>
|
|
<div>
|
|
<span class="h5 mim-font">
|
|
<em> Teeth </em>
|
|
</span>
|
|
</div>
|
|
<div style="margin-left: 2em;">
|
|
<span class="mim-font">
|
|
|
|
- Premature tooth loss <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/42756003" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">42756003</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0232513&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0232513</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006480" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006480</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006480" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006480</a>]</span><br /> -
|
|
Carious teeth <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/80967001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">80967001</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/K02" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">K02</a>, <a href="https://purl.bioontology.org/ontology/ICD10CM/K02.9" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">K02.9</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/521.0" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">521.0</a>, <a href="https://purl.bioontology.org/ontology/ICD9CM/521.00" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">521.00</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0011334&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0011334</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000670" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000670</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000670" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000670</a>]</span><br /> -
|
|
Yellow discoloration <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1834412&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1834412</a>]</span><br />
|
|
|
|
</span>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
</div>
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
<div>
|
|
<div>
|
|
<span class="h5 mim-font">
|
|
<strong> SKIN, NAILS, & HAIR </strong>
|
|
</span>
|
|
</div>
|
|
<div style="margin-left: 2em;">
|
|
|
|
|
|
<div>
|
|
<div>
|
|
<span class="h5 mim-font">
|
|
<em> Skin </em>
|
|
</span>
|
|
</div>
|
|
<div style="margin-left: 2em;">
|
|
<span class="mim-font">
|
|
|
|
- Reticulate hyperpigmentation (periocular, perioral, chest, neck, abdomen) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1834413&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1834413</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0007588" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0007588</a>]</span><br /> -
|
|
Hypohidrosis <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/45004005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">45004005</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/L74.4" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">L74.4</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0020620&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0020620</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000966" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000966</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000966" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000966</a>]</span><br /> -
|
|
Absent fingerprints <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1834414&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1834414</a>]</span><br /> -
|
|
Palmoplantar keratoderma <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/706885006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">706885006</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C4551675&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C4551675</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000982" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000982</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000982" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000982</a>]</span><br /> -
|
|
Multiple, small punctate keratoses (palms and soles) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1834415&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1834415</a>]</span><br />
|
|
|
|
</span>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div>
|
|
<div>
|
|
<span class="h5 mim-font">
|
|
<em> Nails </em>
|
|
</span>
|
|
</div>
|
|
<div style="margin-left: 2em;">
|
|
<span class="mim-font">
|
|
|
|
- Brittle nails <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/69192004" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">69192004</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0546956&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0546956</a>, <a href="https://bioportal.bioontology.org/search?q=C5779504&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C5779504</a>, <a href="https://bioportal.bioontology.org/search?q=C1856963&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1856963</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0030804" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0030804</a>, <a href="https://hpo.jax.org/app/browse/term/HP:0001808" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001808</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001808" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001808</a>]</span><br /> -
|
|
Congenital malalignment of great toenails <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/840491009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">840491009</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1834416&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1834416</a>]</span><br />
|
|
|
|
</span>
|
|
</div>
|
|
</div>
|
|
|
|
|
|
</div>
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
<div>
|
|
<div>
|
|
<span class="h5 mim-font">
|
|
<strong> MISCELLANEOUS </strong>
|
|
</span>
|
|
</div>
|
|
<div style="margin-left: 2em;">
|
|
|
|
<div>
|
|
<span class="mim-font">
|
|
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- Heat intolerance <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/69215007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">69215007</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C2107732&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2107732</a>, <a href="https://bioportal.bioontology.org/search?q=C0231274&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0231274</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002046" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002046</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002046" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002046</a>]</span><br /> -
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Onset of hyperpigmentation in early childhood (3 months-6 years) that fades after puberty<br />
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- Caused by mutation in the keratin-14 gene (KRT14, <a href="/entry/148066#0015">148066.0015</a>)<br />
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<p>A number sign (#) is used with this entry because of evidence that the Naegeli-Franceschetti-Jadassohn syndrome (NFJS) is caused by heterozygous mutation in the keratin-14 gene (KRT14; <a href="/entry/148066">148066</a>) on chromosome 17q21.</p><p>A closely related disorder, dermatopathia pigmentosa reticularis (DPR; <a href="/entry/125595">125595</a>), is also caused by heterozygous mutation in the KRT14 gene.</p>
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<p>Naegeli-Franceschetti-Jadassohn syndrome (NFJS) is a rare autosomal dominant disorder of skin, hair, and teeth. It is characterized by complete absence of dermatoglyphics (fingerprint lines), a reticulate pattern of skin hyperpigmentation that tends to disappear with age, thickening of the palms and soles (palmoplantar keratoderma), and decreased sweating. Dental anomalies including enamel defects, skin blistering, and nail dystrophy have been reported in some patients. It can be distinguished from dermatopathia pigmentosa reticularis (DPR) by the latter's features of lifelong persistence of the skin hyperpigmentation, partial alopecia, and absence of dental anomalies (summary by <a href="#5" class="mim-tip-reference" title="Lugassy, J., Itin, P., Ishida-Yamamoto, A., Holland, K., Huson, S., Geiger, D., Hennies, H. C., Indelman, M., Bercovich, D., Uitto, J., Bergman, R., McGrath, J. A., Richard, G., Sprecher, E. <strong>Naegeli-Franceschetti-Jadassohn syndrome and dermatopathia pigmentosa reticularis: two allelic ectodermal dysplasias caused by dominant mutations in KRT14.</strong> Am. J. Hum. Genet. 79: 724-730, 2006.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16960809/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16960809</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16960809[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>] [<a href="https://doi.org/10.1086/507792" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="16960809">Lugassy et al., 2006</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16960809" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p><a href="#6" class="mim-tip-reference" title="Naegeli, B. <strong>Familiarer Chromatophorennavus.</strong> Schweiz. Med. Wschr. 8: 48 only, 1927."None>Naegeli (1927)</a> described the syndrome in a father and 2 daughters. In a restudy of the original family, <a href="#1" class="mim-tip-reference" title="Franceschetti, A., Jadassohn, W. <strong>A propos de l'incontinentia pigmenti, delimitation de deux syndromes differents figurant sous le meme terme.</strong> Dermatologica 108: 1-28, 1954.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/13141721/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">13141721</a>]" pmid="13141721">Franceschetti and Jadassohn (1954)</a> documented autosomal dominant inheritance. The disorder was earlier confused with incontinentia pigmenti (IP; see <a href="/entry/308300">308300</a>). Differences from IP include (1) equal frequency in males and females; (2) plantar and palmar hypohidrosis and hyperkeratosis; and (3) uncommon blistering and inflammatory phenomena. The cardinal features are reticular cutaneous pigmentation (starting at about the age of 2 years without a preceding inflammatory stage), discomfort provoked by heat with diminished sweat gland function, poor teeth, and moderate hyperkeratosis of the palms and soles. Males and females are equally affected. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=13141721" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#7" class="mim-tip-reference" title="Sparrow, G. P., Samman, P. D., Wells, R. S. <strong>Hyperpigmentation and hypohidrosis (the Naegeli-Franceschetti-Jadassohn syndrome): report of a family and review of the literature.</strong> Clin. Exp. Derm. 1: 127-140, 1976.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/939040/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">939040</a>] [<a href="https://doi.org/10.1111/j.1365-2230.1976.tb01408.x" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="939040">Sparrow et al. (1976)</a> described 7 affected persons in 1 family, with male-to-male transmission. Hypoplasia of the dermatoglyphics was present. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=939040" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#3" class="mim-tip-reference" title="Itin, P. H., Lautenschlager, S., Meyer, R., Mevorah, B., Rufli, T. <strong>Natural history of the Naegeli-Franceschetti-Jadassohn syndrome and further delineation of its clinical manifestations.</strong> J. Am. Acad. Derm. 28: 942-950, 1993.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/8496458/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">8496458</a>] [<a href="https://doi.org/10.1016/0190-9622(93)70135-g" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="8496458">Itin et al. (1993)</a> reexamined the original family with NFJS 65 years after the first description (<a href="#6" class="mim-tip-reference" title="Naegeli, B. <strong>Familiarer Chromatophorennavus.</strong> Schweiz. Med. Wschr. 8: 48 only, 1927."None>Naegeli, 1927</a>). The pedigree included 62 members with 14 affected patients; <a href="#3" class="mim-tip-reference" title="Itin, P. H., Lautenschlager, S., Meyer, R., Mevorah, B., Rufli, T. <strong>Natural history of the Naegeli-Franceschetti-Jadassohn syndrome and further delineation of its clinical manifestations.</strong> J. Am. Acad. Derm. 28: 942-950, 1993.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/8496458/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">8496458</a>] [<a href="https://doi.org/10.1016/0190-9622(93)70135-g" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="8496458">Itin et al. (1993)</a> examined the 10 living patients. They found that the reticulate pigmentation faded after puberty and sometimes disappeared completely in old age. Hypohidrosis, the main problem for the patients, remained constant. Teeth were always severely affected, leading to early total loss. All patients lacked dermatoglyphics. (Adermatoglyphia is a feature of several ectodermal dysplasias (<a href="#2" class="mim-tip-reference" title="Freire-Maia, N., Pinheiro, M. <strong>Ectodermal Dysplasias: A Clinical and Genetic Study.</strong> New York: Alan R. Liss (pub.) 1984."None>Freire-Maia and Pinheiro, 1984</a>).) Diffuse palmoplantar keratoderma may coexist with punctate keratoses that are sometimes accentuated in the creases or exhibit a linear pattern. Four patients had congenital malalignment of the great toenails, a feature not previously described. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8496458" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>See <a href="/entry/246500">246500</a> for a similar condition possibly inherited as a recessive.</p><p>NFJS and dermatopathia pigmentosa reticularis (DPR; <a href="/entry/125595">125595</a>) are closely related autosomal dominant ectodermal dysplasia syndromes that clinically share complete absence of dermatoglyphics (fingerprint lines), a reticulate pattern of skin hyperpigmentation, thickening of the palms and soles (palmoplantar keratoderma), abnormal sweating, and other subtle developmental anomalies of the teeth, hair, and skin.</p>
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<p><a href="#10" class="mim-tip-reference" title="Whittock, N. V., Coleman, C. M., McLean, W. H. I., Ashton, G. H. S., Acland, K. M., Eady, R. A. J., McGrath, J. A. <strong>The gene for Naegeli-Franceschetti-Jadassohn syndrome maps to 17q21.</strong> J. Invest. Derm. 115: 694-698, 2000.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/10998145/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">10998145</a>] [<a href="https://doi.org/10.1046/j.1523-1747.2000.00097.x" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="10998145">Whittock et al. (2000)</a> studied a multigeneration NFJS family of Anglo-Saxon British descent using microsatellite markers. Significant genetic linkage to chromosome 17q was observed using marker D17S1787, with a maximum 2-point lod score of 4.166 at a recombination fraction of theta = 0. Recombination events in the family place the gene in a 26.97-cM interval between markers D17S798 and D17S957, a region known to contain the type I keratin (see <a href="/entry/601077">601077</a>) gene cluster and other genes expressed in epithelia. Keratins K15 (<a href="/entry/148030">148030</a>), K19 (<a href="/entry/148020">148020</a>), and K20 (<a href="/entry/608218">608218</a>), plakoglobin (JUP; <a href="/entry/173325">173325</a>), and MEOX1 (<a href="/entry/600147">600147</a>) were excluded as candidates by direct sequencing of genomic PCR products. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10998145" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#8" class="mim-tip-reference" title="Sprecher, E., Itin, P., Whittock, N. V., McGrath, J. A., Meyer, R., DiGiovanna, J. J., Bale, S. J., Uitto, J., Richard, G. <strong>Refined mapping of Naegeli-Franceschetti-Jadassohn syndrome to a 6 cM interval on chromosome 17q11.2-q21 and investigation of candidate genes.</strong> J. Invest. Derm. 119: 692-698, 2002.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/12230514/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">12230514</a>] [<a href="https://doi.org/10.1046/j.1523-1747.2002.01855.x" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="12230514">Sprecher et al. (2002)</a> studied the large Swiss family with NFJS originally described by <a href="#6" class="mim-tip-reference" title="Naegeli, B. <strong>Familiarer Chromatophorennavus.</strong> Schweiz. Med. Wschr. 8: 48 only, 1927."None>Naegeli (1927)</a> and assessed linkage to chromosome 17q, which was proposed to harbor the NFJ syndrome gene. Their results narrowed the NFJS locus region to 6 cM flanked by D17S933 and D17S934 with a maximum multipoint lod score of 2.7 at marker locus D17S800. The critical interval spanned approximately 5.4 Mb and contained a minimum of 45 distinct genes. <a href="#8" class="mim-tip-reference" title="Sprecher, E., Itin, P., Whittock, N. V., McGrath, J. A., Meyer, R., DiGiovanna, J. J., Bale, S. J., Uitto, J., Richard, G. <strong>Refined mapping of Naegeli-Franceschetti-Jadassohn syndrome to a 6 cM interval on chromosome 17q11.2-q21 and investigation of candidate genes.</strong> J. Invest. Derm. 119: 692-698, 2002.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/12230514/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">12230514</a>] [<a href="https://doi.org/10.1046/j.1523-1747.2002.01855.x" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="12230514">Sprecher et al. (2002)</a> scrutinized 13 new candidate genes in addition to 5 genes previously examined, established the genomic organization of 10 of these genes, and excluded all of them by mutation analysis. They identified a novel keratin protein (KRT24; <a href="/entry/607742">607742</a>) that bears high similarity to the type I keratins and displays a unique expression profile. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12230514" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#5" class="mim-tip-reference" title="Lugassy, J., Itin, P., Ishida-Yamamoto, A., Holland, K., Huson, S., Geiger, D., Hennies, H. C., Indelman, M., Bercovich, D., Uitto, J., Bergman, R., McGrath, J. A., Richard, G., Sprecher, E. <strong>Naegeli-Franceschetti-Jadassohn syndrome and dermatopathia pigmentosa reticularis: two allelic ectodermal dysplasias caused by dominant mutations in KRT14.</strong> Am. J. Hum. Genet. 79: 724-730, 2006.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16960809/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16960809</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16960809[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>] [<a href="https://doi.org/10.1086/507792" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="16960809">Lugassy et al. (2006)</a> studied 4 families with NFJS, including the family originally reported by <a href="#6" class="mim-tip-reference" title="Naegeli, B. <strong>Familiarer Chromatophorennavus.</strong> Schweiz. Med. Wschr. 8: 48 only, 1927."None>Naegeli (1927)</a>, as well as a family with a closely related disorder, dermatopathia pigmentosa reticularis (DPR; <a href="/entry/125595">125595</a>). They confirmed the previously demonstrated linkage of NFJS/DPR to 17q11.2-q21. Combined multipoint analysis generated a maximal lod score of 8.3 at marker D17S800 at a recombination fraction of 0.0. The disease interval was found to harbor 230 genes, including a large cluster of keratin genes. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16960809" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p>The transmission pattern of NFJS in the families reported by <a href="#5" class="mim-tip-reference" title="Lugassy, J., Itin, P., Ishida-Yamamoto, A., Holland, K., Huson, S., Geiger, D., Hennies, H. C., Indelman, M., Bercovich, D., Uitto, J., Bergman, R., McGrath, J. A., Richard, G., Sprecher, E. <strong>Naegeli-Franceschetti-Jadassohn syndrome and dermatopathia pigmentosa reticularis: two allelic ectodermal dysplasias caused by dominant mutations in KRT14.</strong> Am. J. Hum. Genet. 79: 724-730, 2006.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16960809/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16960809</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16960809[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>] [<a href="https://doi.org/10.1086/507792" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="16960809">Lugassy et al. (2006)</a> was consistent with autosomal dominant inheritance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16960809" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p>In 4 families with NFJS, including the family originally reported by <a href="#6" class="mim-tip-reference" title="Naegeli, B. <strong>Familiarer Chromatophorennavus.</strong> Schweiz. Med. Wschr. 8: 48 only, 1927."None>Naegeli (1927)</a>, as well as in a family with DPR, <a href="#5" class="mim-tip-reference" title="Lugassy, J., Itin, P., Ishida-Yamamoto, A., Holland, K., Huson, S., Geiger, D., Hennies, H. C., Indelman, M., Bercovich, D., Uitto, J., Bergman, R., McGrath, J. A., Richard, G., Sprecher, E. <strong>Naegeli-Franceschetti-Jadassohn syndrome and dermatopathia pigmentosa reticularis: two allelic ectodermal dysplasias caused by dominant mutations in KRT14.</strong> Am. J. Hum. Genet. 79: 724-730, 2006.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16960809/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16960809</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16960809[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>] [<a href="https://doi.org/10.1086/507792" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="16960809">Lugassy et al. (2006)</a> identified heterozygous nonsense or frameshift mutations in the KRT14 gene that segregated with the disease trait in all 5 families (<a href="/entry/148066#0015">148066.0015</a>, <a href="/entry/148066#0016">148066.0016</a>, and <a href="/entry/148066#0019">148066.0019</a>). In contrast with KRT14 mutations affecting the central alpha-helical rod domain of keratin-14, which cause epidermolysis bullosa simplex of several clinical types, NFJS/DPR-associated mutations were found in a region of the gene encoding the nonhelical head (E1/V1) domain and were predicted to result in very early termination of translation. The data suggested that KRT14 plays an important role during ontogenesis of dermatoglyphics and sweat glands. Among other functions, the N-terminal part of keratin molecules confers protection against proapoptotic signals. Ultrastructural examination of patient skin biopsy specimens provided evidence for increased apoptotic activity in the basal cell layer where KRT14 is expressed, suggesting that apoptosis is an important mechanism in the pathogenesis of NFJS/DPR. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16960809" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p>Family 1 in the study of NFJS by <a href="#5" class="mim-tip-reference" title="Lugassy, J., Itin, P., Ishida-Yamamoto, A., Holland, K., Huson, S., Geiger, D., Hennies, H. C., Indelman, M., Bercovich, D., Uitto, J., Bergman, R., McGrath, J. A., Richard, G., Sprecher, E. <strong>Naegeli-Franceschetti-Jadassohn syndrome and dermatopathia pigmentosa reticularis: two allelic ectodermal dysplasias caused by dominant mutations in KRT14.</strong> Am. J. Hum. Genet. 79: 724-730, 2006.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16960809/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16960809</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16960809[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>] [<a href="https://doi.org/10.1086/507792" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="16960809">Lugassy et al. (2006)</a> was the large multigenerational Swiss family in which the disorder was originally described by Naegeli in 1927 and had been followed since that time in a number of reports over a period of 80 years (<a href="#1" class="mim-tip-reference" title="Franceschetti, A., Jadassohn, W. <strong>A propos de l'incontinentia pigmenti, delimitation de deux syndromes differents figurant sous le meme terme.</strong> Dermatologica 108: 1-28, 1954.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/13141721/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">13141721</a>]" pmid="13141721">Franceschetti and Jadassohn, 1954</a>; <a href="#3" class="mim-tip-reference" title="Itin, P. H., Lautenschlager, S., Meyer, R., Mevorah, B., Rufli, T. <strong>Natural history of the Naegeli-Franceschetti-Jadassohn syndrome and further delineation of its clinical manifestations.</strong> J. Am. Acad. Derm. 28: 942-950, 1993.[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/8496458/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">8496458</a>] [<a href="https://doi.org/10.1016/0190-9622(93)70135-g" target="_blank" onclick="gtag('event', 'mim_outbound', {'destination': 'Publisher'})">Full Text</a>]" pmid="8496458">Itin et al., 1993</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?term=13141721+8496458+16960809" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a href="#Kitamura1955" class="mim-tip-reference" title="Kitamura, K., Hirako, T. <strong>Ueber zwei japanische Faelle einer eigenartigen retikulaeren Pigmentierung: zur Frage der Dermatose pigmentaire reticulee (Franceschetti-Jadassohn).</strong> Dermatologica 110: 97-107, 1955.">Kitamura and Hirako (1955)</a>; <a href="#Vilanova1959" class="mim-tip-reference" title="Vilanova, X., Aguade, J. P. <strong>Incontinentia pigmenti: troubles sudoripares fonctionnels dysplastiques et pigmentaires chez les ascendants.</strong> Ann. Derm. Syph. 86: 247-258, 1959.">Vilanova and Aguade (1959)</a>
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Franceschetti, A., Jadassohn, W.
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<strong>A propos de l'incontinentia pigmenti, delimitation de deux syndromes differents figurant sous le meme terme.</strong>
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Dermatologica 108: 1-28, 1954.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/13141721/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">13141721</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=13141721" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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Freire-Maia, N., Pinheiro, M.
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<strong>Ectodermal Dysplasias: A Clinical and Genetic Study.</strong>
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New York: Alan R. Liss (pub.) 1984.
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Itin, P. H., Lautenschlager, S., Meyer, R., Mevorah, B., Rufli, T.
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<strong>Natural history of the Naegeli-Franceschetti-Jadassohn syndrome and further delineation of its clinical manifestations.</strong>
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J. Am. Acad. Derm. 28: 942-950, 1993.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/8496458/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">8496458</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=8496458" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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[<a href="https://doi.org/10.1016/0190-9622(93)70135-g" target="_blank">Full Text</a>]
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<a id="Kitamura1955" class="mim-anchor"></a>
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Kitamura, K., Hirako, T.
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<strong>Ueber zwei japanische Faelle einer eigenartigen retikulaeren Pigmentierung: zur Frage der Dermatose pigmentaire reticulee (Franceschetti-Jadassohn).</strong>
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Dermatologica 110: 97-107, 1955.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14379757/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14379757</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14379757" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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Lugassy, J., Itin, P., Ishida-Yamamoto, A., Holland, K., Huson, S., Geiger, D., Hennies, H. C., Indelman, M., Bercovich, D., Uitto, J., Bergman, R., McGrath, J. A., Richard, G., Sprecher, E.
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<strong>Naegeli-Franceschetti-Jadassohn syndrome and dermatopathia pigmentosa reticularis: two allelic ectodermal dysplasias caused by dominant mutations in KRT14.</strong>
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Am. J. Hum. Genet. 79: 724-730, 2006.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16960809/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16960809</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16960809[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16960809" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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[<a href="https://doi.org/10.1086/507792" target="_blank">Full Text</a>]
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Naegeli, B.
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<strong>Familiarer Chromatophorennavus.</strong>
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Schweiz. Med. Wschr. 8: 48 only, 1927.
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Sparrow, G. P., Samman, P. D., Wells, R. S.
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<strong>Hyperpigmentation and hypohidrosis (the Naegeli-Franceschetti-Jadassohn syndrome): report of a family and review of the literature.</strong>
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Clin. Exp. Derm. 1: 127-140, 1976.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/939040/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">939040</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=939040" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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[<a href="https://doi.org/10.1111/j.1365-2230.1976.tb01408.x" target="_blank">Full Text</a>]
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Sprecher, E., Itin, P., Whittock, N. V., McGrath, J. A., Meyer, R., DiGiovanna, J. J., Bale, S. J., Uitto, J., Richard, G.
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<strong>Refined mapping of Naegeli-Franceschetti-Jadassohn syndrome to a 6 cM interval on chromosome 17q11.2-q21 and investigation of candidate genes.</strong>
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J. Invest. Derm. 119: 692-698, 2002.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/12230514/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">12230514</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12230514" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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[<a href="https://doi.org/10.1046/j.1523-1747.2002.01855.x" target="_blank">Full Text</a>]
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<a id="Vilanova1959" class="mim-anchor"></a>
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Vilanova, X., Aguade, J. P.
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<strong>Incontinentia pigmenti: troubles sudoripares fonctionnels dysplastiques et pigmentaires chez les ascendants.</strong>
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Ann. Derm. Syph. 86: 247-258, 1959.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/13670508/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">13670508</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=13670508" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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Whittock, N. V., Coleman, C. M., McLean, W. H. I., Ashton, G. H. S., Acland, K. M., Eady, R. A. J., McGrath, J. A.
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<strong>The gene for Naegeli-Franceschetti-Jadassohn syndrome maps to 17q21.</strong>
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J. Invest. Derm. 115: 694-698, 2000.
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[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/10998145/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">10998145</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10998145" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
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[<a href="https://doi.org/10.1046/j.1523-1747.2000.00097.x" target="_blank">Full Text</a>]
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<span class="mim-text-font">
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Anne M. Stumpf - updated : 06/02/2023
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Victor A. McKusick - updated : 9/22/2006<br>Gary A. Bellus - updated : 5/1/2003<br>Gary A. Bellus - updated : 3/28/2001
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Victor A. McKusick : 6/2/1986
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carol : 01/09/2024
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alopez : 06/02/2023<br>carol : 11/03/2017<br>carol : 11/02/2017<br>alopez : 01/12/2017<br>carol : 10/09/2012<br>alopez : 9/27/2006<br>alopez : 9/27/2006<br>terry : 9/22/2006<br>mgross : 3/17/2004<br>alopez : 5/1/2003<br>alopez : 5/1/2003<br>cwells : 4/4/2001<br>cwells : 3/28/2001<br>mimadm : 12/2/1994<br>jason : 7/14/1994<br>davew : 7/12/1994<br>warfield : 3/2/1994<br>carol : 8/12/1993<br>carol : 7/6/1993
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<strong>#</strong> 161000
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NAEGELI-FRANCESCHETTI-JADASSOHN SYNDROME; NFJS
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NAEGELI SYNDROME<br />
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NFJ SYNDROME
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<strong>SNOMEDCT:</strong> 239084001;
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<strong>ORPHA:</strong> 69087;
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<strong>DO:</strong> 0111528;
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<strong>Phenotype-Gene Relationships</strong>
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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17q21.2
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Naegeli-Franceschetti-Jadassohn syndrome
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<span class="mim-font">
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161000
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Autosomal dominant
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3
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KRT14
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148066
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<p>A number sign (#) is used with this entry because of evidence that the Naegeli-Franceschetti-Jadassohn syndrome (NFJS) is caused by heterozygous mutation in the keratin-14 gene (KRT14; 148066) on chromosome 17q21.</p><p>A closely related disorder, dermatopathia pigmentosa reticularis (DPR; 125595), is also caused by heterozygous mutation in the KRT14 gene.</p>
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<strong>Description</strong>
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<p>Naegeli-Franceschetti-Jadassohn syndrome (NFJS) is a rare autosomal dominant disorder of skin, hair, and teeth. It is characterized by complete absence of dermatoglyphics (fingerprint lines), a reticulate pattern of skin hyperpigmentation that tends to disappear with age, thickening of the palms and soles (palmoplantar keratoderma), and decreased sweating. Dental anomalies including enamel defects, skin blistering, and nail dystrophy have been reported in some patients. It can be distinguished from dermatopathia pigmentosa reticularis (DPR) by the latter's features of lifelong persistence of the skin hyperpigmentation, partial alopecia, and absence of dental anomalies (summary by Lugassy et al., 2006). </p>
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<p>Naegeli (1927) described the syndrome in a father and 2 daughters. In a restudy of the original family, Franceschetti and Jadassohn (1954) documented autosomal dominant inheritance. The disorder was earlier confused with incontinentia pigmenti (IP; see 308300). Differences from IP include (1) equal frequency in males and females; (2) plantar and palmar hypohidrosis and hyperkeratosis; and (3) uncommon blistering and inflammatory phenomena. The cardinal features are reticular cutaneous pigmentation (starting at about the age of 2 years without a preceding inflammatory stage), discomfort provoked by heat with diminished sweat gland function, poor teeth, and moderate hyperkeratosis of the palms and soles. Males and females are equally affected. </p><p>Sparrow et al. (1976) described 7 affected persons in 1 family, with male-to-male transmission. Hypoplasia of the dermatoglyphics was present. </p><p>Itin et al. (1993) reexamined the original family with NFJS 65 years after the first description (Naegeli, 1927). The pedigree included 62 members with 14 affected patients; Itin et al. (1993) examined the 10 living patients. They found that the reticulate pigmentation faded after puberty and sometimes disappeared completely in old age. Hypohidrosis, the main problem for the patients, remained constant. Teeth were always severely affected, leading to early total loss. All patients lacked dermatoglyphics. (Adermatoglyphia is a feature of several ectodermal dysplasias (Freire-Maia and Pinheiro, 1984).) Diffuse palmoplantar keratoderma may coexist with punctate keratoses that are sometimes accentuated in the creases or exhibit a linear pattern. Four patients had congenital malalignment of the great toenails, a feature not previously described. </p><p>See 246500 for a similar condition possibly inherited as a recessive.</p><p>NFJS and dermatopathia pigmentosa reticularis (DPR; 125595) are closely related autosomal dominant ectodermal dysplasia syndromes that clinically share complete absence of dermatoglyphics (fingerprint lines), a reticulate pattern of skin hyperpigmentation, thickening of the palms and soles (palmoplantar keratoderma), abnormal sweating, and other subtle developmental anomalies of the teeth, hair, and skin.</p>
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<strong>Mapping</strong>
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<p>Whittock et al. (2000) studied a multigeneration NFJS family of Anglo-Saxon British descent using microsatellite markers. Significant genetic linkage to chromosome 17q was observed using marker D17S1787, with a maximum 2-point lod score of 4.166 at a recombination fraction of theta = 0. Recombination events in the family place the gene in a 26.97-cM interval between markers D17S798 and D17S957, a region known to contain the type I keratin (see 601077) gene cluster and other genes expressed in epithelia. Keratins K15 (148030), K19 (148020), and K20 (608218), plakoglobin (JUP; 173325), and MEOX1 (600147) were excluded as candidates by direct sequencing of genomic PCR products. </p><p>Sprecher et al. (2002) studied the large Swiss family with NFJS originally described by Naegeli (1927) and assessed linkage to chromosome 17q, which was proposed to harbor the NFJ syndrome gene. Their results narrowed the NFJS locus region to 6 cM flanked by D17S933 and D17S934 with a maximum multipoint lod score of 2.7 at marker locus D17S800. The critical interval spanned approximately 5.4 Mb and contained a minimum of 45 distinct genes. Sprecher et al. (2002) scrutinized 13 new candidate genes in addition to 5 genes previously examined, established the genomic organization of 10 of these genes, and excluded all of them by mutation analysis. They identified a novel keratin protein (KRT24; 607742) that bears high similarity to the type I keratins and displays a unique expression profile. </p><p>Lugassy et al. (2006) studied 4 families with NFJS, including the family originally reported by Naegeli (1927), as well as a family with a closely related disorder, dermatopathia pigmentosa reticularis (DPR; 125595). They confirmed the previously demonstrated linkage of NFJS/DPR to 17q11.2-q21. Combined multipoint analysis generated a maximal lod score of 8.3 at marker D17S800 at a recombination fraction of 0.0. The disease interval was found to harbor 230 genes, including a large cluster of keratin genes. </p>
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<strong>Inheritance</strong>
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<p>The transmission pattern of NFJS in the families reported by Lugassy et al. (2006) was consistent with autosomal dominant inheritance. </p>
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<strong>Molecular Genetics</strong>
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<p>In 4 families with NFJS, including the family originally reported by Naegeli (1927), as well as in a family with DPR, Lugassy et al. (2006) identified heterozygous nonsense or frameshift mutations in the KRT14 gene that segregated with the disease trait in all 5 families (148066.0015, 148066.0016, and 148066.0019). In contrast with KRT14 mutations affecting the central alpha-helical rod domain of keratin-14, which cause epidermolysis bullosa simplex of several clinical types, NFJS/DPR-associated mutations were found in a region of the gene encoding the nonhelical head (E1/V1) domain and were predicted to result in very early termination of translation. The data suggested that KRT14 plays an important role during ontogenesis of dermatoglyphics and sweat glands. Among other functions, the N-terminal part of keratin molecules confers protection against proapoptotic signals. Ultrastructural examination of patient skin biopsy specimens provided evidence for increased apoptotic activity in the basal cell layer where KRT14 is expressed, suggesting that apoptosis is an important mechanism in the pathogenesis of NFJS/DPR. </p>
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<strong>History</strong>
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<span class="mim-text-font">
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<p>Family 1 in the study of NFJS by Lugassy et al. (2006) was the large multigenerational Swiss family in which the disorder was originally described by Naegeli in 1927 and had been followed since that time in a number of reports over a period of 80 years (Franceschetti and Jadassohn, 1954; Itin et al., 1993). </p>
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<strong>See Also:</strong>
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<span class="mim-text-font">
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Kitamura and Hirako (1955); Vilanova and Aguade (1959)
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<strong>REFERENCES</strong>
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<li>
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<p class="mim-text-font">
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Franceschetti, A., Jadassohn, W.
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<strong>A propos de l'incontinentia pigmenti, delimitation de deux syndromes differents figurant sous le meme terme.</strong>
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Dermatologica 108: 1-28, 1954.
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[PubMed: 13141721]
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<p class="mim-text-font">
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Freire-Maia, N., Pinheiro, M.
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<strong>Ectodermal Dysplasias: A Clinical and Genetic Study.</strong>
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New York: Alan R. Liss (pub.) 1984.
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<li>
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<p class="mim-text-font">
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Itin, P. H., Lautenschlager, S., Meyer, R., Mevorah, B., Rufli, T.
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<strong>Natural history of the Naegeli-Franceschetti-Jadassohn syndrome and further delineation of its clinical manifestations.</strong>
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J. Am. Acad. Derm. 28: 942-950, 1993.
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[PubMed: 8496458]
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[Full Text: https://doi.org/10.1016/0190-9622(93)70135-g]
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Kitamura, K., Hirako, T.
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<strong>Ueber zwei japanische Faelle einer eigenartigen retikulaeren Pigmentierung: zur Frage der Dermatose pigmentaire reticulee (Franceschetti-Jadassohn).</strong>
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Dermatologica 110: 97-107, 1955.
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[PubMed: 14379757]
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Lugassy, J., Itin, P., Ishida-Yamamoto, A., Holland, K., Huson, S., Geiger, D., Hennies, H. C., Indelman, M., Bercovich, D., Uitto, J., Bergman, R., McGrath, J. A., Richard, G., Sprecher, E.
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<strong>Naegeli-Franceschetti-Jadassohn syndrome and dermatopathia pigmentosa reticularis: two allelic ectodermal dysplasias caused by dominant mutations in KRT14.</strong>
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Am. J. Hum. Genet. 79: 724-730, 2006.
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[PubMed: 16960809]
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[Full Text: https://doi.org/10.1086/507792]
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</p>
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</li>
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Naegeli, B.
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<strong>Familiarer Chromatophorennavus.</strong>
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Schweiz. Med. Wschr. 8: 48 only, 1927.
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</p>
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</li>
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<li>
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Sparrow, G. P., Samman, P. D., Wells, R. S.
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<strong>Hyperpigmentation and hypohidrosis (the Naegeli-Franceschetti-Jadassohn syndrome): report of a family and review of the literature.</strong>
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Clin. Exp. Derm. 1: 127-140, 1976.
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[PubMed: 939040]
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[Full Text: https://doi.org/10.1111/j.1365-2230.1976.tb01408.x]
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Sprecher, E., Itin, P., Whittock, N. V., McGrath, J. A., Meyer, R., DiGiovanna, J. J., Bale, S. J., Uitto, J., Richard, G.
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<strong>Refined mapping of Naegeli-Franceschetti-Jadassohn syndrome to a 6 cM interval on chromosome 17q11.2-q21 and investigation of candidate genes.</strong>
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J. Invest. Derm. 119: 692-698, 2002.
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[PubMed: 12230514]
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[Full Text: https://doi.org/10.1046/j.1523-1747.2002.01855.x]
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</p>
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</li>
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<li>
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<p class="mim-text-font">
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Vilanova, X., Aguade, J. P.
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<strong>Incontinentia pigmenti: troubles sudoripares fonctionnels dysplastiques et pigmentaires chez les ascendants.</strong>
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Ann. Derm. Syph. 86: 247-258, 1959.
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[PubMed: 13670508]
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Whittock, N. V., Coleman, C. M., McLean, W. H. I., Ashton, G. H. S., Acland, K. M., Eady, R. A. J., McGrath, J. A.
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<strong>The gene for Naegeli-Franceschetti-Jadassohn syndrome maps to 17q21.</strong>
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J. Invest. Derm. 115: 694-698, 2000.
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[PubMed: 10998145]
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[Full Text: https://doi.org/10.1046/j.1523-1747.2000.00097.x]
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Anne M. Stumpf - updated : 06/02/2023<br>Victor A. McKusick - updated : 9/22/2006<br>Gary A. Bellus - updated : 5/1/2003<br>Gary A. Bellus - updated : 3/28/2001
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Victor A. McKusick : 6/2/1986
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