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<title>
Entry
- #247100 - LIPOID PROTEINOSIS OF URBACH AND WIETHE
- OMIM
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<span class="h4">#247100</span>
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<strong>Table of Contents</strong>
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<a href="#title"><strong>Title</strong></a>
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<a href="#phenotypeMap"><strong>Phenotype-Gene Relationships</strong></a>
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<a href="/clinicalSynopsis/247100"><strong>Clinical Synopsis</strong></a>
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<a href="#text"><strong>Text</strong></a>
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<a href="#description">Description</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#clinicalFeatures">Clinical Features</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#inheritance">Inheritance</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#pathogenesis">Pathogenesis</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#mapping">Mapping</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#molecularGenetics">Molecular Genetics</a>
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<a href="#genotypePhenotypeCorrelations">Genotype/Phenotype Correlations</a>
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<a href="#populationGenetics">Population Genetics</a>
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<a href="#seeAlso"><strong>See Also</strong></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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<a href="#editHistory"><strong>Edit History</strong></a>
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<div><a href="https://clinicaltrials.gov/search?cond=LIPOID PROTEINOSIS OF URBACH AND WIETHE" class="mim-tip-hint" title="A registry of federally and privately supported clinical trials conducted in the United States and around the world." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Clinical Trials', 'domain': 'clinicaltrials.gov'})">Clinical Trials</a></div>
<div><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=8650&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 style="display: table-cell;">Animal Models</div>
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<div id="mimAnimalModelsLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.alliancegenome.org/disease/DOID:14498" 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>
<div><a href="http://www.informatics.jax.org/disease/247100" 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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<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimCellLines">
<span class="panel-title">
<span class="small">
<a href="#mimCellLinesLinksFold" id="mimCellLinesLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
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<div id="mimCellLinesLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Cell Lines</div>
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</a>
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<div id="mimCellLinesLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://catalog.coriell.org/Search?q=OmimNum:247100" class="definition" title="Coriell Cell Repositories; cell cultures and DNA derived from cell cultures." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'CCR', 'domain': 'ccr.coriell.org'})">Coriell</a></div>
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<span>
<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.">
&nbsp;
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<div class="col-lg-8 col-lg-pull-2 col-md-8 col-md-pull-2 col-sm-8 col-sm-pull-2 col-xs-12">
<div>
<a id="title" class="mim-anchor"></a>
<div>
<a id="number" class="mim-anchor"></a>
<div class="text-right">
<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
<strong>SNOMEDCT:</strong> 38692000<br />
<strong>ORPHA:</strong> 530<br />
<strong>DO:</strong> 14498<br />
">ICD+</a>
</div>
<div>
<span class="h3">
<span class="mim-font mim-tip-hint" title="Phenotype description, molecular basis known">
<span class="text-danger"><strong>#</strong></span>
247100
</span>
</span>
</div>
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<div>
<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
LIPOID PROTEINOSIS OF URBACH AND WIETHE
</span>
</h3>
</div>
<div>
<br />
</div>
<div>
<a id="alternativeTitles" class="mim-anchor"></a>
<div>
<p>
<span class="mim-font">
<em>Alternative titles; symbols</em>
</span>
</p>
</div>
<div>
<h4>
<span class="mim-font">
LIPOID PROTEINOSIS<br />
URBACH-WIETHE DISEASE<br />
HYALINOSIS CUTIS ET MUCOSAE
</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/1/1069?start=-3&limit=10&highlight=1069">
1q21.2
</a>
</span>
</td>
<td>
<span class="mim-font">
Urbach-Wiethe disease
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/247100"> 247100 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</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">
ECM1
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602201"> 602201 </a>
</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div class="btn-group ">
<a href="/clinicalSynopsis/247100" 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>
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&nbsp;
<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/247100" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Linear'})"> Linear </a></li>
<li><a href="/graph/radial/247100" 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 recessive <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/258211005" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">258211005</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0441748&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0441748</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000007</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000007" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000007</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> Face </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Acneform lesions <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550509&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550509</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Eyes </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Papules along the eyebrows and palpebral fissures <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550510&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550510</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Mouth </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Papules on the lips <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C2183977&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2183977</a>]</span><br /> -
Pharyngeal lesions <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/71741000112102" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">71741000112102</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0749389&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0749389</a>]</span><br /> -
Thickened tongue <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1406997&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1406997</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> RESPIRATORY </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Larynx </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Laryngeal lesions resulting in hoarseness <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550514&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550514</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">
- Yellow, papular lesions of the lip, soft palate, pharynx <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550511&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550511</a>]</span><br /> -
Thickened skin over the elbows and along the fingers <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550512&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550512</a>]</span><br /> -
Verrucous lesions <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0043037&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0043037</a>]</span><br /> -
Acneform facial lesions <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550509&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550509</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Skin Histology </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Deposition of hyaline material in the skin <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550513&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550513</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Hair </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Patchy alopecia <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1862862&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1862862</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002232" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002232</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002232" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002232</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> NEUROLOGIC </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Central Nervous System </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Memory impairment <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/55533009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">55533009</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/386807006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">386807006</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0542476&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0542476</a>, <a href="https://bioportal.bioontology.org/search?q=C0233794&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0233794</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002354" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002354</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0002354" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0002354</a>]</span><br /> -
Episodic absence-like spells <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550505&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550505</a>]</span><br /> -
Seizures <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/91175000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">91175000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0036572&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0036572</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001250" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001250</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001250" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001250</a>]</span><br /> -
Intracranial calcifications in the anterior mesial temporal lobes <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550506&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550506</a>]</span><br /> -
Calcification of the amygdala and the amygdala-hippocampal transition area <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550507&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550507</a>]</span><br />
</span>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<em> Behavioral Psychiatric Manifestations </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Executive dysfunction <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C2748208&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2748208</a>]</span><br /> -
Paranoia <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/191667009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">191667009</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/F22" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">F22</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1456784&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1456784</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0011999" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0011999</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0011999" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0011999</a>]</span><br /> -
Aggressive behavior <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/61372001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">61372001</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0001807&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0001807</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0006919" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0006919</a>, <a href="https://hpo.jax.org/app/browse/term/HP:0000718" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000718</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000718" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000718</a>]</span><br /> -
Hallucinations <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/7011001" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">7011001</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R44.3" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R44.3</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/780.1" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">780.1</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0018524&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0018524</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000738" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000738</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000738" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000738</a>]</span><br /> -
Absence of fear <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550508&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550508</a>]</span><br />
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<strong> VOICE </strong>
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- Hoarse voice due to laryngeal infiltration <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C3550515&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C3550515</a>]</span> <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/50219008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">50219008</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R49.0" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R49.0</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001609" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001609</a>]</span><br />
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<strong> MISCELLANEOUS </strong>
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- Onset in childhood<br /> -
Neuropsychiatric manifestations are variable<br />
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<strong> MOLECULAR BASIS </strong>
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- Caused by mutation in the extracellular matrix protein 1 gene (ECM1, <a href="/entry/602201#0001">602201.0001</a>)<br />
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<p>A number sign (#) is used with this entry because of evidence that lipoid proteinosis is caused by homozygous or compound heterozygous mutation in the ECM1 gene (<a href="/entry/602201">602201</a>) on chromosome 1q21.</p>
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<strong>Description</strong>
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<p>Lipoid proteinosis of Urbach and Wiethe is a rare autosomal recessive disorder typified by generalized thickening of skin, mucosae, and certain viscera. Classic features include beaded eyelid papules and laryngeal infiltration leading to hoarseness. The disorder is clinically heterogeneous, with affected individuals displaying differing degrees of skin scarring and infiltration, variable signs of hoarseness and respiratory distress, and in some cases neurologic abnormalities such as temporal lobe epilepsy. Histologically, there is widespread deposition of hyaline (glycoprotein) material and disruption/reduplication of basement membrane (summary by <a href="#13" class="mim-tip-reference" title="Hamada, T., McLean, W. H. I., Ramsay, M., Ashton, G. H. S., Nanda, A., Jenkins, T., Edelstein, I., South, A. P., Bleck, O., Wessagowit, V., Mallipeddi, R., Orchard, G. E., and 12 others. &lt;strong&gt;Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1 gene (ECM1).&lt;/strong&gt; Hum. Molec. Genet. 11: 833-840, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11929856/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11929856&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.7.833&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11929856">Hamada et al., 2002</a> and <a href="#14" class="mim-tip-reference" title="Hamada, T., Wessagowit, V., South, A. P., Ashton, G. H. S., Chan, I., Oyama, N., Siriwattana, A., Jewhasuchin, P., Charuwichitratana, S., Thappa, D. M., Jeevankumar, B., Lenane, P., Krafchik, B., and 9 others. &lt;strong&gt;Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation.&lt;/strong&gt; J. Invest. Derm. 120: 345-350, 2003. Note: Erratum: J. Invest. Derm. 123: 805-806, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12603844/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12603844&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1046/j.1523-1747.2003.12073.x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12603844">Hamada et al., 2003</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?term=12603844+11929856" 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>This disorder was first reported by <a href="#29" class="mim-tip-reference" title="Urbach, E., Wiethe, C. &lt;strong&gt;Lipoidosis cutis et mucosae.&lt;/strong&gt; Virchows Arch. Path. Anat. 273: 285-319, 1929."None>Urbach and Wiethe (1929)</a>. The association of early hoarseness with an unusual skin eruption suggests the diagnosis.</p><p><a href="#21" class="mim-tip-reference" title="Meenan, F. O. C., Bowe, S. D., Dinn, J. J., McCabe, M., McCullen, O., Masterson, J. G., Towers, R. P. &lt;strong&gt;Lipoid proteinosis: a clinical, pathological and genetic study.&lt;/strong&gt; Quart. J. Med. 47: 549-561, 1978.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/751090/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;751090&lt;/a&gt;]" pmid="751090">Meenan et al. (1978)</a> reported multiple cases in 2 closely related Irish families. Characteristics included a history of progressive hoarseness since birth; thick, yellowish skin on the face and neck with several white scars on the cheeks; infiltration of the larynx; small nodules on the edges of the upper eyelids, giving a beaded appearance; and red and verrucose skin over the elbows and knees. Additional features included patchy alopecia, mental retardation, and epilepsy. <a href="#21" class="mim-tip-reference" title="Meenan, F. O. C., Bowe, S. D., Dinn, J. J., McCabe, M., McCullen, O., Masterson, J. G., Towers, R. P. &lt;strong&gt;Lipoid proteinosis: a clinical, pathological and genetic study.&lt;/strong&gt; Quart. J. Med. 47: 549-561, 1978.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/751090/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;751090&lt;/a&gt;]" pmid="751090">Meenan et al. (1978)</a> indicated that bilateral intracranial calcifications are common in this disorder. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=751090" 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><strong><em>Neuropsychologic/Neuropsychiatric Manifestations</em></strong></p><p>
<a href="#23" class="mim-tip-reference" title="Newton, F. H., Rosenberg, R. N., Lampert, P. W., O&#x27;Brien, J. S. &lt;strong&gt;Neurological involvement in Urbach-Wiethe&#x27;s disease (lipoid proteinosis): a clinical, ultrastructural, and chemical study.&lt;/strong&gt; Neurology 21: 1205-1213, 1971.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/5002423/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;5002423&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1212/wnl.21.12.1205&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="5002423">Newton et al. (1971)</a> reported an affected brother and sister of Lebanese extraction, born to second-cousin parents, who manifested neuropsychiatric symptoms, including seizures, memory defects, and rage attacks. The authors stressed the presence of specific intracranial calcifications, which they considered pathognomonic of the disease. By electron microscopy they found filamentous-like material in skin lesions, but its composition could not be defined. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=5002423" 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="Emsley, R. A., Paster, L. &lt;strong&gt;Lipoid proteinosis presenting with neuropsychiatric manifestations.&lt;/strong&gt; J. Neurol. Neurosurg. Psychiat. 48: 1290-1292, 1985.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/4087005/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;4087005&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1136/jnnp.48.12.1290&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="4087005">Emsley and Paster (1985)</a> reported 2 unrelated patients with lipoid proteinosis. One was a 51-year-old man who presented to psychiatry with paranoia, mistrustfulness, suspicion, and aggressive attitude. He reported hoarseness since childhood and impaired memory for 10 years. Physical examination showed yellow papular lesions on the lower lip, soft palate, and pharynx. Brain CT scan showed bilateral symmetric calcification in the medial temporal lobe in the region of the amygdala. A brother reportedly had poor memory and experienced episodic 'absences.' The second patient was an 18-year-old girl who presented to psychiatry with abnormal behavior. She had hoarse voice since childhood and raised lesions on her face and around her mouth. She also had poor memory. Psychiatric evaluation showed that she was agitated with persecutory delusions and verbal hallucinations. Physical examination showed acneform facial lesions and scarring, with fine nodules along the palpebral fissures. There were yellow-white papules on the lips and tongue, and laryngeal infiltration. Brain CT scan showed calcification of the medial temporal lobes. <a href="#7" class="mim-tip-reference" title="Emsley, R. A., Paster, L. &lt;strong&gt;Lipoid proteinosis presenting with neuropsychiatric manifestations.&lt;/strong&gt; J. Neurol. Neurosurg. Psychiat. 48: 1290-1292, 1985.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/4087005/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;4087005&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1136/jnnp.48.12.1290&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="4087005">Emsley and Paster (1985)</a> emphasized the psychiatric presentation of these patients. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4087005" 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="#1" class="mim-tip-reference" title="Adolphs, R., Tranel, D., Damasio, H., Damasio, A. &lt;strong&gt;Impaired recognition of emotion in facial expressions following bilateral damage to the human amygdala.&lt;/strong&gt; Nature 372: 669-672, 1994.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7990957/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7990957&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/372669a0&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7990957">Adolphs et al. (1994)</a> studied a 30-year-old woman (SM) with Urbach-Wiethe disease which had caused a nearly complete bilateral destruction of the amygdala, while sparing the hippocampus and all neocortical structures, as revealed by detailed neuroanatomic analysis of her CT and MRI scans. Studies in animals had shown that the amygdala receives highly processed visual input, contains neurons that respond selectively to faces, and participates in emotion and social behavior. From a study of this unusual patient, <a href="#1" class="mim-tip-reference" title="Adolphs, R., Tranel, D., Damasio, H., Damasio, A. &lt;strong&gt;Impaired recognition of emotion in facial expressions following bilateral damage to the human amygdala.&lt;/strong&gt; Nature 372: 669-672, 1994.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7990957/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7990957&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/372669a0&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7990957">Adolphs et al. (1994)</a> obtained results suggesting that the human amygdala may be indispensable to recognize fear in facial expressions and to recognize multiple emotions in a single facial expression, but may not be required to recognize personal identity from faces. Patient SM, reported by <a href="#1" class="mim-tip-reference" title="Adolphs, R., Tranel, D., Damasio, H., Damasio, A. &lt;strong&gt;Impaired recognition of emotion in facial expressions following bilateral damage to the human amygdala.&lt;/strong&gt; Nature 372: 669-672, 1994.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7990957/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7990957&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/372669a0&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7990957">Adolphs et al. (1994)</a>, was also studied in detail by <a href="#28" class="mim-tip-reference" title="Tranel, D., Hyman, B. T. &lt;strong&gt;Neuropsychological correlates of bilateral amygdala damage.&lt;/strong&gt; Arch. Neurol. 47: 349-355, 1990.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2310319/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2310319&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archneur.1990.00530030131029&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2310319">Tranel and Hyman (1990)</a>, <a href="#27" class="mim-tip-reference" title="Tranel, D., Gullickson, G., Koch, M., Adolphs, R. &lt;strong&gt;Altered experience of emotion following bilateral amygdala damage.&lt;/strong&gt; Cogn. Neuropsychiatry 11: 219-232, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17354069/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17354069&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1080/13546800444000281&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17354069">Tranel et al. (2006)</a>, and <a href="#10" class="mim-tip-reference" title="Feinstein, J. S., Adolphs, R., Damasio, A., Tranel, D. &lt;strong&gt;The human amygdala and the induction and experience of fear.&lt;/strong&gt; Curr. Biol. 21: 34-38, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21167712/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21167712&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=21167712[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.cub.2010.11.042&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21167712">Feinstein et al. (2011)</a>. The diagnosis of lipoid proteinosis was based on the presence of typical beaded papules along the edges of her eyebrows, thickening of the tongue, thickening of the skin over her elbows and knuckles, papules along the sides of her fingers, and relative skin fragility. She had marked hoarseness since birth. Biopsy of affected skin showed deposition of neutral mucopolysaccharides. She presented with occasional absence-like spells every few months and had poor day-to-day memory. Extensive neuropsychologic investigations by <a href="#28" class="mim-tip-reference" title="Tranel, D., Hyman, B. T. &lt;strong&gt;Neuropsychological correlates of bilateral amygdala damage.&lt;/strong&gt; Arch. Neurol. 47: 349-355, 1990.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2310319/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2310319&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1001/archneur.1990.00530030131029&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="2310319">Tranel and Hyman (1990)</a> showed that the patient had significant defects in nonverbal visual memory, in social behavior, and in executive control function. Intellect was low-average, but consistent with her environmental circumstances. She also showed difficulty in geographical navigation in her hometown, but no defects in remote memories. Socially, she was very cooperative, outgoing, and even flirtatious at times. There were no defects in electrodermal activity in the skin conductance response test. The findings suggested that the amygdala plays a role in memory and in the modulation of social and emotional behavior. <a href="#27" class="mim-tip-reference" title="Tranel, D., Gullickson, G., Koch, M., Adolphs, R. &lt;strong&gt;Altered experience of emotion following bilateral amygdala damage.&lt;/strong&gt; Cogn. Neuropsychiatry 11: 219-232, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17354069/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17354069&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1080/13546800444000281&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17354069">Tranel et al. (2006)</a> reported the results of a detailed neuropsychologic assessment of patient SM. She showed a normal range of affect and emotion, but was remarkably dispassionate when relating highly emotional and traumatic life experiences. This was accompanied by a strong positive affect, with a defect in recognizing negative emotions in external stimuli. She also seemed not to have a normal sense of distrust or danger, suggesting impaired recognition of social and emotional information. <a href="#27" class="mim-tip-reference" title="Tranel, D., Gullickson, G., Koch, M., Adolphs, R. &lt;strong&gt;Altered experience of emotion following bilateral amygdala damage.&lt;/strong&gt; Cogn. Neuropsychiatry 11: 219-232, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17354069/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17354069&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1080/13546800444000281&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17354069">Tranel et al. (2006)</a> concluded that the amygdala is necessary for linking external stimuli to the elicitation of appropriate social behavior and to the appropriate experience of emotion, particularly negative emotions. <a href="#10" class="mim-tip-reference" title="Feinstein, J. S., Adolphs, R., Damasio, A., Tranel, D. &lt;strong&gt;The human amygdala and the induction and experience of fear.&lt;/strong&gt; Curr. Biol. 21: 34-38, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21167712/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21167712&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=21167712[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.cub.2010.11.042&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21167712">Feinstein et al. (2011)</a> observed that patient SM did not show fear when exposed to several evocative scary stimuli, including spiders and snakes, a haunted house, and clips of emotionally evocative films. She also showed an absence of overt fear manifestations and an impoverished experience of fear across a battery of self-report questionnaires and despite a personal history of adverse and traumatic events. The findings suggested that the amygdala plays a pivotal role in triggering a state of fear, and that the absence of such a state precludes the experience of fear itself. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=7990957+17354069+2310319+21167712" 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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<div>
<a id="inheritance" class="mim-anchor"></a>
<h4 href="#mimInheritanceFold" id="mimInheritanceToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Inheritance</strong>
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<p>In the family reported by <a href="#24" class="mim-tip-reference" title="Rosenthal, A. R., Duke, J. R. &lt;strong&gt;Lipoid proteinosis: case report of direct lineal transmission.&lt;/strong&gt; Am. J. Ophthal. 64: 1120-1124, 1967.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/6072986/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;6072986&lt;/a&gt;]" pmid="6072986">Rosenthal and Duke (1967)</a>, a mother, 3 sons, and a daughter were affected, but the father was a first cousin of the mother. Thus, a quasidominant pedigree pattern resulting from consanguinity is likely. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=6072986" 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>Recessive inheritance is well documented by the study of <a href="#12" class="mim-tip-reference" title="Gordon, H., Gordon, W., Botha, V. &lt;strong&gt;Lipoid proteinosis in an inbred Namaqualand community.&lt;/strong&gt; Lancet 293: 1032-1035, 1969. Note: Originally Volume I.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/4181261/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;4181261&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/s0140-6736(69)91827-3&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="4181261">Gordon et al. (1969)</a> of numerous cases in an inbred South African community. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4181261" 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="#26" class="mim-tip-reference" title="Stine, O. C., Smith, K. D. &lt;strong&gt;The estimation of selection coefficients in Afrikaners: Huntington disease, porphyria variegata, and lipoid proteinosis.&lt;/strong&gt; Am. J. Hum. Genet. 46: 452-458, 1990.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/2137963/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;2137963&lt;/a&gt;]" pmid="2137963">Stine and Smith (1990)</a> estimated the coefficient of selection for the lipoid proteinosis gene to be 0.07 in the Afrikaner population of South Africa. However, the observed decrease in allele frequency could not be explained solely on the basis of selection against the homozygote. Therefore, they suggested that this may be a pleiotropic gene that has a dominant effect in terms of selection even though its known clinical effect is recessive. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2137963" 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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<div>
<a id="pathogenesis" class="mim-anchor"></a>
<h4 href="#mimPathogenesisFold" id="mimPathogenesisToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimPathogenesisToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
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<strong>Pathogenesis</strong>
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</h4>
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<div id="mimPathogenesisFold" class="collapse in mimTextToggleFold">
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<p>A disturbance in mucopolysaccharide metabolism was suggested by <a href="#22" class="mim-tip-reference" title="Moynahan, E. J. &lt;strong&gt;Hyalinosis cutis et mucosae (lipoid proteinosis): demonstration of a new disorder of mucopolysaccharide metabolism.&lt;/strong&gt; Proc. Roy. Soc. Med. 59: 1125-1126, 1966.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/4224825/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;4224825&lt;/a&gt;]" pmid="4224825">Moynahan (1966)</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4224825" 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="#2" class="mim-tip-reference" title="Bauer, E. A., Santa-Cruz, D. J., Eisen, A. Z. &lt;strong&gt;Lipoid proteinosis: in vivo and in vitro evidence for a lysosomal storage disease.&lt;/strong&gt; J. Invest. Derm. 76: 119-125, 1981.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/7462673/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;7462673&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/1523-1747.ep12525454&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="7462673">Bauer et al. (1981)</a> presented evidence that this is a lysosomal storage disease. Dermal fibroblasts demonstrated marked cytoplasmic vacuolization. Cultured skin fibroblasts by phase contrast microscopy showed strikingly abnormal cells with many inclusions, which by electron microscopy were delimited by a single membrane. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7462673" 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 id="mapping" class="mim-anchor"></a>
<h4 href="#mimMappingFold" id="mimMappingToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Mapping</strong>
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<p>Using DNA from 6 consanguineous families, <a href="#13" class="mim-tip-reference" title="Hamada, T., McLean, W. H. I., Ramsay, M., Ashton, G. H. S., Nanda, A., Jenkins, T., Edelstein, I., South, A. P., Bleck, O., Wessagowit, V., Mallipeddi, R., Orchard, G. E., and 12 others. &lt;strong&gt;Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1 gene (ECM1).&lt;/strong&gt; Hum. Molec. Genet. 11: 833-840, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11929856/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11929856&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.7.833&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11929856">Hamada et al. (2002)</a> mapped the disorder to chromosome 1q21 at D1S498 (lod = 21.85 at theta = 0.0), within a 2.3-cM critical region. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11929856" 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 id="molecularGenetics" class="mim-anchor"></a>
<h4 href="#mimMolecularGeneticsFold" id="mimMolecularGeneticsToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Molecular Genetics</strong>
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<p>Using a candidate gene approach, <a href="#13" class="mim-tip-reference" title="Hamada, T., McLean, W. H. I., Ramsay, M., Ashton, G. H. S., Nanda, A., Jenkins, T., Edelstein, I., South, A. P., Bleck, O., Wessagowit, V., Mallipeddi, R., Orchard, G. E., and 12 others. &lt;strong&gt;Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1 gene (ECM1).&lt;/strong&gt; Hum. Molec. Genet. 11: 833-840, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11929856/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11929856&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.7.833&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11929856">Hamada et al. (2002)</a> identified 6 different homozygous loss-of-function mutations in the extracellular matrix protein-1 gene (see, e.g., <a href="/entry/602201#0001">602201.0001</a>-<a href="/entry/602201#0003">602201.0003</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11929856" 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 id="genotypePhenotypeCorrelations" class="mim-anchor"></a>
<h4 href="#mimGenotypePhenotypeCorrelationsFold" id="mimGenotypePhenotypeCorrelationsToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Genotype/Phenotype Correlations</strong>
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</h4>
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<p><a href="#14" class="mim-tip-reference" title="Hamada, T., Wessagowit, V., South, A. P., Ashton, G. H. S., Chan, I., Oyama, N., Siriwattana, A., Jewhasuchin, P., Charuwichitratana, S., Thappa, D. M., Jeevankumar, B., Lenane, P., Krafchik, B., and 9 others. &lt;strong&gt;Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation.&lt;/strong&gt; J. Invest. Derm. 120: 345-350, 2003. Note: Erratum: J. Invest. Derm. 123: 805-806, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12603844/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12603844&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1046/j.1523-1747.2003.12073.x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12603844">Hamada et al. (2003)</a> sequenced the ECM1 gene in 10 unrelated patients with lipoid proteinosis. They concluded that exons 6 and 7 are the most common sites for ECM1 mutations in lipoid proteinosis and that clinically it appears that mutations outside exon 7 are usually associated with a slightly more severe mucocutaneous lipoid proteinosis phenotype. However, they were unable to demonstrate any specific genotype-phenotype correlation for neurologic features. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12603844" 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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<strong>Population Genetics</strong>
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<p>Lipoid proteinosis occurs worldwide, but is more common in certain areas such as the Northern Cape province of South Africa (<a href="#13" class="mim-tip-reference" title="Hamada, T., McLean, W. H. I., Ramsay, M., Ashton, G. H. S., Nanda, A., Jenkins, T., Edelstein, I., South, A. P., Bleck, O., Wessagowit, V., Mallipeddi, R., Orchard, G. E., and 12 others. &lt;strong&gt;Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1 gene (ECM1).&lt;/strong&gt; Hum. Molec. Genet. 11: 833-840, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11929856/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11929856&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.7.833&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11929856">Hamada et al., 2002</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11929856" 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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<strong>See Also:</strong>
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<span class="mim-text-font">
<a href="#Beurey1964" class="mim-tip-reference" title="Beurey, J., Neimann, N., Pierson, M., Tridon, P., Sapelier, P., Medlin, P. &lt;strong&gt;Maladie d&#x27;Urbach-Wiethe familiale avec indifference a la douleur.&lt;/strong&gt; Arch. Belg. Derm. Syph. 19: 310-312, 1964.">Beurey et al. (1964)</a>; <a href="#Blodi1960" class="mim-tip-reference" title="Blodi, F. C., Whinery, R. D., Hendricks, C. A. &lt;strong&gt;Lipid-proteinosis (Urbach-Wiethe) involving the lids.&lt;/strong&gt; Trans. Am. Ophthal. Soc. 58: 155-166, 1960.">Blodi et al. (1960)</a>; <a href="#Burnett1963" class="mim-tip-reference" title="Burnett, J. W., Marcy, S. M. &lt;strong&gt;Lipoid proteinosis.&lt;/strong&gt; Am. J. Dis. Child. 105: 81-84, 1963.">Burnett and Marcy (1963)</a>; <a href="#Caplan1962" class="mim-tip-reference" title="Caplan, R. M. &lt;strong&gt;Lipoid proteinosis: a review including some new observations.&lt;/strong&gt; Univ. Mich. Med. Bull. 28: 365-377, 1962.">Caplan (1962)</a>; <a href="#Fabrizi1980" class="mim-tip-reference" title="Fabrizi, G., Porfiri, B., Borgioli, M., Serri, F. &lt;strong&gt;Urbach-Wiethe disease: light and electron microscopic study.&lt;/strong&gt; J. Cutan. Path. 7: 8-20, 1980.">Fabrizi et al. (1980)</a>; <a href="#Feiler-Ofry1979" class="mim-tip-reference" title="Feiler-Ofry, V., Lewy, A., Regenbogen, L., Hanau, D., Katznelson, M. B.-M., Godel, V. &lt;strong&gt;Lipoid proteinosis (Urbach-Wiethe syndrome).&lt;/strong&gt; Brit. J. Ophthal. 63: 694-698, 1979.">Feiler-Ofry et al. (1979)</a>; <a href="#Gordon1971" class="mim-tip-reference" title="Gordon, H., Gordon, W., Botha, V., Edelstein, I. &lt;strong&gt;Lipoid proteinosis.&lt;/strong&gt; Birth Defects Orig. Art. Ser. VII(8): 164-177, 1971.">Gordon et al. (1971)</a>; <a href="#Haneke1984" class="mim-tip-reference" title="Haneke, E., Hornstein, O. P., Meisel-Stosiek, M., Steiner, W. &lt;strong&gt;Hyalinosis cutis et mucosae in siblings.&lt;/strong&gt; Hum. Genet. 68: 342-345, 1984.">Haneke et al. (1984)</a>; <a href="#Hewson1963" class="mim-tip-reference" title="Hewson, S. E. &lt;strong&gt;Lipid proteinosis (Urbach-Wiethe syndrome).&lt;/strong&gt; Brit. J. Ophthal. 47: 242-245, 1963.">Hewson (1963)</a>; <a href="#Heyl1969" class="mim-tip-reference" title="Heyl, T. &lt;strong&gt;Genealogy of lipoid proteinosis. (Letter)&lt;/strong&gt; Lancet 294: 162-163, 1969. Note: Originally Volume II.">Heyl
(1969)</a>; <a href="#Ishibashi1982" class="mim-tip-reference" title="Ishibashi, A. &lt;strong&gt;Hyalinosis cutis et mucosae: defective digestion and storage of basal lamina glycoprotein synthesized by smooth muscle cells.&lt;/strong&gt; Dermatologica 165: 7-15, 1982.">Ishibashi (1982)</a>; <a href="#Juberg1975" class="mim-tip-reference" title="Juberg, R. C., Winder, P. R., Turk, L. L. &lt;strong&gt;A case of hyalinosis cutis et mucosae (lipoid proteinosis of Urbach and Wiethe) with common ancestors in four generations.&lt;/strong&gt; J. Med. Genet. 12: 110-112, 1975.">Juberg et al. (1975)</a>; <a href="#Laymon1957" class="mim-tip-reference" title="Laymon, C. W., Hill, E. M. &lt;strong&gt;An appraisal of hyalinosis cutis et mucosae.&lt;/strong&gt; Arch. Derm. 75: 55-65, 1957.">Laymon and Hill
(1957)</a>; <a href="#Scott1960" class="mim-tip-reference" title="Scott, F. P., Findlay, G. H. &lt;strong&gt;Hyalinosis cutis et mucosae (lipoid proteinosis).&lt;/strong&gt; S. Afr. Med. J. 34: 189-195, 1960.">Scott and Findlay (1960)</a>
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<a id="references"class="mim-anchor"></a>
<h4 href="#mimReferencesFold" id="mimReferencesToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<span id="mimReferencesToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<strong>REFERENCES</strong>
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<div id="mimReferencesFold" class="collapse in mimTextToggleFold">
<ol>
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<a id="1" class="mim-anchor"></a>
<a id="Adolphs1994" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Adolphs, R., Tranel, D., Damasio, H., Damasio, A.
<strong>Impaired recognition of emotion in facial expressions following bilateral damage to the human amygdala.</strong>
Nature 372: 669-672, 1994.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/7990957/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">7990957</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7990957" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/372669a0" target="_blank">Full Text</a>]
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<a id="2" class="mim-anchor"></a>
<a id="Bauer1981" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Bauer, E. A., Santa-Cruz, D. J., Eisen, A. Z.
<strong>Lipoid proteinosis: in vivo and in vitro evidence for a lysosomal storage disease.</strong>
J. Invest. Derm. 76: 119-125, 1981.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/7462673/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">7462673</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7462673" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1111/1523-1747.ep12525454" target="_blank">Full Text</a>]
</p>
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<li>
<a id="3" class="mim-anchor"></a>
<a id="Beurey1964" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Beurey, J., Neimann, N., Pierson, M., Tridon, P., Sapelier, P., Medlin, P.
<strong>Maladie d'Urbach-Wiethe familiale avec indifference a la douleur.</strong>
Arch. Belg. Derm. Syph. 19: 310-312, 1964.
</p>
</div>
</li>
<li>
<a id="4" class="mim-anchor"></a>
<a id="Blodi1960" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Blodi, F. C., Whinery, R. D., Hendricks, C. A.
<strong>Lipid-proteinosis (Urbach-Wiethe) involving the lids.</strong>
Trans. Am. Ophthal. Soc. 58: 155-166, 1960.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16693594/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16693594</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16693594" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="5" class="mim-anchor"></a>
<a id="Burnett1963" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Burnett, J. W., Marcy, S. M.
<strong>Lipoid proteinosis.</strong>
Am. J. Dis. Child. 105: 81-84, 1963.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14017139/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14017139</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14017139" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
<li>
<a id="6" class="mim-anchor"></a>
<a id="Caplan1962" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Caplan, R. M.
<strong>Lipoid proteinosis: a review including some new observations.</strong>
Univ. Mich. Med. Bull. 28: 365-377, 1962.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14018417/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14018417</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14018417" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
</li>
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<a id="7" class="mim-anchor"></a>
<a id="Emsley1985" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Emsley, R. A., Paster, L.
<strong>Lipoid proteinosis presenting with neuropsychiatric manifestations.</strong>
J. Neurol. Neurosurg. Psychiat. 48: 1290-1292, 1985.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/4087005/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">4087005</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4087005" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1136/jnnp.48.12.1290" target="_blank">Full Text</a>]
</p>
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<a id="8" class="mim-anchor"></a>
<a id="Fabrizi1980" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Fabrizi, G., Porfiri, B., Borgioli, M., Serri, F.
<strong>Urbach-Wiethe disease: light and electron microscopic study.</strong>
J. Cutan. Path. 7: 8-20, 1980.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/7358884/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">7358884</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7358884" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1111/j.1600-0560.1980.tb00972.x" target="_blank">Full Text</a>]
</p>
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<li>
<a id="9" class="mim-anchor"></a>
<a id="Feiler-Ofry1979" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Feiler-Ofry, V., Lewy, A., Regenbogen, L., Hanau, D., Katznelson, M. B.-M., Godel, V.
<strong>Lipoid proteinosis (Urbach-Wiethe syndrome).</strong>
Brit. J. Ophthal. 63: 694-698, 1979.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/508682/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">508682</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=508682" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1136/bjo.63.10.694" target="_blank">Full Text</a>]
</p>
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<a id="10" class="mim-anchor"></a>
<a id="Feinstein2011" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Feinstein, J. S., Adolphs, R., Damasio, A., Tranel, D.
<strong>The human amygdala and the induction and experience of fear.</strong>
Curr. Biol. 21: 34-38, 2011.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/21167712/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">21167712</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=21167712[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=21167712" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/j.cub.2010.11.042" target="_blank">Full Text</a>]
</p>
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<li>
<a id="11" class="mim-anchor"></a>
<a id="Gordon1971" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Gordon, H., Gordon, W., Botha, V., Edelstein, I.
<strong>Lipoid proteinosis.</strong>
Birth Defects Orig. Art. Ser. VII(8): 164-177, 1971.
</p>
</div>
</li>
<li>
<a id="12" class="mim-anchor"></a>
<a id="Gordon1969" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Gordon, H., Gordon, W., Botha, V.
<strong>Lipoid proteinosis in an inbred Namaqualand community.</strong>
Lancet 293: 1032-1035, 1969. Note: Originally Volume I.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/4181261/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">4181261</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4181261" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/s0140-6736(69)91827-3" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="13" class="mim-anchor"></a>
<a id="Hamada2002" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Hamada, T., McLean, W. H. I., Ramsay, M., Ashton, G. H. S., Nanda, A., Jenkins, T., Edelstein, I., South, A. P., Bleck, O., Wessagowit, V., Mallipeddi, R., Orchard, G. E., and 12 others.
<strong>Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1 gene (ECM1).</strong>
Hum. Molec. Genet. 11: 833-840, 2002.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11929856/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11929856</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11929856" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/hmg/11.7.833" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="14" class="mim-anchor"></a>
<a id="Hamada2003" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Hamada, T., Wessagowit, V., South, A. P., Ashton, G. H. S., Chan, I., Oyama, N., Siriwattana, A., Jewhasuchin, P., Charuwichitratana, S., Thappa, D. M., Jeevankumar, B., Lenane, P., Krafchik, B., and 9 others.
<strong>Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation.</strong>
J. Invest. Derm. 120: 345-350, 2003. Note: Erratum: J. Invest. Derm. 123: 805-806, 2004.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/12603844/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">12603844</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12603844" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1046/j.1523-1747.2003.12073.x" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="15" class="mim-anchor"></a>
<a id="Haneke1984" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Haneke, E., Hornstein, O. P., Meisel-Stosiek, M., Steiner, W.
<strong>Hyalinosis cutis et mucosae in siblings.</strong>
Hum. Genet. 68: 342-345, 1984.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/6210239/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">6210239</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=6210239" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/BF00292598" target="_blank">Full Text</a>]
</p>
</div>
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<a id="16" class="mim-anchor"></a>
<a id="Hewson1963" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Hewson, S. E.
<strong>Lipid proteinosis (Urbach-Wiethe syndrome).</strong>
Brit. J. Ophthal. 47: 242-245, 1963.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/14188328/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">14188328</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=14188328" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1136/bjo.47.4.242" target="_blank">Full Text</a>]
</p>
</div>
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<li>
<a id="17" class="mim-anchor"></a>
<a id="Heyl1969" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Heyl, T.
<strong>Genealogy of lipoid proteinosis. (Letter)</strong>
Lancet 294: 162-163, 1969. Note: Originally Volume II.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/4183275/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">4183275</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4183275" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/s0140-6736(69)92476-3" target="_blank">Full Text</a>]
</p>
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<a id="18" class="mim-anchor"></a>
<a id="Ishibashi1982" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Ishibashi, A.
<strong>Hyalinosis cutis et mucosae: defective digestion and storage of basal lamina glycoprotein synthesized by smooth muscle cells.</strong>
Dermatologica 165: 7-15, 1982.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/7117652/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">7117652</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=7117652" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
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<a id="19" class="mim-anchor"></a>
<a id="Juberg1975" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Juberg, R. C., Winder, P. R., Turk, L. L.
<strong>A case of hyalinosis cutis et mucosae (lipoid proteinosis of Urbach and Wiethe) with common ancestors in four generations.</strong>
J. Med. Genet. 12: 110-112, 1975.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/47394/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">47394</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=47394" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1136/jmg.12.1.110" target="_blank">Full Text</a>]
</p>
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<a id="20" class="mim-anchor"></a>
<a id="Laymon1957" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Laymon, C. W., Hill, E. M.
<strong>An appraisal of hyalinosis cutis et mucosae.</strong>
Arch. Derm. 75: 55-65, 1957.
</p>
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<li>
<a id="21" class="mim-anchor"></a>
<a id="Meenan1978" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Meenan, F. O. C., Bowe, S. D., Dinn, J. J., McCabe, M., McCullen, O., Masterson, J. G., Towers, R. P.
<strong>Lipoid proteinosis: a clinical, pathological and genetic study.</strong>
Quart. J. Med. 47: 549-561, 1978.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/751090/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">751090</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=751090" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
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<a id="22" class="mim-anchor"></a>
<a id="Moynahan1966" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Moynahan, E. J.
<strong>Hyalinosis cutis et mucosae (lipoid proteinosis): demonstration of a new disorder of mucopolysaccharide metabolism.</strong>
Proc. Roy. Soc. Med. 59: 1125-1126, 1966.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/4224825/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">4224825</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=4224825" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
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<a id="23" class="mim-anchor"></a>
<a id="Newton1971" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Newton, F. H., Rosenberg, R. N., Lampert, P. W., O'Brien, J. S.
<strong>Neurological involvement in Urbach-Wiethe's disease (lipoid proteinosis): a clinical, ultrastructural, and chemical study.</strong>
Neurology 21: 1205-1213, 1971.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/5002423/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">5002423</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=5002423" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1212/wnl.21.12.1205" target="_blank">Full Text</a>]
</p>
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<li>
<a id="24" class="mim-anchor"></a>
<a id="Rosenthal1967" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Rosenthal, A. R., Duke, J. R.
<strong>Lipoid proteinosis: case report of direct lineal transmission.</strong>
Am. J. Ophthal. 64: 1120-1124, 1967.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/6072986/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">6072986</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=6072986" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
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<li>
<a id="25" class="mim-anchor"></a>
<a id="Scott1960" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Scott, F. P., Findlay, G. H.
<strong>Hyalinosis cutis et mucosae (lipoid proteinosis).</strong>
S. Afr. Med. J. 34: 189-195, 1960.
</p>
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<li>
<a id="26" class="mim-anchor"></a>
<a id="Stine1990" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Stine, O. C., Smith, K. D.
<strong>The estimation of selection coefficients in Afrikaners: Huntington disease, porphyria variegata, and lipoid proteinosis.</strong>
Am. J. Hum. Genet. 46: 452-458, 1990.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2137963/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2137963</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2137963" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
</p>
</div>
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<a id="27" class="mim-anchor"></a>
<a id="Tranel2006" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Tranel, D., Gullickson, G., Koch, M., Adolphs, R.
<strong>Altered experience of emotion following bilateral amygdala damage.</strong>
Cogn. Neuropsychiatry 11: 219-232, 2006.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/17354069/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">17354069</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17354069" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1080/13546800444000281" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="28" class="mim-anchor"></a>
<a id="Tranel1990" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Tranel, D., Hyman, B. T.
<strong>Neuropsychological correlates of bilateral amygdala damage.</strong>
Arch. Neurol. 47: 349-355, 1990.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/2310319/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">2310319</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=2310319" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1001/archneur.1990.00530030131029" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="29" class="mim-anchor"></a>
<a id="Urbach1929" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Urbach, E., Wiethe, C.
<strong>Lipoidosis cutis et mucosae.</strong>
Virchows Arch. Path. Anat. 273: 285-319, 1929.
</p>
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</ol>
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<a id="contributors" class="mim-anchor"></a>
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<span class="mim-text-font">
Cassandra L. Kniffin - updated : 4/10/2013
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Gary A. Bellus - updated : 4/23/2003<br>George E. Tiller - updated : 5/24/2002
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Victor A. McKusick : 6/3/1986
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alopez : 09/15/2016<br>carol : 04/10/2013<br>ckniffin : 4/10/2013<br>carol : 3/19/2013<br>alopez : 10/5/2011<br>terry : 11/17/2010<br>carol : 11/16/2010<br>terry : 3/5/2009<br>alopez : 4/23/2003<br>cwells : 5/30/2002<br>cwells : 5/24/2002<br>carol : 1/6/1995<br>mimadm : 4/15/1994<br>carol : 6/3/1992<br>carol : 4/3/1992<br>supermim : 3/17/1992<br>carol : 5/29/1990
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<h3>
<span class="mim-font">
<strong>#</strong> 247100
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<h3>
<span class="mim-font">
LIPOID PROTEINOSIS OF URBACH AND WIETHE
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<span class="mim-font">
<em>Alternative titles; symbols</em>
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<h4>
<span class="mim-font">
LIPOID PROTEINOSIS<br />
URBACH-WIETHE DISEASE<br />
HYALINOSIS CUTIS ET MUCOSAE
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<span class="mim-text-font">
<strong>SNOMEDCT:</strong> 38692000; &nbsp;
<strong>ORPHA:</strong> 530; &nbsp;
<strong>DO:</strong> 14498; &nbsp;
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<h4>
<span class="mim-font">
<strong>Phenotype-Gene Relationships</strong>
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<table class="table table-bordered table-condensed small mim-table-padding">
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<th>
Location
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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Gene/Locus
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Gene/Locus <br /> MIM number
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<td>
<span class="mim-font">
1q21.2
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<td>
<span class="mim-font">
Urbach-Wiethe disease
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<span class="mim-font">
247100
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<span class="mim-font">
Autosomal recessive
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<span class="mim-font">
3
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<span class="mim-font">
ECM1
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<td>
<span class="mim-font">
602201
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<span class="mim-font">
<strong>TEXT</strong>
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<span class="mim-text-font">
<p>A number sign (#) is used with this entry because of evidence that lipoid proteinosis is caused by homozygous or compound heterozygous mutation in the ECM1 gene (602201) on chromosome 1q21.</p>
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<span class="mim-font">
<strong>Description</strong>
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<p>Lipoid proteinosis of Urbach and Wiethe is a rare autosomal recessive disorder typified by generalized thickening of skin, mucosae, and certain viscera. Classic features include beaded eyelid papules and laryngeal infiltration leading to hoarseness. The disorder is clinically heterogeneous, with affected individuals displaying differing degrees of skin scarring and infiltration, variable signs of hoarseness and respiratory distress, and in some cases neurologic abnormalities such as temporal lobe epilepsy. Histologically, there is widespread deposition of hyaline (glycoprotein) material and disruption/reduplication of basement membrane (summary by Hamada et al., 2002 and Hamada et al., 2003). </p>
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<h4>
<span class="mim-font">
<strong>Clinical Features</strong>
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<p>This disorder was first reported by Urbach and Wiethe (1929). The association of early hoarseness with an unusual skin eruption suggests the diagnosis.</p><p>Meenan et al. (1978) reported multiple cases in 2 closely related Irish families. Characteristics included a history of progressive hoarseness since birth; thick, yellowish skin on the face and neck with several white scars on the cheeks; infiltration of the larynx; small nodules on the edges of the upper eyelids, giving a beaded appearance; and red and verrucose skin over the elbows and knees. Additional features included patchy alopecia, mental retardation, and epilepsy. Meenan et al. (1978) indicated that bilateral intracranial calcifications are common in this disorder. </p><p><strong><em>Neuropsychologic/Neuropsychiatric Manifestations</em></strong></p><p>
Newton et al. (1971) reported an affected brother and sister of Lebanese extraction, born to second-cousin parents, who manifested neuropsychiatric symptoms, including seizures, memory defects, and rage attacks. The authors stressed the presence of specific intracranial calcifications, which they considered pathognomonic of the disease. By electron microscopy they found filamentous-like material in skin lesions, but its composition could not be defined. </p><p>Emsley and Paster (1985) reported 2 unrelated patients with lipoid proteinosis. One was a 51-year-old man who presented to psychiatry with paranoia, mistrustfulness, suspicion, and aggressive attitude. He reported hoarseness since childhood and impaired memory for 10 years. Physical examination showed yellow papular lesions on the lower lip, soft palate, and pharynx. Brain CT scan showed bilateral symmetric calcification in the medial temporal lobe in the region of the amygdala. A brother reportedly had poor memory and experienced episodic 'absences.' The second patient was an 18-year-old girl who presented to psychiatry with abnormal behavior. She had hoarse voice since childhood and raised lesions on her face and around her mouth. She also had poor memory. Psychiatric evaluation showed that she was agitated with persecutory delusions and verbal hallucinations. Physical examination showed acneform facial lesions and scarring, with fine nodules along the palpebral fissures. There were yellow-white papules on the lips and tongue, and laryngeal infiltration. Brain CT scan showed calcification of the medial temporal lobes. Emsley and Paster (1985) emphasized the psychiatric presentation of these patients. </p><p>Adolphs et al. (1994) studied a 30-year-old woman (SM) with Urbach-Wiethe disease which had caused a nearly complete bilateral destruction of the amygdala, while sparing the hippocampus and all neocortical structures, as revealed by detailed neuroanatomic analysis of her CT and MRI scans. Studies in animals had shown that the amygdala receives highly processed visual input, contains neurons that respond selectively to faces, and participates in emotion and social behavior. From a study of this unusual patient, Adolphs et al. (1994) obtained results suggesting that the human amygdala may be indispensable to recognize fear in facial expressions and to recognize multiple emotions in a single facial expression, but may not be required to recognize personal identity from faces. Patient SM, reported by Adolphs et al. (1994), was also studied in detail by Tranel and Hyman (1990), Tranel et al. (2006), and Feinstein et al. (2011). The diagnosis of lipoid proteinosis was based on the presence of typical beaded papules along the edges of her eyebrows, thickening of the tongue, thickening of the skin over her elbows and knuckles, papules along the sides of her fingers, and relative skin fragility. She had marked hoarseness since birth. Biopsy of affected skin showed deposition of neutral mucopolysaccharides. She presented with occasional absence-like spells every few months and had poor day-to-day memory. Extensive neuropsychologic investigations by Tranel and Hyman (1990) showed that the patient had significant defects in nonverbal visual memory, in social behavior, and in executive control function. Intellect was low-average, but consistent with her environmental circumstances. She also showed difficulty in geographical navigation in her hometown, but no defects in remote memories. Socially, she was very cooperative, outgoing, and even flirtatious at times. There were no defects in electrodermal activity in the skin conductance response test. The findings suggested that the amygdala plays a role in memory and in the modulation of social and emotional behavior. Tranel et al. (2006) reported the results of a detailed neuropsychologic assessment of patient SM. She showed a normal range of affect and emotion, but was remarkably dispassionate when relating highly emotional and traumatic life experiences. This was accompanied by a strong positive affect, with a defect in recognizing negative emotions in external stimuli. She also seemed not to have a normal sense of distrust or danger, suggesting impaired recognition of social and emotional information. Tranel et al. (2006) concluded that the amygdala is necessary for linking external stimuli to the elicitation of appropriate social behavior and to the appropriate experience of emotion, particularly negative emotions. Feinstein et al. (2011) observed that patient SM did not show fear when exposed to several evocative scary stimuli, including spiders and snakes, a haunted house, and clips of emotionally evocative films. She also showed an absence of overt fear manifestations and an impoverished experience of fear across a battery of self-report questionnaires and despite a personal history of adverse and traumatic events. The findings suggested that the amygdala plays a pivotal role in triggering a state of fear, and that the absence of such a state precludes the experience of fear itself. </p>
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<span class="mim-font">
<strong>Inheritance</strong>
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<span class="mim-text-font">
<p>In the family reported by Rosenthal and Duke (1967), a mother, 3 sons, and a daughter were affected, but the father was a first cousin of the mother. Thus, a quasidominant pedigree pattern resulting from consanguinity is likely. </p><p>Recessive inheritance is well documented by the study of Gordon et al. (1969) of numerous cases in an inbred South African community. </p><p>Stine and Smith (1990) estimated the coefficient of selection for the lipoid proteinosis gene to be 0.07 in the Afrikaner population of South Africa. However, the observed decrease in allele frequency could not be explained solely on the basis of selection against the homozygote. Therefore, they suggested that this may be a pleiotropic gene that has a dominant effect in terms of selection even though its known clinical effect is recessive. </p>
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<h4>
<span class="mim-font">
<strong>Pathogenesis</strong>
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</h4>
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<span class="mim-text-font">
<p>A disturbance in mucopolysaccharide metabolism was suggested by Moynahan (1966). </p><p>Bauer et al. (1981) presented evidence that this is a lysosomal storage disease. Dermal fibroblasts demonstrated marked cytoplasmic vacuolization. Cultured skin fibroblasts by phase contrast microscopy showed strikingly abnormal cells with many inclusions, which by electron microscopy were delimited by a single membrane. </p>
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<h4>
<span class="mim-font">
<strong>Mapping</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Using DNA from 6 consanguineous families, Hamada et al. (2002) mapped the disorder to chromosome 1q21 at D1S498 (lod = 21.85 at theta = 0.0), within a 2.3-cM critical region. </p>
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<h4>
<span class="mim-font">
<strong>Molecular Genetics</strong>
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</h4>
</div>
<span class="mim-text-font">
<p>Using a candidate gene approach, Hamada et al. (2002) identified 6 different homozygous loss-of-function mutations in the extracellular matrix protein-1 gene (see, e.g., 602201.0001-602201.0003). </p>
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<div>
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<div>
<h4>
<span class="mim-font">
<strong>Genotype/Phenotype Correlations</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Hamada et al. (2003) sequenced the ECM1 gene in 10 unrelated patients with lipoid proteinosis. They concluded that exons 6 and 7 are the most common sites for ECM1 mutations in lipoid proteinosis and that clinically it appears that mutations outside exon 7 are usually associated with a slightly more severe mucocutaneous lipoid proteinosis phenotype. However, they were unable to demonstrate any specific genotype-phenotype correlation for neurologic features. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Population Genetics</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Lipoid proteinosis occurs worldwide, but is more common in certain areas such as the Northern Cape province of South Africa (Hamada et al., 2002). </p>
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>See Also:</strong>
</span>
</h4>
<span class="mim-text-font">
Beurey et al. (1964); Blodi et al. (1960); Burnett and Marcy (1963);
Caplan (1962); Fabrizi et al. (1980); Feiler-Ofry et al. (1979);
Gordon et al. (1971); Haneke et al. (1984); Hewson (1963); Heyl
(1969); Ishibashi (1982); Juberg et al. (1975); Laymon and Hill
(1957); Scott and Findlay (1960)
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>REFERENCES</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<ol>
<li>
<p class="mim-text-font">
Adolphs, R., Tranel, D., Damasio, H., Damasio, A.
<strong>Impaired recognition of emotion in facial expressions following bilateral damage to the human amygdala.</strong>
Nature 372: 669-672, 1994.
[PubMed: 7990957]
[Full Text: https://doi.org/10.1038/372669a0]
</p>
</li>
<li>
<p class="mim-text-font">
Bauer, E. A., Santa-Cruz, D. J., Eisen, A. Z.
<strong>Lipoid proteinosis: in vivo and in vitro evidence for a lysosomal storage disease.</strong>
J. Invest. Derm. 76: 119-125, 1981.
[PubMed: 7462673]
[Full Text: https://doi.org/10.1111/1523-1747.ep12525454]
</p>
</li>
<li>
<p class="mim-text-font">
Beurey, J., Neimann, N., Pierson, M., Tridon, P., Sapelier, P., Medlin, P.
<strong>Maladie d&#x27;Urbach-Wiethe familiale avec indifference a la douleur.</strong>
Arch. Belg. Derm. Syph. 19: 310-312, 1964.
</p>
</li>
<li>
<p class="mim-text-font">
Blodi, F. C., Whinery, R. D., Hendricks, C. A.
<strong>Lipid-proteinosis (Urbach-Wiethe) involving the lids.</strong>
Trans. Am. Ophthal. Soc. 58: 155-166, 1960.
[PubMed: 16693594]
</p>
</li>
<li>
<p class="mim-text-font">
Burnett, J. W., Marcy, S. M.
<strong>Lipoid proteinosis.</strong>
Am. J. Dis. Child. 105: 81-84, 1963.
[PubMed: 14017139]
</p>
</li>
<li>
<p class="mim-text-font">
Caplan, R. M.
<strong>Lipoid proteinosis: a review including some new observations.</strong>
Univ. Mich. Med. Bull. 28: 365-377, 1962.
[PubMed: 14018417]
</p>
</li>
<li>
<p class="mim-text-font">
Emsley, R. A., Paster, L.
<strong>Lipoid proteinosis presenting with neuropsychiatric manifestations.</strong>
J. Neurol. Neurosurg. Psychiat. 48: 1290-1292, 1985.
[PubMed: 4087005]
[Full Text: https://doi.org/10.1136/jnnp.48.12.1290]
</p>
</li>
<li>
<p class="mim-text-font">
Fabrizi, G., Porfiri, B., Borgioli, M., Serri, F.
<strong>Urbach-Wiethe disease: light and electron microscopic study.</strong>
J. Cutan. Path. 7: 8-20, 1980.
[PubMed: 7358884]
[Full Text: https://doi.org/10.1111/j.1600-0560.1980.tb00972.x]
</p>
</li>
<li>
<p class="mim-text-font">
Feiler-Ofry, V., Lewy, A., Regenbogen, L., Hanau, D., Katznelson, M. B.-M., Godel, V.
<strong>Lipoid proteinosis (Urbach-Wiethe syndrome).</strong>
Brit. J. Ophthal. 63: 694-698, 1979.
[PubMed: 508682]
[Full Text: https://doi.org/10.1136/bjo.63.10.694]
</p>
</li>
<li>
<p class="mim-text-font">
Feinstein, J. S., Adolphs, R., Damasio, A., Tranel, D.
<strong>The human amygdala and the induction and experience of fear.</strong>
Curr. Biol. 21: 34-38, 2011.
[PubMed: 21167712]
[Full Text: https://doi.org/10.1016/j.cub.2010.11.042]
</p>
</li>
<li>
<p class="mim-text-font">
Gordon, H., Gordon, W., Botha, V., Edelstein, I.
<strong>Lipoid proteinosis.</strong>
Birth Defects Orig. Art. Ser. VII(8): 164-177, 1971.
</p>
</li>
<li>
<p class="mim-text-font">
Gordon, H., Gordon, W., Botha, V.
<strong>Lipoid proteinosis in an inbred Namaqualand community.</strong>
Lancet 293: 1032-1035, 1969. Note: Originally Volume I.
[PubMed: 4181261]
[Full Text: https://doi.org/10.1016/s0140-6736(69)91827-3]
</p>
</li>
<li>
<p class="mim-text-font">
Hamada, T., McLean, W. H. I., Ramsay, M., Ashton, G. H. S., Nanda, A., Jenkins, T., Edelstein, I., South, A. P., Bleck, O., Wessagowit, V., Mallipeddi, R., Orchard, G. E., and 12 others.
<strong>Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1 gene (ECM1).</strong>
Hum. Molec. Genet. 11: 833-840, 2002.
[PubMed: 11929856]
[Full Text: https://doi.org/10.1093/hmg/11.7.833]
</p>
</li>
<li>
<p class="mim-text-font">
Hamada, T., Wessagowit, V., South, A. P., Ashton, G. H. S., Chan, I., Oyama, N., Siriwattana, A., Jewhasuchin, P., Charuwichitratana, S., Thappa, D. M., Jeevankumar, B., Lenane, P., Krafchik, B., and 9 others.
<strong>Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation.</strong>
J. Invest. Derm. 120: 345-350, 2003. Note: Erratum: J. Invest. Derm. 123: 805-806, 2004.
[PubMed: 12603844]
[Full Text: https://doi.org/10.1046/j.1523-1747.2003.12073.x]
</p>
</li>
<li>
<p class="mim-text-font">
Haneke, E., Hornstein, O. P., Meisel-Stosiek, M., Steiner, W.
<strong>Hyalinosis cutis et mucosae in siblings.</strong>
Hum. Genet. 68: 342-345, 1984.
[PubMed: 6210239]
[Full Text: https://doi.org/10.1007/BF00292598]
</p>
</li>
<li>
<p class="mim-text-font">
Hewson, S. E.
<strong>Lipid proteinosis (Urbach-Wiethe syndrome).</strong>
Brit. J. Ophthal. 47: 242-245, 1963.
[PubMed: 14188328]
[Full Text: https://doi.org/10.1136/bjo.47.4.242]
</p>
</li>
<li>
<p class="mim-text-font">
Heyl, T.
<strong>Genealogy of lipoid proteinosis. (Letter)</strong>
Lancet 294: 162-163, 1969. Note: Originally Volume II.
[PubMed: 4183275]
[Full Text: https://doi.org/10.1016/s0140-6736(69)92476-3]
</p>
</li>
<li>
<p class="mim-text-font">
Ishibashi, A.
<strong>Hyalinosis cutis et mucosae: defective digestion and storage of basal lamina glycoprotein synthesized by smooth muscle cells.</strong>
Dermatologica 165: 7-15, 1982.
[PubMed: 7117652]
</p>
</li>
<li>
<p class="mim-text-font">
Juberg, R. C., Winder, P. R., Turk, L. L.
<strong>A case of hyalinosis cutis et mucosae (lipoid proteinosis of Urbach and Wiethe) with common ancestors in four generations.</strong>
J. Med. Genet. 12: 110-112, 1975.
[PubMed: 47394]
[Full Text: https://doi.org/10.1136/jmg.12.1.110]
</p>
</li>
<li>
<p class="mim-text-font">
Laymon, C. W., Hill, E. M.
<strong>An appraisal of hyalinosis cutis et mucosae.</strong>
Arch. Derm. 75: 55-65, 1957.
</p>
</li>
<li>
<p class="mim-text-font">
Meenan, F. O. C., Bowe, S. D., Dinn, J. J., McCabe, M., McCullen, O., Masterson, J. G., Towers, R. P.
<strong>Lipoid proteinosis: a clinical, pathological and genetic study.</strong>
Quart. J. Med. 47: 549-561, 1978.
[PubMed: 751090]
</p>
</li>
<li>
<p class="mim-text-font">
Moynahan, E. J.
<strong>Hyalinosis cutis et mucosae (lipoid proteinosis): demonstration of a new disorder of mucopolysaccharide metabolism.</strong>
Proc. Roy. Soc. Med. 59: 1125-1126, 1966.
[PubMed: 4224825]
</p>
</li>
<li>
<p class="mim-text-font">
Newton, F. H., Rosenberg, R. N., Lampert, P. W., O'Brien, J. S.
<strong>Neurological involvement in Urbach-Wiethe&#x27;s disease (lipoid proteinosis): a clinical, ultrastructural, and chemical study.</strong>
Neurology 21: 1205-1213, 1971.
[PubMed: 5002423]
[Full Text: https://doi.org/10.1212/wnl.21.12.1205]
</p>
</li>
<li>
<p class="mim-text-font">
Rosenthal, A. R., Duke, J. R.
<strong>Lipoid proteinosis: case report of direct lineal transmission.</strong>
Am. J. Ophthal. 64: 1120-1124, 1967.
[PubMed: 6072986]
</p>
</li>
<li>
<p class="mim-text-font">
Scott, F. P., Findlay, G. H.
<strong>Hyalinosis cutis et mucosae (lipoid proteinosis).</strong>
S. Afr. Med. J. 34: 189-195, 1960.
</p>
</li>
<li>
<p class="mim-text-font">
Stine, O. C., Smith, K. D.
<strong>The estimation of selection coefficients in Afrikaners: Huntington disease, porphyria variegata, and lipoid proteinosis.</strong>
Am. J. Hum. Genet. 46: 452-458, 1990.
[PubMed: 2137963]
</p>
</li>
<li>
<p class="mim-text-font">
Tranel, D., Gullickson, G., Koch, M., Adolphs, R.
<strong>Altered experience of emotion following bilateral amygdala damage.</strong>
Cogn. Neuropsychiatry 11: 219-232, 2006.
[PubMed: 17354069]
[Full Text: https://doi.org/10.1080/13546800444000281]
</p>
</li>
<li>
<p class="mim-text-font">
Tranel, D., Hyman, B. T.
<strong>Neuropsychological correlates of bilateral amygdala damage.</strong>
Arch. Neurol. 47: 349-355, 1990.
[PubMed: 2310319]
[Full Text: https://doi.org/10.1001/archneur.1990.00530030131029]
</p>
</li>
<li>
<p class="mim-text-font">
Urbach, E., Wiethe, C.
<strong>Lipoidosis cutis et mucosae.</strong>
Virchows Arch. Path. Anat. 273: 285-319, 1929.
</p>
</li>
</ol>
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