Multiple familial trichoepitheliomas with a novel frameshift mutation in CYLD gene: a case report

Authors

  • Pornpimon Jittanopajai DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, THAMMASAT UNIVERSITY, PATHUMTHANI, THAILAND.
  • Wareeporn Disphanurat DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, THAMMASAT UNIVERSITY, PATHUMTHANI, THAILAND.

Keywords:

Trichoepithelioma, multiple familial trichoepitheliomas, CYLD gene

Abstract

Trichoepithelioma is a rare benign adnexal tumor. There are three clinical variants which are: solitary, multiple, and desmoplastic. Trichoepitheliomas affect middle-aged adults with a female predilection. Multiple trichoepitheliomas usually present as multiple small papules on the face, often involving the nasolabial folds. We report the case of a 70-year-old Thai woman presented with multiple skin-colored papules and nodules on scalp, forehead, nose, and both knees since she was 20 years old. Her family members also have similar skin lesions in the autosomal dominant pattern of inheritance. Genetic testing revealed novel heterozygous mutation in CYLD gene. Histopathology showed a well-circumscribed, dermal tumor composed of basaloid germinative epithelial cells arranged in a cribriform pattern within concentric fibroblast-rich stroma with papillary mesenchymal bodies. There are several keratin horn cysts embedded in the fibrotic stroma. She was diagnosed with Multiple familial trichoepitheliomas and subsequently treated with surgical excisions.

References

du Toit JP, Schneider JW, Visser WI, Jordaan HF. The clinicopathological spectrum of trichoepitheliomas: a retrospective descriptive study. Int J Dermatol 2016;55:270-7.

Karimzadeh I, Namazi MR, Karimzadeh A. Trichoepithelioma: A Comprehensive Review. Acta Dermatovenerol Croat. 2018;26:162-5.

Sarah Malerich D DRL, DO, Alpesh Desai, DO. Brooke-Spiegler Syndrome: A Case Report. JAOCD. 2017;38:19-21.

Nagy N, Farkas K, Kemény L, Széll M. Phenotype-genotype correlations for clinical variants caused by CYLD mutations. Eur J Med Genet 2015;58:271-8.

Teli B, Thrishuli PB, Santhosh R, Amar DN, Rajpurohit S. Giant solitary trichoepithelioma. South Asian J Cancer 2015;4:41-4.

Mamelak AJ, Goldberg LH, Katz TM, Graves JJ, Arnon O, Kimyai-Asadi A. Desmoplastic trichoepithelioma. J Am Acad Dermatol. 2010;62:102-6.

Heller J, Roche N, Hameed M. Trichoepithelioma of the vulva: report of a case and review of the literature. J Low Genit Tract Dis 2009;13:186-7.

Yiltok SJ, Echejoh GO, Mohammad AM, Ituen AM, Igoche MI, Dades OT. Multiple familial trichoepithelioma: a case report and review of literature. Niger J Clin Pract 2010;13:230-2.

Centurión SA, Schwartz RA, Lambert WC. Trichoepithelioma papulosum multiplex. J Dermatol 2000;27:137-43.

Mirjana Paravina JK VK, Gordana Sav i, Mirjana Milinkovi, Mirjana Milosavljevi. Brooke spiegler syndrome-a case report. J Dermat Cosmetol. 2018;2:16-8.

Kallam AR, Satyanarayana MA, Aryasomayajula S, Krishna BA. Basal Cell Carcinoma Developing from Trichoepithelioma: Review of Three Cases. J Clin Diagn Res 2016;10:PD17-9.

Mohammadi AA, Seyed Jafari SM. Trichoepithelioma: a rare but crucial dermatologic issue. World J Plast Surg 2014;3:142-5.

Lee KH, Kim JE, Cho BK, Kim YC, Park CJ. Malignant transformation of multiple familial trichoepithelioma: case report and literature review. Acta Derm Venereol 2008;88:43-6.

Ganguly S, Jaykar KC, Banerjee PK, Ahmed N. Multiple familial trichoepitheliomas in association with squamous cell carcinoma. Indian Dermatol Online J 2012;3:151-3.

Fisher GH, Geronemus RG. Treatment of multiple familial trichoepitheliomas with a combination of aspirin and a neutralizing antibody to tumor necrosis factor alpha: A case report and hypothesis of mechanism. Arch Dermatol 2006;146:782-3.

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Published

2020-09-29

How to Cite

Jittanopajai, P., & Disphanurat, W. (2020). Multiple familial trichoepitheliomas with a novel frameshift mutation in CYLD gene: a case report. Thai Journal of Dermatology, 36(3), 136–142. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/242267