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Lipoid proteinosis in Child
See also in: External and Internal Eye
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Other Resources UpToDate PubMed

Lipoid proteinosis in Child

See also in: External and Internal Eye
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Contributors: Sruthi Renati MD, Susan Burgin MD, Harvey A. Brown MD
Other Resources UpToDate PubMed

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Synopsis

Lipoid proteinosis : Chronic duration lasting years, Hoarseness, Thickened skin, Weak cry
Lipoid proteinosis (LP) is a rare, autosomal recessive disorder due to a loss-of-function mutation of the gene coding for the extracellular matrix protein 1 (ECM1). Mutations in ECM1 are thought to cause extensive deposition of noncollagenous proteins and glycoproteins in the skin, oral mucosa, larynx, and brain. Those of European ancestry are most often affected, with no predilection between the sexes.

The disorder presents early in life and is slowly progressive. The first clinical sign is often a weak cry or hoarseness, with the hoarseness persisting throughout life. Skin changes consisting of vesicles and hemorrhagic crusts on the face and extremities with resultant scarring generally appear during the first 2 years of life. Subsequent skin changes include the formation of infiltrated papules, plaques, and nodules on the face, axillae, and scrotum with verrucous lesions on the elbows, hands, and knees. There can be diffuse infiltration of the tongue, frenulum, and oropharynx along with dental anomalies. Neurologic manifestations include behavioral or learning difficulties and seizures. Mortality is usually related to laryngeal obstruction in infancy or to associated epilepsy.

Codes

ICD10CM:
E78.89 – Other lipoprotein metabolism disorders

SNOMEDCT:
38692000 – Lipid proteinosis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

In childhood, consider: 
In adulthood, consider:

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:10/04/2018
Last Updated:01/19/2022
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Lipoid proteinosis in Child
See also in: External and Internal Eye
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A medical illustration showing key findings of Lipoid proteinosis : Chronic duration lasting years, Hoarseness, Thickened skin, Weak cry
Clinical image of Lipoid proteinosis - imageId=706559. Click to open in gallery. caption: 'Smooth, shiny, coalescing, yellowish papules, forming plaques, on the lower forehead and glabella. Note also the confluent papules along the eyelid margin.'
Smooth, shiny, coalescing, yellowish papules, forming plaques, on the lower forehead and glabella. Note also the confluent papules along the eyelid margin.
Copyright © 2023 VisualDx®. All rights reserved.