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Interdisciplinary CompetenceMolecular Diagnostics
Know how in the analysis of genetic material.
For the benefit of patients.

IllnessAkne inversa, familial; differential diagnosis

Summary

Short information

Comprehensive differential diagnostic panel for familial Akne inversa comprising 6 curated genes according to the clinical signs

ID
AP7463
Number of genes
6 Accredited laboratory test
Examined sequence length
8,3 kb (Core-/Core-canditate-Genes)
- (Extended panel: incl. additional genes)
Analysis Duration
on request
Material
  • EDTA-anticoagulated blood (3-5 ml)
Diagnostic indications

NGS +

 

Gene panel

Selected genes

NameExon Length (bp)OMIM-GHeredity
FGFR22466AD
GJB2681AD
NCSTN2130AD
PSEN11404AD
PSENEN306AD
PSTPIP11251AR

Informations about the disease

Clinical Comment

Acne inversa (hidradenitis suppurativa) is a chronic skin disease characterized by recurrent nodules under the skin. The nodules become painfully inflamed, especially in the armpits and groin. They tend to rupture and abscess, leaving scars after healing. These symptoms typically appear after puberty, especially in affected females. They may also form around the anus, on the buttocks or in other locations. The nodules and abscesses cause chronic pain and can lead to social isolation and depression. In rare cases, chronic abscesses on the buttocks develop into squamous cell carcinoma. Commonly, the cause of acne inversa is unknown. Genetic factors clearly play a role in its development. For example, some cases are due to variants in the NCSTN, PSEN1 or PSENEN genes that affect Notch signaling in hair follicles. Obesity and smoking appear to increase the risk of disease, and obesity is also associated with increased severity of symptoms. 30-40% of patients have at least one affected family member, which may be an underestimate. In some families, acne inversa appears to be inherited in an autosomal dominant manner. The diagnostic yield by molecular genetics is unknown, but certainly it is not close to complete. Therefore, a negative DNA test result does not exclude the clinical diagnosis.

Reference: https://www.ncbi.nlm.nih.gov/books/NBK534867/

 

Synonyms
  • Alias: Hidradenitis suppurativa
  • Alias: Hidradenitis suppurativa, familial 1-3
  • Alias: Schweißdrüsenabszess
  • Acne inversa, familial, 1 (NCSTN)
  • Acne inversa, familial, 2 (PSENEN)
  • Acne inversa, familial, 3 (PSEN1)
  • Keratitis-ichthyosis-deafness syndrome, follicular occlusion triad (GJB2)
  • Nevus comedonicus, multifocal hidradenitis suppurativa, acne [panelapp] (FGFR2)
  • Pyogenic sterile arthritis, pyoderma gangraenosum, acne (PSTPIP1)
Heredity, heredity patterns etc.
  • AD
  • AR
OMIM-Ps
  • Multiple OMIM-Ps
ICD10 Code
L70.8

Bioinformatics and clinical interpretation

No text defined