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Whole Exome Sequencing Revealed a Candidate Gene for Finkelstein-Seidlmayer Disease

Received: 6 August 2019     Accepted: 11 September 2019     Published: 26 September 2019
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Abstract

Background: Finkelstein-Seidlmayer disease (FSD) is a benign cutaneous small-vessel leukocytoclastic vasculitis syndrome, which normally affects children between 2-60 months in a male-to-female ratio of 2:1. Skin lesions may appear as papules, erythematous macules, or urticaria. They are symmetric, sharp-edged and favouring the face, ears and extremities. Frequently they are targetoid, annular, medallion-like, or cockade. Fever and extracutaneous involvement are rare and spontaneous resolution occurs in 1-3 weeks. Case Information: In 2015, we reported a familial occurrence of FSD. Patients described in that article were the mother and all her three sons. All of them had a history of recurrent and relapsing non-thrombocytopenic, red-to-purpuric skin lesions, with a neonatal-onset. There was no systemic involvement. Anamnestic data revealed that maternal aunt, cousin and grandmother had also a positive history of neonatal onset of an acute cockade purpura and oedema. At that time, we suspected a genetic form of FSD with an autosomal dominant transmission or X-linked inheritance and incomplete penetrance. Method and Results: Blood samples were obtained from all available family members and a whole exome sequencing (WES) was performed on various affected and non-affected members of this family. The genetic analysis identified a common new mutation in the HCK gene. Conclusion: Up now, FSD is considered a sporadic disease and no genetic researches have been published on affected patients. We performed WES on a previously reported familiar case of FSD and the result was a common mutation in HCK gene. We found out the mutation on all the analysed affected and obligate-carrier members of the family. HCK gene encodes for a hematopoietic cell kinase protein, which is a member of the SRC family of cytoplasmic tyrosine kinases (SFK). We propose that HCK gene could be a candidate gene in the pathophysiology of some types of FSD. We also discuss the autosomal dominant transmission and incomplete penetrance of these specific types of disease.

Published in American Journal of Pediatrics (Volume 5, Issue 4)
DOI 10.11648/j.ajp.20190504.15
Page(s) 196-199
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Finkelstein-Seidlmayer Disease, Acute Cockade Purpura, Oedema of Young Children, Small-vessel Leukocytoclastic Vasculitis, Whole Exome Sequencing

References
[1] Fiore E, Rizzi M, Simonetti GD, Garzoni L, Bianchetti MG, Bettinelli A. 2011. Acute hemorrhagic edema of young children: a concise narrative review. Eur J Pediatr. 170: 1507–1511.
[2] Ostini A, Ramelli GP, Mainetti C, Bianchetti MG, Ferrarini A. 2015. Recurrent Finkelstein-Seidlmayer Disease in Four First-degree Relatives. Acta Derm Venereol. 95: 622-623.
[3] Miconi F, Cassiani L, Savarese E, Celi F, Papini M, Principi N, Esposito S. 2019. Targetoid skin lesions in a child: acute hemorragic oedema of infancy and its differential diagnosis. Int J Environ Res Public Health. 16 (5): 823.
[4] Ferrarini A, Milani GP, Bianchetti MG, Lava SAG. 2018. Acute hemorragic edema of infancy associated with coxsackie virus infection. Arch Pediatr. 25: 244.
[5] Savino F, Lupica MM, Tarasco V, Locatelli E, Viola S, di Montezemolo LC, Coppo P. 2013. Acute hemorrhagic edema of infancy: A troubling cutaneous presentation with a self-limiting course. Pediatr. Dermatol. 30: 149–152.
[6] Ferrarini A, Milani GP, Bianchetti MG, Lava SAG. 2018. Acute hemorrhagic edema of infancy associated with Coxsackie virus infection. Arch. Pediatr. 25: 244.
[7] Okada M. 2012. Regulation of the SRC family kinases by Csk. Int J Biol Sci. 8 (10): 1385-1397.
[8] Mitchell J, Kim SJ, Seelmann A, Veit B, Shepard B, Im E, Rhee SH. 2018. Src family kinase tyrosine phosphorylates Toll-like receptor 4, to dissociate MyD88 and al/Tirap, suppressing LPS-induced inflammatory responses. Biochem Farmacol. 147: 119-127.
[9] Roseweir AK, Powell AGMT, Horstman SL, Inthagard J, Park JH, McMillan DC, Horgan PG, Edwards J. 2019. Src family kinases, HCK and FGR, associate with local inflammation and tumour progression in colorectal cancer. Cell Signal. 56: 15-22.
[10] Ozkaya O, Söylemezoğlu O, Gönen S, Misirlioğlu M, Tuncer S, Kalman S, Buyan N, Hasanoğlu E. 2006. Renin-angiotensin system gene polymorphisms: association with susceptibility to Henoch-Schonlein purpura and renal involvement. Clin Rheumatol 25 (6): 861-5.
[11] Desong L, Fang L, Songhui Z, Liu W, Shi M, Xiuying C, Liqun D, Yannan G, Jin W, Zheng W. 2010. Renin-angiotensin system gene polymorphisms in children with Henoch-Schönlein purpura in West China. J Renin Angiotensin Aldosterone Syst11 (4): 248-55.
[12] Wang A, Wang A, Xiao Y, Wang J, Xu E. 2017. Association of Endothelial Nitric Oxide Synthase Gene Polymorphism with Susceptibility and Nephritis Development of Henoch-Schönlein Purpura in Chinese Han Children. Genet Test Mol Biomarkers 21 (6): 373-381.
[13] Zhong W, Zhou TB, Jiang Z. 2015. Association of endothelial nitric oxide synthase gene polymorphism with the risk of Henoch-Schönlein purpura/Henoch-Schönlein purpura nephritis. Ren Fail 37 (3): 372-6.
[14] Topaloglu R, Sungur A, Baskin E, Besbas N, Saatci U, Bakkaloglu A. 2001. Vascular endothelial growth factor in Henoch-Schonlein purpura. J Rheumatol 28 (10): 2269-73.
[15] He X, Yu C, Zhao P, Ding Y, Liang X, Zhao Y, Yue X, Wu Y, Yiin W. 2013. The genetics of Henoch-Schoenlein Purpura: a sistematic reviews and meta-analysis. Rheumatol Int 33 (6): 1387-1395.
[16] Ekinci RMK, Balci S, Bisgin A, Atmis B, Dogruel D, Altintas DU, Yilmaz M. 2019. MEFV gene variants in children with Henoch-Schönlein purpura and association with clinical manifestations: a single-center Mediterranean experience. Postgrad Med 131 (1): 68-72.
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Cite This Article
  • APA Style

    Gabriel Bronz, Heinz Gabriel, Sebastiano Antonio Lava, Gian Paolo Ramelli, Manuel Luedeke, et al. (2019). Whole Exome Sequencing Revealed a Candidate Gene for Finkelstein-Seidlmayer Disease. American Journal of Pediatrics, 5(4), 196-199. https://doi.org/10.11648/j.ajp.20190504.15

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    ACS Style

    Gabriel Bronz; Heinz Gabriel; Sebastiano Antonio Lava; Gian Paolo Ramelli; Manuel Luedeke, et al. Whole Exome Sequencing Revealed a Candidate Gene for Finkelstein-Seidlmayer Disease. Am. J. Pediatr. 2019, 5(4), 196-199. doi: 10.11648/j.ajp.20190504.15

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    AMA Style

    Gabriel Bronz, Heinz Gabriel, Sebastiano Antonio Lava, Gian Paolo Ramelli, Manuel Luedeke, et al. Whole Exome Sequencing Revealed a Candidate Gene for Finkelstein-Seidlmayer Disease. Am J Pediatr. 2019;5(4):196-199. doi: 10.11648/j.ajp.20190504.15

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  • @article{10.11648/j.ajp.20190504.15,
      author = {Gabriel Bronz and Heinz Gabriel and Sebastiano Antonio Lava and Gian Paolo Ramelli and Manuel Luedeke and Saskia Biskup and Carlo Mainetti and Alessandra Ferrarini},
      title = {Whole Exome Sequencing Revealed a Candidate Gene for Finkelstein-Seidlmayer Disease},
      journal = {American Journal of Pediatrics},
      volume = {5},
      number = {4},
      pages = {196-199},
      doi = {10.11648/j.ajp.20190504.15},
      url = {https://doi.org/10.11648/j.ajp.20190504.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190504.15},
      abstract = {Background: Finkelstein-Seidlmayer disease (FSD) is a benign cutaneous small-vessel leukocytoclastic vasculitis syndrome, which normally affects children between 2-60 months in a male-to-female ratio of 2:1. Skin lesions may appear as papules, erythematous macules, or urticaria. They are symmetric, sharp-edged and favouring the face, ears and extremities. Frequently they are targetoid, annular, medallion-like, or cockade. Fever and extracutaneous involvement are rare and spontaneous resolution occurs in 1-3 weeks. Case Information: In 2015, we reported a familial occurrence of FSD. Patients described in that article were the mother and all her three sons. All of them had a history of recurrent and relapsing non-thrombocytopenic, red-to-purpuric skin lesions, with a neonatal-onset. There was no systemic involvement. Anamnestic data revealed that maternal aunt, cousin and grandmother had also a positive history of neonatal onset of an acute cockade purpura and oedema. At that time, we suspected a genetic form of FSD with an autosomal dominant transmission or X-linked inheritance and incomplete penetrance. Method and Results: Blood samples were obtained from all available family members and a whole exome sequencing (WES) was performed on various affected and non-affected members of this family. The genetic analysis identified a common new mutation in the HCK gene. Conclusion: Up now, FSD is considered a sporadic disease and no genetic researches have been published on affected patients. We performed WES on a previously reported familiar case of FSD and the result was a common mutation in HCK gene. We found out the mutation on all the analysed affected and obligate-carrier members of the family. HCK gene encodes for a hematopoietic cell kinase protein, which is a member of the SRC family of cytoplasmic tyrosine kinases (SFK). We propose that HCK gene could be a candidate gene in the pathophysiology of some types of FSD. We also discuss the autosomal dominant transmission and incomplete penetrance of these specific types of disease.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Whole Exome Sequencing Revealed a Candidate Gene for Finkelstein-Seidlmayer Disease
    AU  - Gabriel Bronz
    AU  - Heinz Gabriel
    AU  - Sebastiano Antonio Lava
    AU  - Gian Paolo Ramelli
    AU  - Manuel Luedeke
    AU  - Saskia Biskup
    AU  - Carlo Mainetti
    AU  - Alessandra Ferrarini
    Y1  - 2019/09/26
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ajp.20190504.15
    DO  - 10.11648/j.ajp.20190504.15
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 196
    EP  - 199
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20190504.15
    AB  - Background: Finkelstein-Seidlmayer disease (FSD) is a benign cutaneous small-vessel leukocytoclastic vasculitis syndrome, which normally affects children between 2-60 months in a male-to-female ratio of 2:1. Skin lesions may appear as papules, erythematous macules, or urticaria. They are symmetric, sharp-edged and favouring the face, ears and extremities. Frequently they are targetoid, annular, medallion-like, or cockade. Fever and extracutaneous involvement are rare and spontaneous resolution occurs in 1-3 weeks. Case Information: In 2015, we reported a familial occurrence of FSD. Patients described in that article were the mother and all her three sons. All of them had a history of recurrent and relapsing non-thrombocytopenic, red-to-purpuric skin lesions, with a neonatal-onset. There was no systemic involvement. Anamnestic data revealed that maternal aunt, cousin and grandmother had also a positive history of neonatal onset of an acute cockade purpura and oedema. At that time, we suspected a genetic form of FSD with an autosomal dominant transmission or X-linked inheritance and incomplete penetrance. Method and Results: Blood samples were obtained from all available family members and a whole exome sequencing (WES) was performed on various affected and non-affected members of this family. The genetic analysis identified a common new mutation in the HCK gene. Conclusion: Up now, FSD is considered a sporadic disease and no genetic researches have been published on affected patients. We performed WES on a previously reported familiar case of FSD and the result was a common mutation in HCK gene. We found out the mutation on all the analysed affected and obligate-carrier members of the family. HCK gene encodes for a hematopoietic cell kinase protein, which is a member of the SRC family of cytoplasmic tyrosine kinases (SFK). We propose that HCK gene could be a candidate gene in the pathophysiology of some types of FSD. We also discuss the autosomal dominant transmission and incomplete penetrance of these specific types of disease.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • Medical Faculty, University of Bern, Bern, Switzerland

  • Centre for Genomics and Transcriptomics, Tuebingen, Germany

  • Pediatric Cardiology Unit, Department of Pediatrics, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland

  • Service of Neuropediatry, Hospital of Bellinzona, Bellinzona, Switzerland

  • Centre for Genomics and Transcriptomics, Tuebingen, Germany

  • Centre for Genomics and Transcriptomics, Tuebingen, Germany

  • Service of Dermatology, Hospital of Bellinzona, Bellinzona, Switzerland

  • Service of Medical Genetics, Italian Hospital of Lugano, Lugano, Switzerland

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