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Congenital infiltrating lipomatosis of the face with lingual mucosal neuromas associated with a PIK3CA mutation
Authors:Clémence Briand MD  Louise Galmiche-Rolland MD  Pierre Vabres MD PHD  Vincent Couloigner MD PHD  Severine Audebert MD  Laurent Misery MD PHD  Claire Abasq-Thomas MD
Affiliation:1. Department of Dermatology, University Hospital of Brest, Brest, France;2. Department of Pathology, Necker Enfants Malades Hospital, APHP Paris, Paris, France;3. Department of Dermatology, University Hospital of Dijon, Dijon, France;4. Department of Otorhinolaryngology, Necker Hospital, Paris, France;5. Department of Genetics, University Hospital of Brest, Brest, France
Abstract:We report the case of a 5-year-old girl with congenital right-sided facial hemihypertrophy and right hemi-macroglossia with lingual mucosal neuromas. The segmental presentation of findings suggested the diagnosis of congenital infiltrating lipomatosis of the face (CILF), which belongs within the PIK3CA-related overgrowth spectrum (PROS). This was confirmed by genetic analysis showing a mosaic mutation in PIK3CA H1047R. CILF/PROS should be considered in the differential diagnosis of mucosal neuromas.
Keywords:congenital infiltrating lipomatosis of the face  Cowden syndrome  facial infiltrating lipomatosis  MEN2b  mucosal neuromas  PROS syndromes
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