title: A novel homozygous deletion in EXPH5 causes a skin fragility phenotype.
abstract: Epidermolysis bullosa simplex (EBS) is the most common form of EB. Eight different genes have been implicated in the pathogenesis of different types of EBS, but a substantial portion of the cases cannot be attributed to mutations in known genes. Recently, recessive mutations in the gene EXPH5 (encoding exophilin-5, also known as Slac2-b) were identified in patients affected with a mild form of EBS. We used immunohistochemistry, Sanger sequencing and PCR-restriction fragment length polymorphism analysis to identify the cause of mild congenital skin fragility in a 3-year-old girl. No mutations were detected in KRT5 or KRT14, but we identified a novel homozygous deletion in EXPH5, which was found to cosegregate with the disease phenotype in the family. Our results further expand the spectrum of mutations in EXPH5. Appraisal of the present case against previously reported patients indicate that EXPH5 mutations result in a distinctive skin fragility phenotype, with minimal blistering compared with other forms of basal EBS.
authors.affiliation: Department of Dermatology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: N
authors.initials: N
authors.lastname: Malchin
authors.affiliation: Department of Dermatology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: O
authors.initials: O
authors.lastname: Sarig
authors.affiliation: Department of Dermatology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Grafi-Cohen
authors.affiliation: Department of Dermatology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: S
authors.initials: S
authors.lastname: Geller
authors.affiliation: Department of Dermatology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: I
authors.initials: I
authors.lastname: Goldberg
authors.affiliation: Department of Dermatology, Ha Emek Medical Center, Afula, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Shani
authors.affiliation: Department of Pathology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Gat
authors.affiliation: Department of Dermatology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Pediatric Dermatology Unit, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: E
authors.initials: E
authors.lastname: Sprecher
authors.affiliation: Department of Dermatology, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.|Pediatric Dermatology Unit, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
authors.forename: J
authors.initials: J
authors.lastname: Mashiah
mesh_terms: D048868:Adaptor Proteins, Signal Transducing / Q000235:genetics*; D002675:Child, Preschool; D016110:Epidermolysis Bullosa Simplex / Q000235:genetics*; D005260:Female; D006801:Humans; D017384:Sequence Deletion
chemical_list: D048868:Adaptor Proteins, Signal Transducing; C514892:EXPH5 protein, human