A Case of Psoriatic Disease and Hidradenitis Suppurativa in a Child with Chromosome 17q21.31 Microduplication Syndrome
Ersilia Tolino,
Nevena Skroza,
Emanuela Del Giudice,
Patrizia Maddalena,
Nicoletta Bernardini,
Ilaria Proietti,
Alessandra Mambrin,
Federica Marraffa,
Giovanni Rossi,
Riccardo Lubrano,
Concetta Potenza
Affiliations
Ersilia Tolino
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Nevena Skroza
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Emanuela Del Giudice
Maternal and Child Health Department, Santa Maria Goretti Hospital, Sapienza University of Rome, Polo Pontino, 04100 Latina, Italy
Patrizia Maddalena
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Nicoletta Bernardini
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Ilaria Proietti
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Alessandra Mambrin
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Federica Marraffa
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Giovanni Rossi
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Riccardo Lubrano
Maternal and Child Health Department, Santa Maria Goretti Hospital, Sapienza University of Rome, Polo Pontino, 04100 Latina, Italy
Concetta Potenza
Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit “D. Innocenzi”, Sapienza University of Rome, Polo Pontino, Via Firenze, 1, 04019 Terracina, Italy
Psoriatic disease is a chronic, relapsing inflammatory disorder, characterized mostly by cutaneous erythematous scaly plaques sometimes associated with arthritis. Hidradenitis suppurativa (HS) is a chronic relapsing inflammatory disease of the apocrine glands, characterized clinically by painful abscesses, sinus tracts and scars. It typically occurs after puberty, affecting mainly intertriginous areas of the body. There is a strong association between HS and psoriasis since they share the same pathogenic inflammatory pathway. The patient presented: low birthweight, microcephaly, facial dysmorphisms, lumbar hyperlordosis, walking difficulties, global psychomotor developmental delay and learning disabilities. A genetic evaluation revealed a 2.5 Mb de novo microduplication in the 17q21.31 chromosomal region. Dermatological examination revealed HS (Hurley stage II-HS) distributed in the genital area and inguinal folds, psoriatic plaques on the retroauricolar folds, on the elbows bilaterally and on the lateral aspect of the right ankle and psoriatic arthritis. The patient was treated with adalimumab, with a marked improvement of both conditions. To our best knowledge, we report the first case of coexisting Psoriatic Arthritis Disease and Hidradenitis Suppurativa in a child with chromosome 17q21.31 microduplication syndrome. We hypothesize that gene CRHR1 duplication included in the 17q21.31 chromosomal region might be involved in the pathogenesis of both diseases.
