Kazunobu Ouchi
   Department   Kawasaki University of Medical Welfare  ,
   Position   Professor with Special Assignment
Article types 症例報告
Language English
Peer review Peer reviewed
Title Numerous intertriginous xanthomas in infant: A diagnostic clue for sitosterolemia
Journal Formal name:The Journal of Dermatology
ISSN code:03852407
Volume, Issue, Page 43,pp.1340-1344
Author and coauthor Yamamoto Takenobu, Matsuda Junko, Dateki Sumito, Ouchi Kazunobu, Fujimoto Wataru.
Publication date 2016/08
Summary We described a 16-month-old girl, who had numerous yellowish-brown intertriginous xanthomas along the skin creases in extremities with severe hypercholesterolemia and elevated plant sterol levels. Electron microscopy showed numerous membrane-bound lipid droplets and multivesicular lipid bodies in the foam cells, a round cell containing lipid droplets in the basal cell layer, and abundant mucin deposits just beneath the basal lamina. Diagnosis of sitosterolemia was confirmed by DNA sequencing showing compound heterozygosity for previously reported missense mutations in exon 9 of ABCG5.