Acrogeria Explained

Acrogeria
Synonyms:Acrogeria, Gottron type, Gottron's syndrome
Field:Dermatology

Acrogeria (Gottron's syndrome) is a skin condition characterized by premature aging, typically in the form of unusually fragile, thin skin on the hands and feet (distal extremities).[1]

This is one of the classic congenital premature aging syndromes, occurring early in life, others being pangeria (Werner's syndrome) and progeria (Hutchinson–Gilford's syndrome), and was characterized in 1940.[2] Acrogeria was originally described by Gottron in 1941, when he noticed premature cutaneous aging localized on the hands and feet in two brothers. The problem had been present since birth.

Onset is often in early childhood, it progresses over the next few years and then remains stable over time with morphology, colour and site remaining constant. A bruising tendency has been observed.[3] Mutations in the COL3A1 gene, located at chromosome 2q31–q32, have been reported in varied phenotypes, including acrogeria and vascular rupture in Ehlers-Danlos' syndrome (more especially type IV).[4]

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Notes and References

  1. Book: Rapini, Ronald P. . Bolognia, Jean L. . Jorizzo, Joseph L. . Dermatology: 2-Volume Set . Mosby . St. Louis . 2007 . 978-1-4160-2999-1 .
  2. Gottron, H. Familiaere Akrogerie. Arch. Derm. Syph. 181: 571-583, 1940.
  3. Blaszczyk M, Depaepe A, Nuytinck L, Glinska-Ferenz M, Jablonska S . Acrogeria of the Gottron type in a mother and son . Eur J Dermatol . 10 . 1 . 36–40 . 2000 . 10694296 .
  4. Pope FM, Narcisi P, Nicholls AC . COL3A1 mutations cause variable clinical phenotypes including acrogeria and vascular rupture . . 135 . 2 . 1996 . 163–181 . 10.1046/j.1365-2133.1996.d01-971.x. 8881656 . etal.