Brooke-spiegler syndrome Q85.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.01.2021

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History
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Brooke, 1892; Spiegler, 1899

Definition
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Rare, familial tumour combinations of varying composition and severity.

Etiopathogenesis
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Autosomal-dominantly inherited mutation of the Cylindroma gene(CYLD), which is located on gene locus 16q12-q13. The CYLD gene functions, among other things, as a tumour suppressor gene.

Clinical features
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In addition to the turbantumors(cylindromas) which characterize the clinical picture, trichoepitheliomas, spiradenomas as well as combination tumors such as spiradenozylindromas may be found. Subtypes of the clinical picture may predominantly express trichoepitheliomas. This autosomal dominantly inherited clinical picture is referred to as Brooke syndrome (OMIM 601606, OMIM 612099). In these cases, the distinction from multiple familial trichoepithelioma syndrome becomes difficult (if there is a distinction at all).

Complication(s)
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The dermatological symptoms are complicated by tumours of other organs (salivary glands, kidneys). Tumours of the salivary glands can occur per continuitatem or through isolated growth. Malignant degeneration is possible.

Literature
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  1. Bignell GR et al (2000) Identification of the familial cylindromatosis tumour-suppressor gene. Nat Genet 25: 160-165
  2. Brooke HAG (1892) Epithelioma adenoides cysticum. British Journal of Dermatology (Oxford) 4: 269-287
  3. Choi HR et al (2002) Molecular analysis of chromosome 16q regions in dermal analogue tumors of salivary glands: a genetic link to dermal cylindroma? Am J Surg Pathol 26: 778-783
  4. Clarke J et al (2002) Multiple familial trichoepitheliomas: a folliculosebaceous-apocrine genodermatosis. At J Dermatopathol 24: 402-405
  5. Ferrandiz C et al (1985) Dermal cylindromas (turban tumour) and eccrine spiradenomas in a patient with membranous basal cell adenoma of the parotid gland.J Cutan Pathol 12: 72-79
  6. Garat H et al (1999) Brooke-Spiegler syndrome. Ann Dermatol Venereol 126: 513-517
  7. Hu G et al (2003) a novel missense mutation in CYLD in a family with Brooke-Spiegler syndrome. J Invest Dermatol 121: 732-734
  8. Kumar P et al (2014) Linear milia en plaque on the forearm. Skinmed 12:250-251
  9. Miescher G (1957) Eruptive milia and Brooke's epithelioma adenoides cysticum]. Dermatologica 115:712-716
  10. Muñoz-Martínez R et al (2013) Milia en plaque. Actas Dermosifiliogr 104:638-640
  11. Poblete Gutierrez P et al (2002) Phenotype diversity in familial cylindromatosis: a frameshift mutation in the tumor suppressor gene CYLD underlies different tumors of skin appendages. J Invest Dermatol 119: 527-531
  12. Spiegler E (1899) On endotheliomas of the skin. Arch Dermatol Syphilis (Berlin) 50: 163-176

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Last updated on: 29.01.2021