Publications by authors named "Smail Hadj Rabia"

Article Synopsis
  • * A study examined 131 female patients with X-linked dominant incontinentia pigmenti (IP), finding that 36% produced autoantibodies against IFN-α and/or IFN-ω, significantly higher than age-matched controls.
  • * The presence of these autoantibodies is linked to an abnormally small thymus and predisposes patients to life-threatening viral infections, while those without these autoantibodies do not face the same risk.
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  • - Albinism is caused by a variety of genes (21 identified), with most cases following an autosomal recessive inheritance pattern, though one form is X-linked; about 70% of cases can be diagnosed through genetic analysis.
  • - Of the undiagnosed cases, roughly 15% carry one pathogenic variant but may have undiscovered variants in non-coding regions; this research involved sequencing a group of 122 heterozygous patients.
  • - From the study, 12 patients received additional diagnoses based on non-coding variants that affected RNA splicing, highlighting the need to investigate non-coding regions to improve diagnostic rates for genetic diseases like albinism.
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  • Infants with severe epidermolysis bullosa (EB) often face dehydration and malnutrition, but their nutritional needs are not well studied.
  • A study looked at 27 newborns with EB to assess their nutritional status and found many had low sodium levels and needed extra fluids and sodium.
  • The results suggest that these infants require higher food and nutrient intake than usual to grow properly and stay healthy, especially during their first month of life.
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  • Congenital pseudarthrosis of the tibia (CPT) is characterized by non-healing bone fractures, often linked to neurofibromatosis type 1 (NF1), a genetic disorder caused by mutations in a tumor suppressor gene.
  • Research focused on the role of specific cell types, including Schwann cells and skeletal stem/progenitor cells (SSPCs), in the development of fibrosis associated with CPT.
  • Treatment using inhibitors targeting the RAS-MAPK signaling pathway showed promise in preventing fibrous nonunion in a mouse model, suggesting a new potential strategy for dealing with CPT-related complications.
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  • Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are serious skin reactions mainly triggered by drugs, with limited research on their occurrence in children.
  • A study analyzed pediatric cases of SJS-TEN from the WHO VigiBase database to identify drugs associated with these reactions, covering data from 1967 to 2022.
  • The research found significant signals for 165 drugs, predominantly antiepileptics and anti-infectious medications, with lamotrigine and carbamazepine being the most notable, while it ruled out vaccines as a significant risk factor.
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  • The study aimed to clarify the dermatological features of Costello syndrome (CS) and distinguish them from other similar syndromes like cardiofaciocutaneous syndrome (CFCS) and types of Noonan syndrome (NS).
  • A ten-year multi-center study involving 31 patients found common skin and hair anomalies in CS, such as excessive eyebrows and various types of skin growths, which can help differentiate CS from CFCS and NS.
  • The findings propose multiple melanocytic naevi as a potential marker for a milder form of CS and suggest that acitretin could be beneficial for treating certain skin conditions, although no clear genotype-phenotype link was identified.
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Incontinentia pigmenti (IP, Bloch-Sulzberger syndrome) is a multisystem disorder which associates specific skin lesions that evolves in four stages, and occasionally, central nervous system, eye, hair, and teeth involvement. Familial (35%) and sporadic (65%) cases are caused by pathogenic variants in the IKBKG gene. Here we report an unusual family, where, in two half-sisters affected by typical IP, molecular genetic analysis identified a likely pathogenic non-sense variant in the IKBKG gene of one of the sisters, the other being not a carrier.

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Background: To date, almost no research on the psychosocial implications of albinism has been conducted in France and an exploration of albinism-related experiences could be beneficial, in order to better understand this condition. The aim of this study was to examine how French people with albinism and their parents live with and adapt to this condition in all the areas of their lives.

Methods: Semi-structured phone interviews were conducted with 9 parent-child dyads, each participating separately.

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Oculocutaneous albinism type 2 (OCA2) is the second most frequent form of albinism and represents about 30% of OCA worldwide. As with all types of OCA, patients present with hypopigmentation of hair and skin, as well as severe visual abnormalities. We focused on a subgroup of 29 patients for whom genetic diagnosis was pending because at least one of their identified variants in or around exon 10 of OCA2 is of uncertain significance (VUS).

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Ectodermal dysplasias are genetic conditions affecting the development and/or homeostasis of 2 or more ectodermal derivatives, including hair, teeth, nails, and certain glands. No tool is available to assess the burden of ectodermal dysplasias and its multidimensional impact on patients and their families. This study developed and validated a familial/parental 19-item burden questionnaire designed specifically for ectodermal dysplasias.

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  • The PIK3CA-related overgrowth spectrum (PROS) includes conditions caused by mosaic variants in the PIK3CA gene, which can also lead to various cancers, including an increased risk of Wilms tumor (WT).
  • A study of 267 PROS patients found a low overall cancer development rate of 2.2%, with an estimated 5.6% probability of cancer by age 45, suggesting the risk of WT in these patients is relatively low.
  • The findings indicate that routine abdominal ultrasound for cancer detection in PROS might not be necessary, and more long-term studies are needed to better understand the risks of different cancers and their connection to PIK3CA variants.
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  • This study focuses on the effectiveness of biologic therapies for children with palmoplantar plaque psoriasis, assessing data from 170 patients in the BiPe cohorts.
  • Results show that children with palmoplantar psoriasis tended to be male, had an earlier onset of psoriasis, and experienced more nail involvement compared to those with generalized plaque psoriasis.
  • After three months of treatment, those with palmoplantar psoriasis had higher mean PGA scores and were more likely to discontinue treatment due to inefficacy, suggesting that adalimumab may be the most effective option, but more research is needed for better management guidelines.
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X-linked hypohidrotic ectodermal dysplasia (XLHED), caused by a genetic deficiency of ectodysplasin A1 (EDA1), is a rare developmental disorder of ectodermal derivatives such as hair, sweat glands, and teeth. The absence of sweat glands and perspiration can evoke life-threatening hyperthermia. As molecular genetic findings are not always conclusive, the concentrations of circulating EDA1 may help to distinguish between total and partial EDA1 deficiencies.

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X-linked hypohidrotic ectodermal dysplasia (XLHED) is a rare genetic disorder characte-rised by abnormal development of the skin and its appendages, such as hair and sweat glands, the teeth, and mucous glands of the airways, resulting in serious, sometimes life-threatening complications like hyperthermia or recurrent respiratory infections. It is caused by pathogenic variants of the ectodysplasin A gene (). Most affected males are hemizygous for null mutations that lead to the absence or inactivity of the signalling protein ectodysplasin A1 (EDA1) and, thus, to the full-blown phenotype with inability to perspire and few if any teeth.

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Bothnian palmoplantar keratoderma (PPKB, MIM600231) is an autosomal dominant form of diffuse non-epidermolytic PPK characterized by spontaneous yellowish-white PPK associated with a spongy appearance after water-immersion. It is due to heterozygous mutations. We report four patients carrying a novel heterozygous mutation (c.

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Article Synopsis
  • The list of ectodermal dysplasias has been updated to include recent advancements in molecular genetics and rare disease research, following a new classification approach established in 2017.
  • The update involved a review of recent publications and direct communication with authors of older studies to ensure accuracy in the classification of these diseases.
  • The final list now includes 49 known ectodermal dysplasias, with 15 new entities, while distinguishing them from syndromes that exhibit similar features but are unrelated to ectodermal development.
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Albinism is a genetic disorder, present worldwide, caused by mutations in genes affecting melanin production or transport in the skin, hair and eyes. To date, mutations in at least 20 different genes have been identified. Oculo-cutaneous Albinism type IV (OCA4) is the most frequent form in Asia but has been reported in all populations, including Europeans.

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  • - Combined therapies in treating childhood psoriasis involve using multiple drugs to enhance effectiveness and minimize side effects, with a study evaluating their use in 170 children across France and Italy.
  • - Out of the participants, 13% received various combinations of conventional and biologic medications, achieving significant improvements in psoriasis scores, despite reporting a few serious adverse events with positive outcomes.
  • - A survey of 61 dermatologists revealed that 64% have used or intend to use these combined therapies, primarily to boost the effectiveness of biologic treatments when initial results are insufficient.
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  • Claudin proteins are key players in tight junctions of epithelial tissues, affecting ion permeability, and mutations in CLDN10 lead to HELIX syndrome, which results in severe enamel wear among other symptoms.
  • Research on a third molar from a HELIX patient showed that the enamel's structure and formation were normal, but revealed unusual variations in strontium levels in the enamel and dentin.
  • The findings suggest that the enamel wear is likely linked to xerostomia rather than an inherent fragility of the enamel itself, although the strontium variations may indicate possible issues with renal function that need further study.
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