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When surgery is performed in patients with EB, risks of blisters and epidermal detachment are always present. The Heineke-Mikulicz pyloroplasty cannot always be performed because of anatomical constraints. In such cases, it is necessary to select a more time-consuming surgical procedure (i.

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We report a 7-year-old girl born with pyloric atresia but without congenital epidermolysis bullosa or skin fragility. Nail dysplasia developed at age 8 months and throughout childhood she suffered from onycholysis and mild nail hypertrophy. Whole-exome sequencing demonstrated biallelic mutations in alpha6 integrin (ITGA6): p.

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ITGB4-Related pyloric atresia without epidermolysis in two siblings.

Eur J Med Genet

December 2024

Acibadem Mehmet Ali Aydinlar University, Faculty of Medicine, Department of Pediatrics, Division of Pediatric Genetics, Rare Diseases and Orphan Drugs Application and Research Center (ACURARE), Istanbul, Turkey. Electronic address:

Article Synopsis
  • * Recent studies have linked mutations in the ITGB4 gene to isolated cases of pyloric atresia, particularly in families where multiple siblings are affected.
  • * This case study highlights two siblings with pyloric atresia and a specific mutation in the ITGB4 gene, suggesting that this gene may play a role in the condition's development without the presence of epidermolysis bullosa.
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A term male baby was born vaginally to a primi mother. An antenatal ultrasound revealed polyhydramnios and a distended stomach in the baby. At birth, the baby had well-defined areas of peeling skin on the face and blisters on the forearm region.

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