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We report a patient with clinically confirmed Schimmelpenning-Feuerstein-Mims (SFM) syndrome but many overlapping features with oculoectodermal syndrome (OES) and encephalocraniocutaneous lipomatosis (ECCL). Whole exome sequencing revealed a mosaic KRAS c.436G>A, p.

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Article Synopsis
  • Encephalocraniocutaneous lipomatosis (ECCL), or Haberland syndrome, is a rare condition affecting the skin, central nervous system, and eyes, characterized by tumors and other abnormalities.
  • Key symptoms include specific skin lesions, subcutaneous lipomas, and neurological issues like intracranial lipomas and developmental delays.
  • Diagnosis primarily relies on clinical evaluation with possible genetic testing; management is multidisciplinary, focusing on symptom relief and monitoring for potential complications.
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A Hemorrhagic Brain Mass in a Child With Encephalocraniocutaneous Lipomatosis.

J Pediatr Hematol Oncol

October 2024

Division of Hematology, Oncology, and Bone Marrow Transplant, Department of Pediatrics, Seattle Children's Hospital.

Article Synopsis
  • Encephalocraniocutaneous lipomatosis (ECCL) is a rare genetic disorder characterized by specific skin, eye, and brain abnormalities.
  • There have been case reports linking ECCL to low-grade gliomas and certain mutations in the FGFR1 gene.
  • This report highlights a patient with ECCL who has a diffuse low-grade glioma and a unique FGFR1 mutation that affects the mitogen activated protein kinase pathway.
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Article Synopsis
  • Encephalocraniocutaneous lipomatosis (ECCL) is a rare congenital syndrome that affects the eyes, skin, and central nervous system, linked to specific genetic variants.
  • A case study of a patient with Neurofibromatosis type 1 revealed a germline pathogenic variant associated with ECCL, suggesting a broader relationship between these conditions.
  • Genetic analysis indicated biallelic inactivation happening early in embryonic development, which could explain the severe abnormalities typical of ECCL, activating the RAS-MAPK pathway and demonstrating different forms of mosaicism contributing to the phenotype.
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Encephalocraniocutaneous lipomatosis (ECCL) is a rare congenital syndrome and subclassification of oculoectodermal syndrome. Encephalocraniocutaneous lipomatosis may be associated with postzygotic mutations. However, absence of an identifiable mutation does not preclude a diagnosis of ECCL.

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