White sponge nevus

White sponge nevus
Classification and external resources
ICD-10 D10 (ILDS D10.310)
ICD-9 750.26
OMIM 193900
DiseasesDB 33866

White sponge nevus (WSN), also known as Cannon's disease, Hereditary leukokeratosis of mucosa and White sponge nevus of Cannon,[1][2] is an autosomal dominant[3] skin condition.[4] Although congenital in most cases, it can first occur in childhood or adolescence.

Contents

Characteristics

It presents in the mouth, most frequently as a thick bilateral white plaque with a spongy texture, usually on the buccal mucosa, but sometimes on the labial mucosa, alveolar ridge or floor of the mouth. The gingival margin and dorsum of the tongue are almost never affected.

Although this condition is perfectly benign, it is often mistaken for leukoplakia. There is no treatment, but because there are no serious clinical complications, the prognosis is excellent.

Cause and genetics

WSN is caused by a mutation of the keratin 4 or keratin 13 genes,[3][5] located respectively at human chromosomes 12q13[6] and 17q21-q22.[7] The condition is inherited in an autosomal dominant manner.[3] This indicates that the defective gene responsible for a disorder is located on an autosome (chromosomes 12 and 17 are autosomes), and only one copy of the defective gene is sufficient to cause the disorder, when inherited from a parent who has the disorder.

See also

References

  1. ^ Online 'Mendelian Inheritance in Man' (OMIM) 193900
  2. ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. pp. 709, 734, 738, 740. ISBN 1-4160-2999-0. 
  3. ^ a b c Terrinoni A, Rugg EL, Lane EB, et al (Mar 2001). "A novel mutation in the keratin 13 gene causing oral white sponge nevus". J. Dent. Res. 80 (3): 919–923. doi:10.1177/00220345010800031401. PMID 11379896. http://jdr.sagepub.com/cgi/pmidlookup?view=long&pmid=11379896. 
  4. ^ James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: Clinical Dermatology. Saunders Elsevier. p. 807. ISBN 0-7216-2921-0. 
  5. ^ McGowan KA, Fuchs H, Hrabé de Angelis M, Barsh GS (Jan 2007). "Identification of a Keratin 4 mutation in a chemically induced mouse mutant that models white sponge nevus". J. Invest. Dermatol. 127 (1): 60–64. doi:10.1038/sj.jid.5700498. PMID 16858417. 
  6. ^ Online 'Mendelian Inheritance in Man' (OMIM) 123940
  7. ^ Online 'Mendelian Inheritance in Man' (OMIM) 148065

External links