Incontinentia pigmenti: a case report and literature review

Incontinentia pigmenti (IP) is a rare, X-linked dominant disorder that presents at or soon after birth with characteristic cutaneous signs. The eyes and central nervous system are the next most commonly affected systems. We aimed to describe the ophthalmological, neurological and radiodiagnos...

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Main Authors: Sinan Emre, Yezdan Firat, Serdal Güngör, Ahmet Kemal Firat, Yelda Karincaoğlu
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2009-04-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2286
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author Sinan Emre
Yezdan Firat
Serdal Güngör
Ahmet Kemal Firat
Yelda Karincaoğlu
author_facet Sinan Emre
Yezdan Firat
Serdal Güngör
Ahmet Kemal Firat
Yelda Karincaoğlu
author_sort Sinan Emre
collection DOAJ
description Incontinentia pigmenti (IP) is a rare, X-linked dominant disorder that presents at or soon after birth with characteristic cutaneous signs. The eyes and central nervous system are the next most commonly affected systems. We aimed to describe the ophthalmological, neurological and radiodiagnostic findings of a patient with IP and bilateral retinal detachment. Clinical and laboratory findings of a four-month-old female baby who did not have light fixation and had neurological maturation retardation are presented. Characteristic skin lesions of IP were noted especially at the extremities, bilaterally. On neurological examination, motor and mental maturation were retarded and axial hypotonia was noted. Bilateral retinal detachment was the cause of absent eye fixation noted during ophthalmologic examination, and the detachments were also documented by ultrasonography and magnetic resonance imaging (MRI). Otologic examination was normal. Focal left frontal lobe atrophy, corpus callosum hypoplasia and prominence of right hemisphere were also noted on MRI. MR spectroscopy revealed negative lactate peak at the involved left frontal lobe. Bilateral retinal detachment is a probable finding in IP and patients with neurological symptoms should be investigated for associated sight-threatening ocular pathologies.
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language English
publishDate 2009-04-01
publisher Hacettepe University Institute of Child Health
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series The Turkish Journal of Pediatrics
spelling doaj-art-68a814f5f452449c91f6aa5fe5e4d1d22025-08-20T02:01:49ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212009-04-01512Incontinentia pigmenti: a case report and literature reviewSinan Emre0Yezdan FiratSerdal GüngörAhmet Kemal FiratYelda KarincaoğluDepartment of Ophthalmology, Inönü University Faculty of Medicine, Malatya, Turkey. Incontinentia pigmenti (IP) is a rare, X-linked dominant disorder that presents at or soon after birth with characteristic cutaneous signs. The eyes and central nervous system are the next most commonly affected systems. We aimed to describe the ophthalmological, neurological and radiodiagnostic findings of a patient with IP and bilateral retinal detachment. Clinical and laboratory findings of a four-month-old female baby who did not have light fixation and had neurological maturation retardation are presented. Characteristic skin lesions of IP were noted especially at the extremities, bilaterally. On neurological examination, motor and mental maturation were retarded and axial hypotonia was noted. Bilateral retinal detachment was the cause of absent eye fixation noted during ophthalmologic examination, and the detachments were also documented by ultrasonography and magnetic resonance imaging (MRI). Otologic examination was normal. Focal left frontal lobe atrophy, corpus callosum hypoplasia and prominence of right hemisphere were also noted on MRI. MR spectroscopy revealed negative lactate peak at the involved left frontal lobe. Bilateral retinal detachment is a probable finding in IP and patients with neurological symptoms should be investigated for associated sight-threatening ocular pathologies. https://turkjpediatr.org/article/view/2286
spellingShingle Sinan Emre
Yezdan Firat
Serdal Güngör
Ahmet Kemal Firat
Yelda Karincaoğlu
Incontinentia pigmenti: a case report and literature review
The Turkish Journal of Pediatrics
title Incontinentia pigmenti: a case report and literature review
title_full Incontinentia pigmenti: a case report and literature review
title_fullStr Incontinentia pigmenti: a case report and literature review
title_full_unstemmed Incontinentia pigmenti: a case report and literature review
title_short Incontinentia pigmenti: a case report and literature review
title_sort incontinentia pigmenti a case report and literature review
url https://turkjpediatr.org/article/view/2286
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AT yezdanfirat incontinentiapigmentiacasereportandliteraturereview
AT serdalgungor incontinentiapigmentiacasereportandliteraturereview
AT ahmetkemalfirat incontinentiapigmentiacasereportandliteraturereview
AT yeldakarincaoglu incontinentiapigmentiacasereportandliteraturereview