Molecular Heterogeneity of Epidermolysis Bullosa Simplex: Contribution of EXPH5 Mutations  Manuela Pigors, Agnes Schwieger-Briel, Juna Leppert, Dimitra.

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Molecular Heterogeneity of Epidermolysis Bullosa Simplex: Contribution of EXPH5 Mutations  Manuela Pigors, Agnes Schwieger-Briel, Juna Leppert, Dimitra Kiritsi, Jürgen Kohlhase, Leena Bruckner-Tuderman, Cristina Has  Journal of Investigative Dermatology  Volume 134, Issue 3, Pages 842-845 (March 2014) DOI: 10.1038/jid.2013.373 Copyright © 2014 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Clinical findings of exophilin-5 (EXPH5)-associated epidermolysis bullosa simplex. (a) Pedigree with the index patient indicated by a black circle. (b) At birth, the index patient presented with large erosions, in particular, on the legs. (c and d) Between 6 (c) and 15 (d) months of age, the main clinical features encompassed small blisters and erosions (arrows) as well as linear and hemorrhagic crusts (arrowheads) on the extremities. Journal of Investigative Dermatology 2014 134, 842-845DOI: (10.1038/jid.2013.373) Copyright © 2014 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Exophilin-5 (EXPH5) mutations lead to cleavage within the basal layer of the epidermis. (a) Two EXPH5 frame-shift mutations, c.1395delC and c.2897delC (arrows), were disclosed in the patient. (b) Schematic representation of the EXPH5 gene. Blue boxes represent the exons. The variants, indicated in red, are located in exon 6. The previously identified variant is shown in black (McGrath et al., 2012). (c) Immunofluorescence staining of keratin-14 showed several splits in the basal layer of the epidermis (asterisks). Scale bar=20 μm. (d) Histopathological analysis revealed discrete hyperkeratosis and macro (left panel) and micro blisters (right panel) along the dermal–epidermal junction. Scale bar=50 μm. Journal of Investigative Dermatology 2014 134, 842-845DOI: (10.1038/jid.2013.373) Copyright © 2014 The Society for Investigative Dermatology, Inc Terms and Conditions