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Epidermolysis Bullosa Simplex with KLHL24 Mutations Is Associated with Dilated Cardiomyopathy
Agnes Schwieger-Briel, Ignacia Fuentes, Daniele Castiglia, Antonio Barbato, Matthias Greutmann, Juna Leppert, Sabine Duchatelet, Alain Hovnanian, Sofia Burattini, M. Joao Yubero, Rodrigo Ibañez-Arenas, Boris Rebolledo-Jaramillo, Christoph Gräni, Hagen Ott, Martin Theiler, Lisa Weibel, Amy S. Paller, Giovanna Zambruno, Judith Fischer, Francis Palisson, Cristina Has Journal of Investigative Dermatology Volume 139, Issue 1, Pages (January 2019) DOI: /j.jid Copyright © 2018 The Authors Terms and Conditions
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Figure 1 Cutaneous and cardiac features of EBS-KLHL24. (a) Congenital skin defects and blistering; (b) characteristic stellate scarring; (c–e) macular or whorled hypopigmentation and hyperpigmentation in children; and (f–h) mild skin fragility, anetoderma, diffuse alopecia, and nail dystrophy in adults. (i, j) Echocardiograph of patient 1: four-chamber view at (i) end-diastole and (j) end-systole with severe dilatation of LV and LA and severely impaired LV ejection fraction. (k, l) Magnetic resonance imaging (CMR): (k) cine sequence (end-diastole) in the short axis view at basal level and (l) wall thinning of inferoseptal and inferior LV wall segments (white arrows). Extensive late-gadolinium enhancement in all segments: transmural fibrosis, corresponding to the thinned inferior and inferolateral wall of the LV (small arrowheads), non-transmural mid-wall fibrosis visible in the septum (large arrowheads), and to a lesser extent, the lateral, anterior, and septal segments of the LV and diffuse fibrosis of the RV. LA, left atrium; RA, right atrium; LV, left ventricle; RV, right ventricle. Journal of Investigative Dermatology , DOI: ( /j.jid ) Copyright © 2018 The Authors Terms and Conditions
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