Incontinentia Pigmenti In a Female Infant: A Case Report

Rebecca Lapides, Hannah J Porter, Deborah Cook, Keith Morley
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Abstract

Incontinentia pigmenti (IP) is an X-linked disorder characterized by a variety of findings that affect different systems, including cutaneous, ophthalmologic, neurologic, and dental. The cutaneous findings occur in 4 consecutive stages, generally referred to as vesicular, verrucous, hyperpigmented, and atrophic. The first stage is often observed in infancy, and this may be the first indication of IP in an infant. Early diagnosis is critical so that interventions can be implemented as soon as possible to monitor for complications and mitigate the effects of IP given the potential for multisystem involvement. Here, we describe a case of IP that was diagnosed in a female infant with no prior family history of IP. Prompt diagnosis and family counseling is critical, as early interventions can help optimize patients’ quality of life and genetic testing may help families make informed future family planning decisions. 
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一名女婴的猪尿失禁:病例报告
色素失禁症(IP)是一种 X 连锁障碍性疾病,其特征是影响皮肤、眼科、神经和牙科等不同系统的多种病变。皮肤症状分为四个连续的阶段,一般称为水泡期、疣状期、色素沉着期和萎缩期。第一阶段通常在婴儿期出现,这可能是婴儿患 IP 的第一个迹象。鉴于 IP 可能累及多个系统,因此早期诊断至关重要,这样才能尽快采取干预措施,监测并发症并减轻 IP 的影响。在此,我们描述了一例被确诊为 IP 的女婴,她之前并无 IP 家族史。及时诊断和家庭咨询至关重要,因为早期干预有助于优化患者的生活质量,基因检测可帮助家庭做出明智的未来计划生育决定。
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