| خلاصه مقاله | Introduction: H syndrome is an autosomal recessive genodermatosis with reports
dating back to the last decade. This syndrome is caused by mutations in SCL29A3
gene. The clinical characteristic of this syndrome consists of dermatological
manifestations including hyperpigmented, hypertrichotic, and indurated patches
and plaques. It affects various systems by causing heart anomalies,
hepatosplenomegaly, hypogonadism, and low height.
Case presentation: This is the case of a 19-year-old girl from the northwest of
Iran that was the fruit of a cousin marriage. The primary manifestations included
low height, underdeveloped secondary sex characteristics, and typical
dermatological manifestations. This patient had been examined mostly because of
digestive and endocrine problems and thus she had not been subject to extensive
dermatological examinations until the skin biopsies mirrored manifestations
similar to histiocytoses(e.g.Rosai-Dorfman disease and granuloma annulare). The
patient was eventually diagnosed with H syndrome by a dermatologist on account
of the clinical symptoms.
Conclusion: H syndrome is an autosomal recessive genodermatosis that affects
different organs and is diagnosed by a set of typical and systemic cutaneous
symptoms and biopsies. In our patient, the endoscopic examination of the upper
gastrointestinal tract was carried out due to the reports of anemia. The biopsy of
the atrophic duodenum regions revealed the existence of coeliac disease. However,
the comorbidity of coeliac disease and H syndrome had not been previously
reported. |