# Clinical Overlaps in Reticulate Pigmentary Disorders: A Study of Three Cases

**Authors:** Nishtha Malik, Rahul S Nair, Aravind Reddy, Pooja Chaurasia, Niranjana S Pillai

PMC · DOI: 10.7759/cureus.56600 · Cureus · 2024-03-20

## TL;DR

This paper presents three cases of skin disorders with similar symptoms caused by genetic issues in keratin genes, which are hard to treat.

## Contribution

The study highlights clinical overlaps among three rare pigmentary disorders with limited treatment options.

## Key findings

- Three cases showed overlapping features of reticulate acropigmentation of Kitamura, Dowling-Degos disease, and dyschromatosis symmetrica hereditaria.
- All disorders are linked to abnormalities in keratin 5 and keratin 14 genes.
- Treatment options for these conditions remain limited.

## Abstract

Reticulate pigmentary disorders are autosomal dominant pigmentary disorders caused by abnormalities in the keratin 5 and keratin 14 genes. Here, we report three cases of reticulate hyperpigmentation disorders with clinical overlaps of the reticulate acropigmentation of Kitamura, Dowling-Degos disease (DDD), and dyschromatosis symmetrica hereditaria (DSH), all three having limited treatment options.

## Linked entities

- **Genes:** KRT5 (keratin 5) [NCBI Gene 100615215]
- **Diseases:** reticulate acropigmentation of Kitamura (MONDO:0014234), Dowling-Degos disease (MONDO:0008371), dyschromatosis symmetrica hereditaria (MONDO:0007483)

## Full-text entities

- **Genes:** KRT14 (keratin 14) [NCBI Gene 3861] {aka CK14, EBS1, EBS1A, EBS1B, EBS1C, EBS1D}, KRT5 (keratin 5) [NCBI Gene 3852] {aka CK5, DDD, DDD1, EBS1, EBS2, EBS2A}
- **Diseases:** Reticulate Pigmentary Disorders (MESH:C564461), autosomal dominant pigmentary disorders (MESH:D030342), DSH (MESH:C535729), DDD (MESH:C562924), reticulate hyperpigmentation disorders (MESH:D017495), Overlaps (MESH:C536030)

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11031628/full.md

## References

4 references — full list in the complete paper: https://tomesphere.com/paper/PMC11031628/full.md

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Source: https://tomesphere.com/paper/PMC11031628