Lentiginosis centrofacialis Q82.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 05.12.2021

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Synonym(s)

centrofacial lentiginosis; lentiginosis centrofacial

History
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Touraine described this disease for the first time (Touraine, 1941). He discovered a total of 32 cases in 17 families studied. In 9 of the families, one parent and one or more children were affected. In 5 families with a total of 15 cases, only 2 or more siblings were affected. Mental retardation was frequently present. Dociu later compiled a series of 40 cases and emphasized that no other lentigines were found except in the face (Dociu I et al. 1976).

Definition
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Rare, probably autosomal-dominantly inherited syndrome with facial lentigines and associated malformations. The genetic defect of this (neuro-)ectodermal dysplasia is unknown so far.

Manifestation
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Occurs in the 1st year of life, increase during childhood.

Localization
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Located in the center of the face. Lateral cheek areas and mucous membranes are free.

Clinical features
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Small brownish or black spots.

Associated symptoms: Spina bifida, hypertrichosis sacralis, kyphoscoliosis, funnel chest, absence of maxillary central incisors, mental retardation with intelligence reduction, primary keratoses, epilepsy.

Differential diagnosis
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Therapy
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No causal therapy possible, if necessary cosmetic cover (e.g. Dermacolor).

Literature
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  1. Dociu I et al (1976) Centrofacial lentiginosis. Brit J Derm 94: 39-43.

  2. Touraine A (1941) Lentiginosis centro-faciale et dysplasies associées. Bull Soc Fr Dermatol Syphiligr 48: 518-522.
  3. Touraine A (1941) Une nouvelle neuro-ectodermose congenitale: la lentiginose centro-faciale et ses dysplasies associées. Ann Dermatol Syphiligr (Paris) 8: 453-473.
  4. Vakos J et al (1961) Neurodysraphic centro-facial lentiginosis. Presse Med 69:1349-1351.

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 05.12.2021