ABSTRACT
Bart syndrome is an inherited condition characterized by epidermolysis bullosa and congenital absence of skin. It has been associated with other anomalies including pyloric atresia. The genetic abnormality has been linked to chromosome 3, with an autosomal dominant pattern of inheritance. We present a case of Bart syndrome that was associated with pyloric atresia. The literature is reviewed pertaining to this unusual association. Recommendations are offered regarding genetic counseling and anticipatory guidance for affected families.
KEYWORDS
Bart syndrome - epidermolysis bullosa - congenital absence of skin - pyloric atresia
REFERENCES
-
1
Bart B J, Gorlin R J, Anderson V E, Lynch F W.
Congenital localized absence of skin and associated abnormalities resembling epidermolysis bullosa.
Arch Dermatol.
1966;
93
296-304
-
2
Zelickson B, Matsumura K, Kist D, Epstein Jr E H, Bart B J.
Bart's syndrome: ultrastructure and genetic linkage.
Arch Dermatol.
1995;
131
663-668
-
3
Christiano A M, Bart B J, Epstein Jr E H, Uitto J.
Genetic basis of Bart’s syndrome: a glycine substitution mutation in the type VII collagen gene.
J Invest Dermatol.
1996;
106
1340-1342
-
4
Pulkkinen L, Uitto J.
Mutation analysis and molecular genetics of epidermolysis bullosa.
Matrix Biol.
1999;
18
29-42
-
5
Fine J D, Eady R AJ, Bauer E A et al..
Revised classification system for inherited epidermolysis bullosa: report of the second international consensus meeting on diagnosis and classification of epidermolysis bullosa.
J Am Acad Dermatol.
2000;
42
1051-1066
-
6
Frieden I J.
Aplasia cutis congenita: a clinical review and proposal for classification.
J Am Acad Dermatol.
1986;
14
646-660
-
7
Nakano A, Pulkkinen L, Murrell D et al..
Epidermolysis bullosa with congenital pyloric atresia: novel mutations in the B4 integrin gene (ITGB4) and genotype/phenotype correlations.
Pediatr Res.
2001;
49
618-626
-
8
Lestringant G G, Akel S R, Quayed K I.
The pyloric atresia-junctional epidermolysis bullosa syndrome.
Arch Dermatol.
1992;
128
1083-1086
-
9
Maman E, Maor E, Kachko L, Carmi R.
Epidermolysis bullosa, pyloric stenosis, aplasia cutis congenica: histopathological delineation of an autosomal recessive disease.
Am J Med Genet.
1998;
78
127-133
-
10
Morrell D S, Rubenstein D S, Briggaman R A, Fine J D, Pulkkinen L, Uitto J.
Congenital pyloric atresia in a newborn with extensive aplasia cutis congenita and epidermolysis bullosa.
Br J Dermatol.
2000;
143
1342-1343
-
11
Dereure O, Vailly J, Lagrange B, Meneguzzi G, Ortonne J P, Guillot B.
Dominant dystrophic epidermolysis bullosa associated with pyloric stenosis and congenital absence of skin.
Arch Dermatol.
2001;
137
665-666
Bruce J BartM.D.
Chief, Department of Dermatology, Hennepin County Medical Center
701 Park Avenue, Minneapolis, MN 55415