GENETISCHE CLASSIFICATIE VAN EPIDERMAL DIFFERENTIATION DISORDERS home ICD10: n.v.t.

In 2025 is in 4 artikelen in het BJD voorgesteld om nieuwe, op het gen gebaseerde namen in te voeren voor congenitale epidermale differentiatie stoornissen waarvan het gen bekend is. Ichthyosis vulgaris zou dan FLG-nEDD worden. Er is ook kritiek op dit voorstel, met name dat er niet in alle landen gendiagnostiek beschikbaar is. Ook zijn sommige genen bij meerdere verschillende aandoeningen betrokken, en sommige klinische entiteiten kunnen door verschillende genmutaties worden veroorzaakt. De relatie tussen gen en aandoening is dus niet altijd 1 op 1. Verstandig is om ook de oude namen nog te vermelden omdat de huidige generatie dermatologen bij die namen een beeld heeft van hoe het er uit ziet. Er worden 3 groepen epidermal differentiation disorders onderscheiden: non-syndromal EDD, syndromal EDD, en palmoplantar EDD.


Niet-syndromale congenitale epidermale differentiatie stoornissen:

Proteïne: Nieuwe naam: Oude naam: OMIM:
Fillagrin FLG-nEDD Ichthyosis vulgaris 146700
Keratin 1 KRT1-nEDD-epidermolytic Epidermolytic ichthyosis, bullous congenital ichthyosiform erythroderma, epidermolytic hyperkeratosis 113800
Keratin 1 KRT1-nEDD-nonepidermolytic Epidermolytic ichthyosis 113800
Keratin 1 KRT1-nEDD-spiny Ichthyosis histrix, Curth-Macklin type 146590
Keratin 1 KRT1-nEDD-annular Annular epidermolytic ichthyosis 620148
Keratin 10 KRT10-nEDD-epidermolytic Epidermolytic ichthyosis, bullous congenital ichthyosiform erythroderma, epidermolytic hyperkeratosis 620150
Keratin 10 KRT10-nEDD-nonepidermolytic Epidermolytic ichthyosis 620150
Keratin 10 KRT10-nEDD-spiny Ichthyosis histrix, Lambert type 146600
Keratin 10 KRT10-nEDD-annular Annular epidermolytic ichthyosis 607602
620150
Keratin 2 KRT2-nEDD Superficial epidermolytic ichthyosis 146800
Keratin 1 KRT1-nEDD-mosaic Epidermolytic naevus 113800
Keratin 2 KRT2-nEDD-mosaic Epidermolytic naevus 146800
Keratin 10 KRT10-nEDD-mosaic Epidermolytic naevus 620150
Keratin 16 KRT16-nEDD-mosaic Epidermolytic naevus 148067
Keratin 83 KRT18-nEDD Erythrokeratodermia variabilis et progressiva 617756
Keratin 1 KRT1-nEDD-revertant mosaic Ichthyosis with confetti 113800
Keratin 10 KRT10-nEDD-revertant mosaic Ichthyosis with confetti 609165
Desmosome:
p53/p63 tetraspan plasma membrane protein (PERP)
PERP-nEDD-AR Erythrokeratodermia variabilis et progressiva 619209
Corneodesmosome:
corneodesmosin
CDSN-nEDD Peeling skin syndrome 270300
Fillagrin 2 FLG2-nEDD Peeling skin syndrome 618084
Cornified cell envelope:
cystatin A
CSTA-nEDD Peeling skin syndrome 607936
Sulfotransferase family 2B member 1 (SULT2B1) SULT2B1-nEDD Lamellar ichthyosis, CIE, ARCI 617571
Mevalonate pyrophosphate decarboxylase (MVD) MVD-nEDD Porokeratosis,
Disseminated (superficial) actinic porokeratosis,
Linear porokeratosis,
Porokeratosis of Mibelli
603236
Mevalonate kinase (MVK) MVK-nEDD 175900
Phosphomevalonate kinase (PMVK) PMVK-nEDD 175800
Farnesyl diphosphate synthetase (FDPS) FDPS-nEDD 134629
Solute carrier family 17 member 9 (SLC17A9) SLC17A9-nEDD 616063
Farnesyl diphosphate farnesyl transferase 1 (FDFT1) FDFT1-nEDD 184420
12R-lipoxygenase (12R-LOX) ALOX12B-nEDD Lamellar ichthyosis, CIE, ARCI 242100
Epidermal type lipoxygenase 3 (eLOX3) ALOXE3-nEDD Lamellar ichthyosis, CIE, ARCI 606545
Cytochrome P450 family 4, subfamily F, polypeptide 22 (CYP4F22) CYP4F22-nEDD Lamellar ichthyosis, CIE, ARCI 604777
Lipase family member N (LIPN) LIPN-nEDD Lamellar ichthyosis, CIE, ARCI 613943
Ceramide synthetase 3 CERS3-nEDD Lamellar ichthyosis, CIE, ARCI 615023
Patatin-like phospholipase domain containing 1 (PNPLA1) PNPLA1-nEDD Lamellar ichthyosis, CIE, ARCI 615024
Short chain dehydrogenase / reductase family 9C member 7 (SDR9C7) SDR9C7-nEDD Lamellar ichthyosis, ARCI 617574
NTPase KAP family P-loop domain containing protein 1 (NKPD1) NKPD1-nEDD Autosomal dominant lamellar ichthyosis -
3-Ketodihydro-sphingosine reductase (KDSR) KDSR-nEDD Erythrokeratodermia variabilis et progressiva, Periopter syndrome 617526
ATP-binding cassette transporter family A member 12 (ABCA12) ABCA12-nEDD Harlequin ichthyosis, ARCI, CIE, erythrokeratodermia variabilis et progressiva 607800
Magnesium transporter NIPA4 isoform 1 (NIPAL4) NIPAL4-nEDD Lamellar ichthyosis, CIE, ARCI 612281
Solute carrier family 27 member 4 (fatty acid transporter protein) SLC27A4-nEDD Ichthyosis prematurity syndrome 608649
Serpin family B member 8 (SERPINB8) SERPINB8-nEDD Peeling skin syndrome 617115
Transglutaminase 1 TGM1-nEDD Lamellar ichthyosis, CIE, ARCI, self-healing collodion baby, bathing suit ichthyosis 242300
Transglutaminase 5 TGM5-nEDD Acral peeling skin syndrome 609796
Caspase 14 CASP14-nEDD Lamellar ichthyosis, ARCI 617320
Retroviral-like aspartic protease 1 (ASPRV1) ASPRV1-nEDD Autosomaal dominant lamellar ichthyosis 146750
Kallikrein-11 KLK11-nEDD Autosomal dominant cornification disorder 620507
Gap junction protein, connexin 31 GBJ3-nEDD Erythrokeratodermia variabilis et progressiva 133200
Gap junction protein, connexin 30.3 GBJ4-nEDD Erythrokeratodermia variabilis et progressiva 617524
Gap junction protein, connexin 43 GBA1-nEDD Erythrokeratodermia variabilis et progressiva 617525
Secretary pathway Ca2+ ATPase1 (SPCA1) ATP2C1-nEDD Hailey-Hailey disease (chronic benign familial pemphigus) 169600
Sarcoplasmic reticulum Ca2+ ATPase2 (SERCA2) ATP2A2-nEDD Darier-White disease (keratosis follicularis) 124200
Transient receptor potential cation channel subfamily M member 4 (TRPM4) TRPM4-nEDD Erythrokeratodermia variabilis et progressiva 618531
Caspase recruitment domain-containing protein 14 (CARD14) CARD14-nEDD CARD14-associated papulosquamous eruption, pityriasis rubra pilaris type V 173200
Protease maturation protein (POMP) POMP-nEDD KLICK syndrome 601952
Bron: Akiyama M., et al. Br J Dermatol 2025;193(4):619-641.


Referenties
1. Hernández-Martín Á, Paller AS, Sprecher E, Akiyama M, Granier Tournier C, Aldwin-Easton M, Bodemer C, Choate K, Fischer J, Gostynski A, Hovnanian A, Ishida-Yamamoto A, O'Toole EA, Schmuth M, Schwartz J, Tadini G, Teng J, Mazereeuw-Hautier J. A proposal for a new pathogenesis-guided classification for inherited epidermal differentiation disorders. Br J Dermatol 2025;193(3):544-548. PDF
2. Akiyama M, Choate K, Hernández-Martín Á, Aldwin-Easton M, Bodemer C, Gostyński A, Hovnanian A, Ishida-Yamamoto A, Malovitski K, O'Toole EA, Paller AS, Schmuth M, Schwartz J, Sprecher E, Teng JMC, Granier Tournier C, Mazereeuw-Hautier J, Tadini G, Fischer J. Nonsyndromic epidermal differentiation disorders: a new classification toward pathogenesis-based therapy. Br J Dermatol 2025;193(4):619-641. PDF
3. Paller AS, Teng J, Mazereeuw-Hautier J, Hernández-Martín Á, Granier Tournier C, Hovnanian A, Aldwin-Easton M, Tadini G, Schwartz J, Sprecher E, Malovitski K, Ishida-Yamamoto A, Choate K, Akiyama M, O'Toole EA, Fischer J, Bodemer C, Gostynski A, Schmuth M. Syndromic epidermal differentiation disorders: a new classification toward pathogenesis-based therapy. Br J Dermatol. 2025;193(4):592-618. PDF
4. Sprecher E, Ishida-Yamamoto A, Schwartz J, Akiyama M, Aldwin-Easton M, Choate K, Fischer J, Gostyński A, Granier Tournier C, Hernández-Martín Á, Hovnanian A, Malovitski K, Mazereeuw-Hautier J, Paller AS, Schmuth M, Tadini G, Teng J, Bodemer C, O'Toole EA. Palmoplantar epidermal differentiation disorders: a new classification toward pathogenesis-based therapy. Br J Dermatol. 2025;193(3):364-380. PDF


Author(s):
dr. Jan R. Mekkes. Dermatologist, Amsterdam UMC.

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