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Stiff skin syndrome(SSKS)

MedGen UID:
348877
Concept ID:
C1861456
Disease or Syndrome
Synonym: SSKS
SNOMED CT: Stiff skin syndrome (765187004)
 
Gene (location): FBN1 (15q21.1)
 
Monarch Initiative: MONDO:0008492
OMIM®: 184900
Orphanet: ORPHA2833

Definition

Stiff skin syndrome (SSKS) is characterized by hard, thick skin, usually over the entire body, which limits joint mobility and causes flexion contractures. Other occasional findings include lipodystrophy and muscle weakness (Loeys et al., 2010). Patients with similar phenotypes involving stiff skin have been described; see, e.g., familial progressive scleroderma (181750), symmetric lipomatosis (151800), and congenital fascial dystrophy (228020). [from OMIM]

Clinical features

From HPO
Knee flexion contracture
MedGen UID:
98042
Concept ID:
C0409355
Finding
A type of knee joint contracture in which the knee is in a fixed bent (flexed) configuration such that it cannot be straightened actively or passively.
Bicuspid aortic valve
MedGen UID:
57436
Concept ID:
C0149630
Congenital Abnormality
Aortic valve disease-2 (AOVD2) is characterized by bicuspid aortic valve (BAV) and dilation of the ascending aorta. Calcification of the valve and the aorta has been observed, and some patients exhibit coarctation of the aorta (Tan et al., 2012; Luyckx et al., 2019; Park et al., 2019). For a general phenotypic description and a discussion of genetic heterogeneity of aortic valve disease, see AOVD1 (109730).
Short stature
MedGen UID:
87607
Concept ID:
C0349588
Finding
A height below that which is expected according to age and gender norms. Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms).
Gastroesophageal reflux
MedGen UID:
1368658
Concept ID:
C4317146
Finding
A condition in which the stomach contents leak backwards from the stomach into the esophagus through the lower esophageal sphincter.
Peripheral neuropathy
MedGen UID:
18386
Concept ID:
C0031117
Disease or Syndrome
Peripheral neuropathy is a general term for any disorder of the peripheral nervous system. The main clinical features used to classify peripheral neuropathy are distribution, type (mainly demyelinating versus mainly axonal), duration, and course.
Lipodystrophy
MedGen UID:
6111
Concept ID:
C0023787
Disease or Syndrome
Degenerative changes of the fat tissue.
Muscle weakness
MedGen UID:
57735
Concept ID:
C0151786
Finding
Reduced strength of muscles.
Elbow flexion contracture
MedGen UID:
98367
Concept ID:
C0409338
Acquired Abnormality
An elbow contracture that limits the ability of the elbow joint to be extended (straightened), meaning that the elbow is fixed in an flexed (bent) position.
Camptodactyly
MedGen UID:
195780
Concept ID:
C0685409
Congenital Abnormality
The distal interphalangeal joint and/or the proximal interphalangeal joint of the fingers or toes cannot be extended to 180 degrees by either active or passive extension.
Limited shoulder movement
MedGen UID:
341979
Concept ID:
C1851313
Finding
A limitation of the range of movement of the shoulder joint.
Stiff skin
MedGen UID:
478445
Concept ID:
C3276815
Finding
An induration (hardening) of the skin
Myopia
MedGen UID:
44558
Concept ID:
C0027092
Disease or Syndrome
Nearsightedness, also known as myopia, is an eye condition that causes blurry distance vision. People who are nearsighted have more trouble seeing things that are far away (such as when driving) than things that are close up (such as when reading or using a computer). If it is not treated with corrective lenses or surgery, nearsightedness can lead to squinting, eyestrain, headaches, and significant visual impairment.\n\nNearsightedness usually begins in childhood or adolescence. It tends to worsen with age until adulthood, when it may stop getting worse (stabilize). In some people, nearsightedness improves in later adulthood.\n\nFor normal vision, light passes through the clear cornea at the front of the eye and is focused by the lens onto the surface of the retina, which is the lining of the back of the eye that contains light-sensing cells. People who are nearsighted typically have eyeballs that are too long from front to back. As a result, light entering the eye is focused too far forward, in front of the retina instead of on its surface. It is this change that causes distant objects to appear blurry. The longer the eyeball is, the farther forward light rays will be focused and the more severely nearsighted a person will be.\n\nNearsightedness is measured by how powerful a lens must be to correct it. The standard unit of lens power is called a diopter. Negative (minus) powered lenses are used to correct nearsightedness. The more severe a person's nearsightedness, the larger the number of diopters required for correction. In an individual with nearsightedness, one eye may be more nearsighted than the other.\n\nEye doctors often refer to nearsightedness less than -5 or -6 diopters as "common myopia." Nearsightedness of -6 diopters or more is commonly called "high myopia." This distinction is important because high myopia increases a person's risk of developing other eye problems that can lead to permanent vision loss or blindness. These problems include tearing and detachment of the retina, clouding of the lens (cataract), and an eye disease called glaucoma that is usually related to increased pressure within the eye. The risk of these other eye problems increases with the severity of the nearsightedness. The term "pathological myopia" is used to describe cases in which high myopia leads to tissue damage within the eye.
Cataract
MedGen UID:
39462
Concept ID:
C0086543
Disease or Syndrome
A cataract is an opacity or clouding that develops in the crystalline lens of the eye or in its capsule.

Term Hierarchy

Professional guidelines

PubMed

Liu T, McCalmont TH, Frieden IJ, Williams ML, Connolly MK, Gilliam AE
Arch Dermatol 2008 Oct;144(10):1351-9. doi: 10.1001/archderm.144.10.1351. PMID: 18936399

Recent clinical studies

Etiology

Wen X, Chen F, Wang L
Eur J Dermatol 2023 Jun 1;33(3):235-240. doi: 10.1684/ejd.2023.4477. PMID: 37594328
Cerejeira D, Bonito F, António AM, Cunha H
Australas J Dermatol 2021 Aug;62(3):380-382. Epub 2021 Mar 26 doi: 10.1111/ajd.13589. PMID: 33769553
Varjú C, Kumánovics G, Czirják L, Matucci-Cerinic M, Minier T
Clin Dermatol 2020 Mar-Apr;38(2):235-249. Epub 2019 Oct 24 doi: 10.1016/j.clindermatol.2019.10.010. PMID: 32513403
Myers KL, Mir A, Schaffer JV, Meehan SA, Orlow SJ, Brinster NK
J Am Acad Dermatol 2016 Jul;75(1):163-8. Epub 2016 Mar 2 doi: 10.1016/j.jaad.2016.01.038. PMID: 26944597
Liu T, McCalmont TH, Frieden IJ, Williams ML, Connolly MK, Gilliam AE
Arch Dermatol 2008 Oct;144(10):1351-9. doi: 10.1001/archderm.144.10.1351. PMID: 18936399

Diagnosis

Varjú C, Kumánovics G, Czirják L, Matucci-Cerinic M, Minier T
Clin Dermatol 2020 Mar-Apr;38(2):235-249. Epub 2019 Oct 24 doi: 10.1016/j.clindermatol.2019.10.010. PMID: 32513403
Liu T, McCalmont TH, Frieden IJ, Williams ML, Connolly MK, Gilliam AE
Arch Dermatol 2008 Oct;144(10):1351-9. doi: 10.1001/archderm.144.10.1351. PMID: 18936399
Geng S, Lei X, Toyohara JP, Zhan P, Wang J, Tan S
J Eur Acad Dermatol Venereol 2006 Jul;20(6):729-32. doi: 10.1111/j.1468-3083.2006.01619.x. PMID: 16836505
Ferrari D, Rossi R, Donzelli O
Chir Organi Mov 2005 Jan-Mar;90(1):69-73. PMID: 16422231
Esterly NB, McKusick VA
Pediatrics 1971 Feb;47(2):360-9. PMID: 5100776

Therapy

Lin Z, Pei Y, Tang X, Rong L, Chen L, Jiang X
Dermatol Ther 2022 Aug;35(8):e15633. Epub 2022 Jun 21 doi: 10.1111/dth.15633. PMID: 35686816
Rangu S, Rubin AI, Li D, Castelo-Soccio L
Clin Exp Dermatol 2020 Jul;45(5):658-660. Epub 2020 Mar 25 doi: 10.1111/ced.14205. PMID: 32212274
Maillet-Lebel N, Kokta V, Coulombe J, Powell J
Pediatr Dermatol 2018 Jan;35(1):e66-e67. Epub 2017 Nov 6 doi: 10.1111/pde.13330. PMID: 29110325
Liu T, McCalmont TH, Frieden IJ, Williams ML, Connolly MK, Gilliam AE
Arch Dermatol 2008 Oct;144(10):1351-9. doi: 10.1001/archderm.144.10.1351. PMID: 18936399

Prognosis

Sanchez-Espino LF, Sibbald C, Stimec J, Laxer RM, Pope E
Pediatr Dermatol 2024 Jan-Feb;41(1):16-22. Epub 2023 Oct 20 doi: 10.1111/pde.15459. PMID: 37864376
Ogunmakin K, Vangipuram R, Sturgeon A, Shimizu I
Dermatol Online J 2015 Sep 17;21(9) PMID: 26437281
Wei J, Bhattacharyya S, Tourtellotte WG, Varga J
Autoimmun Rev 2011 Mar;10(5):267-75. Epub 2010 Sep 21 doi: 10.1016/j.autrev.2010.09.015. PMID: 20863909Free PMC Article
Liu T, McCalmont TH, Frieden IJ, Williams ML, Connolly MK, Gilliam AE
Arch Dermatol 2008 Oct;144(10):1351-9. doi: 10.1001/archderm.144.10.1351. PMID: 18936399
Richard MA, Grob JJ, Philip N, Rey J, Chamson A, Mege JL, Andrac L, Faure F, Basseres N, Bonerandi JJ
Dermatology 1998;197(2):127-31. doi: 10.1159/000017983. PMID: 9732160

Clinical prediction guides

Bandinelli F, Saccardi R, Salvadorini G, Bosi A, Gozzini A, Matucci Cerinic M
Clin Exp Rheumatol 2013 Mar-Apr;31(2 Suppl 76):181-3. Epub 2013 Jul 23 PMID: 23910622
Loeys BL, Gerber EE, Riegert-Johnson D, Iqbal S, Whiteman P, McConnell V, Chillakuri CR, Macaya D, Coucke PJ, De Paepe A, Judge DP, Wigley F, Davis EC, Mardon HJ, Handford P, Keene DR, Sakai LY, Dietz HC
Sci Transl Med 2010 Mar 17;2(23):23ra20. doi: 10.1126/scitranslmed.3000488. PMID: 20375004Free PMC Article
Guiducci S, Distler JH, Milia AF, Miniati I, Rogai V, Manetti M, Falcini F, Ibba-Manneschi L, Gay S, Distler O, Matucci-Cerinic M
Rheumatology (Oxford) 2009 Jul;48(7):849-52. Epub 2009 May 25 doi: 10.1093/rheumatology/kep118. PMID: 19468049
Liu T, McCalmont TH, Frieden IJ, Williams ML, Connolly MK, Gilliam AE
Arch Dermatol 2008 Oct;144(10):1351-9. doi: 10.1001/archderm.144.10.1351. PMID: 18936399
Ferrari D, Rossi R, Donzelli O
Chir Organi Mov 2005 Jan-Mar;90(1):69-73. PMID: 16422231

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