Progressive multilayered banded skin in Winchester syndrome

J Am Acad Dermatol. 2004 Feb;50(2 Suppl):S53-6. doi: 10.1016/s0190-9622(03)02466-6.

Abstract

Winchester syndrome is a rare genetic disorder, one of the inherited osteolysis disorders which are a group of diseases characterized by destruction and resorption of affected bones with consequent skeletal deformities and functional impairment. The syndrome is characterized by dissolution of carpal and tarsal bones with generalized osteoporosis, progressive joint contractures, short stature, peripheral corneal opacities, and coarse facial features, though there is variability within the clinical features. Phenotypic heterogeneity of cutaneous features are also reported to date of diffusely thickened leathery skin, hypertrichosis, patches of hyperpigmented, hypertrichotic leathery skin in annular or linear distribution, widespread acne, subcutaneous nodules, and gingival hypertrophy. We describe widespread progressive multilayered symmetrical restrictive banding of the skin developing in a woman with Winchester syndrome during her mid-twenties.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Abnormalities, Multiple / pathology
  • Adult
  • Collagen Diseases / diagnosis*
  • Collagen Diseases / pathology
  • Contracture / diagnosis*
  • Contracture / pathology
  • Diagnosis, Differential
  • Disease Progression
  • Dwarfism
  • Female
  • Hand Deformities, Acquired / diagnosis
  • Hand Deformities, Acquired / pathology
  • Humans
  • Pigmentation Disorders / diagnosis*
  • Pigmentation Disorders / pathology
  • Skin / pathology*
  • Syndrome
  • Thorax