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Subcutaneous spheroids

MedGen UID:
927609
Concept ID:
C4293700
Pathologic Function
HPO: HP:0025014

Definition

Small, hard cyst-like nodules, freely moveable in the subcutis over the bony prominences of the legs and arms, which have an outer calcified layer with a translucent core on x-ray. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSubcutaneous spheroids

Conditions with this feature

Ehlers-Danlos syndrome, classic type, 1
MedGen UID:
78660
Concept ID:
C0268335
Disease or Syndrome
Classic Ehlers-Danlos syndrome (cEDS) is a connective tissue disorder characterized by skin hyperextensibility, atrophic scarring, and generalized joint hypermobility (GJH). The skin is soft and doughy to the touch, and hyperextensible, extending easily and snapping back after release (unlike lax, redundant skin, as in cutis laxa). The skin is fragile, as manifested by splitting of the dermis following relatively minor trauma, especially over pressure points (knees, elbows) and areas prone to trauma (shins, forehead, chin). Wound healing is poor, and stretching of scars after apparently successful primary wound healing is characteristic. Complications of joint hypermobility, such as dislocations of the shoulder, patella, digits, hip, radius, and clavicle, usually resolve spontaneously or are easily managed by the affected individual. Other features include hypotonia with delayed motor development, fatigue and muscle cramps, and easy bruising. Mitral valve prolapse can occur infrequently, but tends to be of little clinical consequence. Aortic root dilatation has been reported, appears to be more common in young individuals, and rarely progresses.
Ehlers-Danlos syndrome, classic type, 2
MedGen UID:
120628
Concept ID:
C0268336
Disease or Syndrome
Classic Ehlers-Danlos syndrome (cEDS) is a connective tissue disorder characterized by skin hyperextensibility, atrophic scarring, and generalized joint hypermobility (GJH). The skin is soft and doughy to the touch, and hyperextensible, extending easily and snapping back after release (unlike lax, redundant skin, as in cutis laxa). The skin is fragile, as manifested by splitting of the dermis following relatively minor trauma, especially over pressure points (knees, elbows) and areas prone to trauma (shins, forehead, chin). Wound healing is poor, and stretching of scars after apparently successful primary wound healing is characteristic. Complications of joint hypermobility, such as dislocations of the shoulder, patella, digits, hip, radius, and clavicle, usually resolve spontaneously or are easily managed by the affected individual. Other features include hypotonia with delayed motor development, fatigue and muscle cramps, and easy bruising. Mitral valve prolapse can occur infrequently, but tends to be of little clinical consequence. Aortic root dilatation has been reported, appears to be more common in young individuals, and rarely progresses.

Professional guidelines

PubMed

Lucarini V, Melaiu O, D'Amico S, Pastorino F, Tempora P, Scarsella M, Pezzullo M, De Ninno A, D'Oria V, Cilli M, Emionite L, Infante P, Di Marcotullio L, De Ioris MA, Barillari G, Alaggio R, Businaro L, Ponzoni M, Locatelli F, Fruci D
J Exp Clin Cancer Res 2022 Nov 17;41(1):326. doi: 10.1186/s13046-022-02525-9. PMID: 36397148Free PMC Article
Burley TA, Mączyńska J, Shah A, Szopa W, Harrington KJ, Boult JKR, Mrozek-Wilczkiewicz A, Vinci M, Bamber JC, Kaspera W, Kramer-Marek G
Int J Cancer 2018 Jun 1;142(11):2363-2374. Epub 2018 Jan 19 doi: 10.1002/ijc.31246. PMID: 29313975Free PMC Article
Kausch I, Lingnau A, Endl E, Sellmann K, Deinert I, Ratliff TL, Jocham D, Sczakiel G, Gerdes J, Böhle A
Int J Cancer 2003 Jul 10;105(5):710-6. doi: 10.1002/ijc.11111. PMID: 12740923

Recent clinical studies

Etiology

Doolan BJ, Lavallee M, Hausser I, Pope FM, Seneviratne SL, Winship IM, Burrows NP
J Am Acad Dermatol 2023 Sep;89(3):551-559. Epub 2023 Feb 8 doi: 10.1016/j.jaad.2023.01.034. PMID: 36764582
Smirani R, Rémy M, Devillard R, Naveau A
Tissue Eng Part B Rev 2020 Aug;26(4):383-398. Epub 2020 Aug 7 doi: 10.1089/ten.TEB.2020.0093. PMID: 32597330
Noy PJ, Lodhia P, Khan K, Zhuang X, Ward DG, Verissimo AR, Bacon A, Bicknell R
Oncogene 2015 Nov 19;34(47):5821-31. Epub 2015 Mar 9 doi: 10.1038/onc.2015.34. PMID: 25745997Free PMC Article
Ma MZ, Cheng DF, Ye JH, Zhou Y, Wang JX, Shi MM, Han BS, Peng CH
World J Gastroenterol 2012 Jan 21;18(3):257-67. doi: 10.3748/wjg.v17.i3.257. PMID: 22294829Free PMC Article
Schmid G, Guba M, Papyan A, Ischenko I, Brückel M, Bruns CJ, Jauch KW, Graeb C
Transplant Proc 2005 Jan-Feb;37(1):110-1. doi: 10.1016/j.transproceed.2004.12.278. PMID: 15808563

Diagnosis

Ito F, Kato K, Yanatori I, Maeda Y, Murohara T, Toyokuni S
BMC Cancer 2023 May 31;23(1):487. doi: 10.1186/s12885-023-10966-4. PMID: 37254056Free PMC Article
Doolan BJ, Lavallee M, Hausser I, Pope FM, Seneviratne SL, Winship IM, Burrows NP
J Am Acad Dermatol 2023 Sep;89(3):551-559. Epub 2023 Feb 8 doi: 10.1016/j.jaad.2023.01.034. PMID: 36764582
Abe-Fukasawa N, Watanabe R, Gen Y, Nishino T, Itasaki N
FEBS J 2021 Oct;288(19):5650-5667. Epub 2021 May 2 doi: 10.1111/febs.15867. PMID: 33837641
Thole TM, Toedling J, Sprüssel A, Pfeil S, Savelyeva L, Capper D, Messerschmidt C, Beule D, Groeneveld-Krentz S, Eckert C, Gambara G, Henssen AG, Finkler S, Schulte JH, Sieber A, Bluethgen N, Regenbrecht CRA, Künkele A, Lodrini M, Eggert A, Deubzer HE
Int J Cancer 2020 Feb 15;146(4):1031-1041. Epub 2019 Aug 1 doi: 10.1002/ijc.32572. PMID: 31304977
Létourneau IJ, Quinn MC, Wang LL, Portelance L, Caceres KY, Cyr L, Delvoye N, Meunier L, de Ladurantaye M, Shen Z, Arcand SL, Tonin PN, Provencher DM, Mes-Masson AM
BMC Cancer 2012 Aug 29;12:379. doi: 10.1186/1471-2407-12-379. PMID: 22931248Free PMC Article

Therapy

Cha J, Filatov G, Smith SJ, Gammaitoni AR, Lothe A, Reeder T
Epilepsia Open 2024 Feb;9(1):300-313. Epub 2023 Dec 22 doi: 10.1002/epi4.12873. PMID: 38018342Free PMC Article
Tang JH, Yang L, Chen JX, Li QR, Zhu LR, Xu QF, Huang GH, Zhang ZX, Xiang Y, Du L, Zhou Z, Lv SQ
Cancer Commun (Lond) 2019 Dec 3;39(1):81. doi: 10.1186/s40880-019-0424-2. PMID: 31796105Free PMC Article
Yong T, Zhang X, Bie N, Zhang H, Zhang X, Li F, Hakeem A, Hu J, Gan L, Santos HA, Yang X
Nat Commun 2019 Aug 23;10(1):3838. doi: 10.1038/s41467-019-11718-4. PMID: 31444335Free PMC Article
Xie BY, Wu AW
Chin Med J (Engl) 2016 Oct 20;129(20):2469-2475. doi: 10.4103/0366-6999.191782. PMID: 27748340Free PMC Article
Ho SS, Murphy KC, Binder BY, Vissers CB, Leach JK
Stem Cells Transl Med 2016 Jun;5(6):773-81. Epub 2016 Apr 7 doi: 10.5966/sctm.2015-0211. PMID: 27057004Free PMC Article

Prognosis

Ito F, Kato K, Yanatori I, Maeda Y, Murohara T, Toyokuni S
BMC Cancer 2023 May 31;23(1):487. doi: 10.1186/s12885-023-10966-4. PMID: 37254056Free PMC Article
Xu L, Duan H, Zou Y, Wang J, Liu H, Wang W, Zhu X, Chen J, Zhu C, Yin Z, Zhao X, Wang Q
Phytomedicine 2023 Jun;114:154764. Epub 2023 Mar 16 doi: 10.1016/j.phymed.2023.154764. PMID: 36963368
Ma XL, Hu B, Tang WG, Xie SH, Ren N, Guo L, Lu RQ
J Hematol Oncol 2020 Feb 5;13(1):11. doi: 10.1186/s13045-020-0845-z. PMID: 32024555Free PMC Article
Tang JH, Yang L, Chen JX, Li QR, Zhu LR, Xu QF, Huang GH, Zhang ZX, Xiang Y, Du L, Zhou Z, Lv SQ
Cancer Commun (Lond) 2019 Dec 3;39(1):81. doi: 10.1186/s40880-019-0424-2. PMID: 31796105Free PMC Article
Burley TA, Mączyńska J, Shah A, Szopa W, Harrington KJ, Boult JKR, Mrozek-Wilczkiewicz A, Vinci M, Bamber JC, Kaspera W, Kramer-Marek G
Int J Cancer 2018 Jun 1;142(11):2363-2374. Epub 2018 Jan 19 doi: 10.1002/ijc.31246. PMID: 29313975Free PMC Article

Clinical prediction guides

Yang X, Liang B, Zhang L, Zhang M, Ma M, Qing L, Yang H, Huang G, Zhao J
Oncol Rep 2024 Jul;52(1) Epub 2024 Jun 7 doi: 10.3892/or.2024.8753. PMID: 38847277Free PMC Article
Cha J, Filatov G, Smith SJ, Gammaitoni AR, Lothe A, Reeder T
Epilepsia Open 2024 Feb;9(1):300-313. Epub 2023 Dec 22 doi: 10.1002/epi4.12873. PMID: 38018342Free PMC Article
Ito F, Kato K, Yanatori I, Maeda Y, Murohara T, Toyokuni S
BMC Cancer 2023 May 31;23(1):487. doi: 10.1186/s12885-023-10966-4. PMID: 37254056Free PMC Article
Ma XL, Hu B, Tang WG, Xie SH, Ren N, Guo L, Lu RQ
J Hematol Oncol 2020 Feb 5;13(1):11. doi: 10.1186/s13045-020-0845-z. PMID: 32024555Free PMC Article
Burley TA, Mączyńska J, Shah A, Szopa W, Harrington KJ, Boult JKR, Mrozek-Wilczkiewicz A, Vinci M, Bamber JC, Kaspera W, Kramer-Marek G
Int J Cancer 2018 Jun 1;142(11):2363-2374. Epub 2018 Jan 19 doi: 10.1002/ijc.31246. PMID: 29313975Free PMC Article

Recent systematic reviews

Smirani R, Rémy M, Devillard R, Naveau A
Tissue Eng Part B Rev 2020 Aug;26(4):383-398. Epub 2020 Aug 7 doi: 10.1089/ten.TEB.2020.0093. PMID: 32597330

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