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Eritroceratodermia variabilis progressiva
ORPHA:308166DOENÇA RARA

É uma doença de pele genética rara e de longa duração, marcada por um espessamento da pele e por uma vermelhidão que aparece e some.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

É uma doença de pele genética rara e de longa duração, marcada por um espessamento da pele e por uma vermelhidão que aparece e some.

Publicações científicas
51 artigos
Último publicado: 2024 Nov-Dec

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.046
France
Início
Childhood
+ infancy, neonatal
🏥
SUS: Sem cobertura SUSScore: 0%
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧬
Pele e cabelo
26 sintomas
🦴
Ossos e articulações
4 sintomas
👁️
Olhos
3 sintomas
💪
Músculos
3 sintomas
❤️
Coração
3 sintomas
👂
Ouvidos
2 sintomas

+ 19 sintomas em outras categorias

Características mais comuns

Orelha proeminente
Neoplasia da pele
Braquidactilia
Baixa estatura
Diabetes mellitus
Catarata
67sintomas
Sem dados (67)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 67 características clínicas mais associadas, ordenadas por frequência.

Orelha proeminenteProtruding ear
Neoplasia da peleNeoplasm of the skin
BraquidactiliaBrachydactyly
Baixa estaturaShort stature
Diabetes mellitus

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa7desde 2019
Total histórico51PubMed
Últimos 10 anos2publicações
Pico20151 papers
Linha do tempo
20202019Hoje · 2026
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

8 genes identificados com associação a esta condição.

KDSR3-ketodihydrosphingosine reductaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalyzes the reduction of 3'-oxosphinganine (3-ketodihydrosphingosine/KDS) to sphinganine (dihydrosphingosine/DHS), the second step of de novo sphingolipid biosynthesis

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Sphingolipid de novo biosynthesis
EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
48.9 TPM
Aorta
44.3 TPM
Skin Sun Exposed Lower leg
42.7 TPM
Brain Spinal cord cervical c-1
40.2 TPM
Artéria tibial
40.0 TPM
OUTRAS DOENÇAS (2)
erythrokeratodermia variabilis et progressiva 4erythrokeratodermia variabilis
HGNC:4021UniProt:Q06136
LORICRINLoricrinCandidate gene tested inTolerante
FUNÇÃO

Major keratinocyte cell envelope protein

LOCALIZAÇÃO

CytoplasmNucleus, nucleoplasm

VIAS BIOLÓGICAS (2)
Formation of the cornified envelopeDifferentiation of Keratinocytes in Interfollicular Epidermis in Mammalian Skin
MECANISMO DE DOENÇA

Vohwinkel syndrome with ichthyosis

A variant form of Vohwinkel syndrome without hearing loss and associated with ichthyosiform dermatosis. Clinical features include palmoplantar keratoderma, pseudoainhum and ichthyosis. Compact hyperkeratosis with round retained nuclei and hypergranulosis is observed on skin biopsies.

OUTRAS DOENÇAS (2)
loricrin keratodermaerythrokeratodermia variabilis
HGNC:6663UniProt:P23490
GJB4Gap junction beta-4 proteinDisease-causing germline mutation(s) inDesconhecido
FUNÇÃO

Structural component of gap junctions (By similarity). Gap junctions are dodecameric channels that connect the cytoplasm of adjoining cells. They are formed by the docking of two hexameric hemichannels, one from each cell membrane (By similarity). Small molecules and ions diffuse from one cell to a neighboring cell via the central pore (By similarity)

LOCALIZAÇÃO

Cell membraneCell junction, gap junction

VIAS BIOLÓGICAS (1)
Gap junction assembly
MECANISMO DE DOENÇA

Erythrokeratodermia variabilis et progressiva 2

A form of erythrokeratodermia variabilis et progressiva, a genodermatosis characterized by the coexistence of two independent skin lesions: transient erythema and hyperkeratosis that is usually localized but occasionally occurs in its generalized form. Clinical presentation varies significantly within a family and from one family to another. Palmoplantar keratoderma is present in around 50% of cases.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Tecido-específico)
Skin Not Sun Exposed Suprapubic
44.3 TPM
Skin Sun Exposed Lower leg
43.6 TPM
Esôfago - Mucosa
2.4 TPM
Vagina
2.1 TPM
Próstata
0.9 TPM
OUTRAS DOENÇAS (2)
erythrokeratodermia variabilis et progressiva 2erythrokeratodermia variabilis
HGNC:4286UniProt:Q9NTQ9
KRT83Keratin, type II cuticular Hb3Disease-causing germline mutation(s) inTolerante
LOCALIZAÇÃO

VIAS BIOLÓGICAS (2)
KeratinizationFormation of the cornified envelope
MECANISMO DE DOENÇA

Erythrokeratodermia variabilis et progressiva 5

A form of erythrokeratodermia variabilis et progressiva, a genodermatosis characterized by the coexistence of two independent skin lesions: transient erythema and hyperkeratosis that is usually localized but occasionally occurs in its generalized form. Clinical presentation varies significantly within a family and from one family to another. Palmoplantar keratoderma is present in around 50% of cases. EKVP5 inheritance is autosomal recessive.

EXPRESSÃO TECIDUAL(Baixa expressão)
Brain Spinal cord cervical c-1
1.8 TPM
Tireoide
1.5 TPM
Córtex cerebral
0.7 TPM
Brain Frontal Cortex BA9
0.6 TPM
Substância negra
0.6 TPM
INTERAÇÕES PROTEICAS (2)
OUTRAS DOENÇAS (4)
monilethrix-3erythrokeratodermia variabilis et progressiva 5monilethrixerythrokeratodermia variabilis
HGNC:6460UniProt:P78385
GJB3Gap junction beta-3 proteinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

One gap junction consists of a cluster of closely packed pairs of transmembrane channels, the connexons, through which materials of low MW diffuse from one cell to a neighboring cell

LOCALIZAÇÃO

Cell membraneCell junction, gap junction

VIAS BIOLÓGICAS (1)
Gap junction assembly
MECANISMO DE DOENÇA

Erythrokeratodermia variabilis et progressiva 1

A form of erythrokeratodermia variabilis et progressiva, a genodermatosis characterized by the coexistence of two independent skin lesions: transient erythema and hyperkeratosis that is usually localized but occasionally occurs in its generalized form. Clinical presentation varies significantly within a family and from one family to another. Palmoplantar keratoderma is present in around 50% of cases.

EXPRESSÃO TECIDUAL(Tecido-específico)
Skin Sun Exposed Lower leg
184.0 TPM
Skin Not Sun Exposed Suprapubic
182.9 TPM
Esôfago - Mucosa
87.3 TPM
Vagina
41.6 TPM
Próstata
4.5 TPM
INTERAÇÕES PROTEICAS (5)
OUTRAS DOENÇAS (7)
autosomal dominant nonsyndromic hearing loss 2Bautosomal recessive nonsyndromic hearing loss 1Aerythrokeratodermia variabilis et progressiva 1hearing loss, autosomal recessive
HGNC:4285UniProt:O75712
GJA1Gap junction alpha-1 proteinDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Structural component of the gap junction, a specialized intercellular structure consisting of a cluster of closely packed pairs of transmembrane channels, the connexons, that allow passage of small molecules and electrical signals between neighboring cells (By similarity). Forms homotypic and heterotypic channels gated by transjunctional voltage (By similarity). May play a critical role in the physiology of hearing by participating in the recycling of potassium to the cochlear endolymph (Probabl

LOCALIZAÇÃO

Cell membraneCell junction, gap junctionEndoplasmic reticulumCell junction

VIAS BIOLÓGICAS (4)
Regulation of gap junction activitySARS-CoV-2 targets PDZ proteins in cell-cell junctionGap junction assemblyMicrotubule-dependent trafficking of connexons from Golgi to the plasma membrane
MECANISMO DE DOENÇA

Oculodentodigital dysplasia

A disease characterized by a typical facial appearance and variable involvement of the eyes, dentition, and fingers. Characteristic facial features include a narrow, pinched nose with hypoplastic alae nasi, prominent columella and thin anteverted nares together with a narrow nasal bridge, and prominent epicanthic folds giving the impression of hypertelorism. The teeth are usually small and carious. Typical eye findings include microphthalmia and microcornea. The characteristic digital malformation is complete syndactyly of the fourth and fifth fingers (syndactyly type III) but the third finger may be involved and associated camptodactyly is a common finding. Cardiac abnormalities are observed in rare instances.

EXPRESSÃO TECIDUAL(Ubíquo)
Skin Not Sun Exposed Suprapubic
485.1 TPM
Glândula adrenal
439.8 TPM
Skin Sun Exposed Lower leg
408.1 TPM
Aorta
387.9 TPM
Cervix Endocervix
368.9 TPM
OUTRAS DOENÇAS (10)
oculodentodigital dysplasiaoculodentodigital dysplasia, autosomal recessiveautosomal dominant palmoplantar keratoderma and congenital alopeciacraniometaphyseal dysplasia, autosomal recessive
HGNC:4274UniProt:P17302
TRPM4Transient receptor potential cation channel subfamily M member 4Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Calcium-activated selective cation channel that mediates membrane depolarization (PubMed:12015988, PubMed:12842017, PubMed:29211723, PubMed:30528822). While it is activated by increase in intracellular Ca(2+), it is impermeable to it (PubMed:12015988). Mediates transport of monovalent cations (Na(+) > K(+) > Cs(+) > Li(+)), leading to depolarize the membrane (PubMed:12015988). It thereby plays a central role in cadiomyocytes, neurons from entorhinal cortex, dorsal root and vomeronasal neurons, e

LOCALIZAÇÃO

Cell membraneEndoplasmic reticulumGolgi apparatus

VIAS BIOLÓGICAS (2)
TRP channelsSensory perception of sweet, bitter, and umami (glutamate) taste
MECANISMO DE DOENÇA

Progressive familial heart block 1B

A cardiac bundle branch disorder characterized by progressive alteration of cardiac conduction through the His-Purkinje system, with a pattern of a right bundle-branch block and/or left anterior hemiblock occurring individually or together. It leads to complete atrio-ventricular block causing syncope and sudden death.

EXPRESSÃO TECIDUAL(Ubíquo)
Cólon transverso
69.4 TPM
Próstata
61.3 TPM
Skin Sun Exposed Lower leg
47.5 TPM
Glândula salivar
45.2 TPM
Skin Not Sun Exposed Suprapubic
41.8 TPM
OUTRAS DOENÇAS (5)
progressive familial heart block type IBerythrokeratodermia variabilis et progressiva 6Brugada syndromeprogressive familial heart block
HGNC:17993UniProt:Q8TD43
PERPp53 apoptosis effector related to PMP-22Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of intercellular desmosome junctions (By similarity). Plays a role in stratified epithelial integrity and cell-cell adhesion by promoting desmosome assembly (By similarity). Thereby plays a role in barrier function of the skin against infection (By similarity). Plays a role in mammary epithelial tissue homeostasis and remodeling during and after pregnancy, potentially via its involvement in desmosome cell-cell junctions (By similarity). Required for tooth enamel development via facilit

LOCALIZAÇÃO

Cell junction, desmosomeCell membraneCytoplasm

VIAS BIOLÓGICAS (2)
TP53 regulates transcription of several additional cell death genes whose specific roles in p53-dependent apoptosis remain uncertainFormation of the cornified envelope
MECANISMO DE DOENÇA

Erythrokeratodermia variabilis et progressiva 7

A form of erythrokeratodermia variabilis et progressiva, a genodermatosis characterized by the coexistence of two independent skin lesions: transient erythema and hyperkeratosis that is usually localized but occasionally occurs in its generalized form. Clinical presentation varies significantly within a family and from one family to another. Palmoplantar keratoderma is present in around 50% of cases. EKVP7 is an autosomal recessive form characterized by palmoplantar keratoderma that extends to the dorsal surface of the hands and feet, as well as erythematous annular skin lesions. Pruritus, woolly hair, and dystrophic nails may also be present.

EXPRESSÃO TECIDUAL(Ubíquo)
Skin Sun Exposed Lower leg
2080.4 TPM
Skin Not Sun Exposed Suprapubic
1935.4 TPM
Esôfago - Mucosa
1234.2 TPM
Vagina
815.2 TPM
Glândula salivar
336.6 TPM
OUTRAS DOENÇAS (3)
Olmsted syndrome 2erythrokeratodermia variabilis et progressiva 7Olmsted syndrome
HGNC:17637UniProt:Q96FX8

Variantes genéticas (ClinVar)

149 variantes patogênicas registradas no ClinVar.

🧬 KDSR: GRCh38/hg38 18q11.1-23(chr18:20966775-80255845)x3 ()
🧬 KDSR: GRCh38/hg38 18q21.33-23(chr18:62873887-80255845)x1 ()
🧬 KDSR: GRCh37/hg19 18q21.2-22.2(chr18:52640210-68070259)x4 ()
🧬 KDSR: GRCh37/hg19 18q21.2-23(chr18:53564430-74587425)x1 ()
🧬 KDSR: GRCh37/hg19 18q21.32-23(chr18:57452202-78014123)x1 ()
Ver todas no ClinVar

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Eritroceratodermia variabilis progressiva

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Connexin 43 Mutations Lead to Increased Hemichannel Functionality in Skin Disease.

International journal of molecular sciences2019 Dec 07

Gap junctional channels are specialized components of the cellular membrane that allow the intercellular passage of small metabolites, ions, and second messengers to maintain homeostasis. They are comprised of members of the connexin gene family that encode a wide array of proteins that are expressed in nearly every tissue type. Cx43 is perceived to be the most broadly expressed connexin in humans, with several genetic skin diseases being linked to Cx43 mutations specifically. These mutations, in large, produce a gain of functional hemichannels that contribute to the phenotypes of Erythrokeratoderma Variabilis et Progressiva (EKVP), Palmoplantar Keratodemra Congenital Alopecia-1 (PPKCA1), and others that produce large conductance and increased permselectivity in otherwise quiescent structures. Gaining functional hemichannels can have adverse effects in the skin, inducing apoptosis via Ca2+ overload or increased ATP permeability. Here, we review the link between Cx43 and skin disease. We aim to provide insight into the mechanisms regulating the normal and pathophysiological gating of these essential proteins, as well as address current therapeutic strategies. We also demonstrate that transient transfection of neuro-2a (N2a) cells with mutant Cx43 cDNA resulted in increased hemichannel activity compared to wild-type Cx43 and untransfected cells, which is consistent with other studies in the current literature.

#2

Progressive Symmetric Erythrokeratoderma Having Overlapping Features With Erythrokeratoderma Variabilis and Lesional Hypertrichosis: Is Nomenclature "Erythrokeratoderma Variabilis Progressiva" More Appropriate?

Indian journal of dermatology2015

Publicações recentes

Ver todas no PubMed

Associações

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Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Eritroceratodermia variabilis progressiva

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Connexin 43 Mutations Lead to Increased Hemichannel Functionality in Skin Disease.
    International journal of molecular sciences· 2019· PMID 31817921mais citado
  2. Progressive Symmetric Erythrokeratoderma Having Overlapping Features With Erythrokeratoderma Variabilis and Lesional Hypertrichosis: Is Nomenclature "Erythrokeratoderma Variabilis Progressiva" More Appropriate?
    Indian journal of dermatology· 2015· PMID 26288417mais citado
  3. Four cases of Chanarin-Dorfman syndrome presenting with different types of erythrokeratoderma.
    Pediatr Dermatol· 2024· PMID 38886172recente
  4. Alitretinoin as a Treatment Modality for Ichthyosis in Women of Childbearing Age: A Case Series and Review of the Literature.
    Dermatology· 2024· PMID 37666225recente
  5. Oral Tofacitinib Therapy for the Effective Management of Netherton Syndrome.
    Cureus· 2023· PMID 37351253recente
  6. Erythrokeratoderma variabilis (EKV) - First Nepalese case documenting GJB3 mutation.
    Skin Health Dis· 2021· PMID 35663771recente
  7. Formation of keto-type ceramides in palmoplantar keratoderma based on biallelic KDSR mutations in patients.
    Hum Mol Genet· 2022· PMID 34686882recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:308166(Orphanet)
  2. MONDO:0017851(MONDO)
  3. GARD:16528(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q55787277(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Eritroceratodermia variabilis progressiva
Compêndio · Raras BR

Eritroceratodermia variabilis progressiva

ORPHA:308166 · MONDO:0017851
Prevalência
<1 / 1 000 000
Início
Childhood, Infancy, Neonatal
Prevalência
0.046 (France)
MedGen
UMLS
C5681068
EuropePMC
Wikidata
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