A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase Gene

Reed syndrome is a heritable cancer predisposition syndrome that can easily be missed due to its simple presentation of tender red papules. We present a young female with a history of uterine fibroids who presented to the dermatology clinic with several painful pink papules that had been previously...

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Main Authors: Christin B. Laufer, Layne B. Green, Darren E. Whittemore
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/926896
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author Christin B. Laufer
Layne B. Green
Darren E. Whittemore
author_facet Christin B. Laufer
Layne B. Green
Darren E. Whittemore
author_sort Christin B. Laufer
collection DOAJ
description Reed syndrome is a heritable cancer predisposition syndrome that can easily be missed due to its simple presentation of tender red papules. We present a young female with a history of uterine fibroids who presented to the dermatology clinic with several painful pink papules that had been previously evaluated by multiple physicians. Biopsy results were diagnostic for cutaneous leiomyomas, raising clinical suspicion for Reed syndrome. She was found to have a novel heterozygote mutation in her fumarate hydratase gene, supporting the diagnosis. This case demonstrates the importance of rendering a proper workup for seemingly innocent skin complaints as they could be associated with an underlying malignancy. Despite the fact that up to 16% of patients can develop aggressive type 2 papillary renal cell carcinoma, there are currently no consensus guidelines on screening or patient management.
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spelling doaj-art-641414ed081945ed8b9ab5a6884595952025-02-03T05:50:33ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/926896926896A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase GeneChristin B. Laufer0Layne B. Green1Darren E. Whittemore2Department of Internal Medicine, Keesler Medical Center, Biloxi, MS 39534, USADepartment of Dermatology, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), San Antonio, TX 78236, USADepartment of Dermatopathology, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), San Antonio, TX 78236, USAReed syndrome is a heritable cancer predisposition syndrome that can easily be missed due to its simple presentation of tender red papules. We present a young female with a history of uterine fibroids who presented to the dermatology clinic with several painful pink papules that had been previously evaluated by multiple physicians. Biopsy results were diagnostic for cutaneous leiomyomas, raising clinical suspicion for Reed syndrome. She was found to have a novel heterozygote mutation in her fumarate hydratase gene, supporting the diagnosis. This case demonstrates the importance of rendering a proper workup for seemingly innocent skin complaints as they could be associated with an underlying malignancy. Despite the fact that up to 16% of patients can develop aggressive type 2 papillary renal cell carcinoma, there are currently no consensus guidelines on screening or patient management.http://dx.doi.org/10.1155/2013/926896
spellingShingle Christin B. Laufer
Layne B. Green
Darren E. Whittemore
A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase Gene
Case Reports in Medicine
title A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase Gene
title_full A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase Gene
title_fullStr A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase Gene
title_full_unstemmed A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase Gene
title_short A Case of Reed Syndrome with a Novel Mutation in the Fumarate Hydratase Gene
title_sort case of reed syndrome with a novel mutation in the fumarate hydratase gene
url http://dx.doi.org/10.1155/2013/926896
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