Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient

IntroductionThis article reports a detailed case of a patient with incontinentia pigmenti who exhibited epileptic status and dermatologic symptoms.Case presentationA 5-month-old female patient was brought to our hospital due to status epilepticus, with erythematous vesicular skin lesions on her trun...

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Main Authors: Yun Li, Junbin Hong, Shangge Xu, Tong Zhou, Xiaolan Xiao, Jinghua Yang, Yiting Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2024.1490816/full
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author Yun Li
Junbin Hong
Shangge Xu
Tong Zhou
Xiaolan Xiao
Jinghua Yang
Yiting Chen
author_facet Yun Li
Junbin Hong
Shangge Xu
Tong Zhou
Xiaolan Xiao
Jinghua Yang
Yiting Chen
author_sort Yun Li
collection DOAJ
description IntroductionThis article reports a detailed case of a patient with incontinentia pigmenti who exhibited epileptic status and dermatologic symptoms.Case presentationA 5-month-old female patient was brought to our hospital due to status epilepticus, with erythematous vesicular skin lesions on her trunk and extremities. Routine magnetic resonance imaging revealed infarction, ischemia, and encephalomalacia. Skin biopsy pathology indicated pigmentation disorder. Molecular genetic testing was conducted to identify IKBKG mutations, and the case was finally diagnosed with incontinentia pigmenti complicated by central nervous system anomalies. She was treated with oral levetiracetam (10 mg/kg/day, administered every 12 h) to control her recurrent seizures, and prednisone (1 mg/kg/day, once a day) for anti-inflammatory effects.ConclusionAfter nine months, her skin lesions have resolved, with only a few newly developed erythematous papules and areas of hyperpigmentation being evident. There were no recurrent epilepsy symptoms, developmental impairments, or other associated symptoms.
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institution Kabale University
issn 2296-2360
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publishDate 2025-01-01
publisher Frontiers Media S.A.
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series Frontiers in Pediatrics
spelling doaj-art-d11d6199e459446589a7a2070610f74f2025-01-15T06:10:45ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.14908161490816Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patientYun LiJunbin HongShangge XuTong ZhouXiaolan XiaoJinghua YangYiting ChenIntroductionThis article reports a detailed case of a patient with incontinentia pigmenti who exhibited epileptic status and dermatologic symptoms.Case presentationA 5-month-old female patient was brought to our hospital due to status epilepticus, with erythematous vesicular skin lesions on her trunk and extremities. Routine magnetic resonance imaging revealed infarction, ischemia, and encephalomalacia. Skin biopsy pathology indicated pigmentation disorder. Molecular genetic testing was conducted to identify IKBKG mutations, and the case was finally diagnosed with incontinentia pigmenti complicated by central nervous system anomalies. She was treated with oral levetiracetam (10 mg/kg/day, administered every 12 h) to control her recurrent seizures, and prednisone (1 mg/kg/day, once a day) for anti-inflammatory effects.ConclusionAfter nine months, her skin lesions have resolved, with only a few newly developed erythematous papules and areas of hyperpigmentation being evident. There were no recurrent epilepsy symptoms, developmental impairments, or other associated symptoms.https://www.frontiersin.org/articles/10.3389/fped.2024.1490816/fullincontinentia pigmenti (IP)case reportdiagnosistreatmentpathogenic mechanisms
spellingShingle Yun Li
Junbin Hong
Shangge Xu
Tong Zhou
Xiaolan Xiao
Jinghua Yang
Yiting Chen
Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient
Frontiers in Pediatrics
incontinentia pigmenti (IP)
case report
diagnosis
treatment
pathogenic mechanisms
title Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient
title_full Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient
title_fullStr Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient
title_full_unstemmed Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient
title_short Case Report: Diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient
title_sort case report diagnosis and treatment of incontinentia pigmenti with central nervous system anomalies in one patient
topic incontinentia pigmenti (IP)
case report
diagnosis
treatment
pathogenic mechanisms
url https://www.frontiersin.org/articles/10.3389/fped.2024.1490816/full
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