Evidence map›Paper›PMID 32035943›Full record

Observational studyJournal of the American Academy of Dermatology2021

Hypertrichotic patches as a mosaic manifestation of Proteus syndrome.

Deeti J Pithadia, John W Roman, Julie C Sapp, Leslie G Biesecker, Thomas N Darling

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Academy of Dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Deeti J PithadiaDepartment of Dermatology, Uniformed Services University, Bethesda, Maryland.
John W RomanDepartment of Dermatology, Uniformed Services University, Bethesda, Maryland.
Julie C SappNational Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
Leslie G BieseckerNational Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
Thomas N DarlingDepartment of Dermatology, Uniformed Services University, Bethesda, Maryland. Electronic address: thomas.darling@usuhs.edu.
Uniformed Services University of the Health Sciences · USNational Institutes of Health · US

Funding

Rare & Mosaic Disorders - Clinical ResearchZIAHG200388 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2013 to 2025
$17.3M
Intramural NIH HHS ZIA HG200388
6 · The paper itself

Abstract

backgroundProteus syndrome is an overgrowth disorder caused by a mosaic activating AKT1 variant. Hair abnormalities in Proteus syndrome have rarely been reported, and frequencies of such findings have not been elucidated.

objectiveTo define the types and frequencies of hair findings in individuals with Proteus syndrome.

methodsA cross-sectional study was conducted of individuals with clinical features of Proteus syndrome and a confirmed pathogenic variant in AKT1 evaluated between November 1996 and June 2019 at the National Institutes of Health Clinical Center. Medical records were reviewed for patterning, density, and color of hair on the body and scalp.

resultsOf 45 individuals evaluated, 29 (64%) had asymmetric hypertrichosis on the body. This included unilateral blaschkoid hypertrichotic patches overlying normal skin or epidermal nevi in 16 (36%), unilateral nonblaschkoid hypertrichotic patches in 11 (24%), and unilateral limb hypertrichosis in 10 (22%). Diffuse, scattered, or patchy changes in scalp hair density or color were present in 11 individuals (24%). LIMITATIONS: The retrospective, observational design, and limited longitudinal follow-up.

conclusionsAsymmetric variations in hair distribution, thickness, length, and color contribute to the overall mosaic appearance of the skin in Proteus syndrome, an observation that provides novel insights into the role of phosphoinositide 3-kinase (PI3K)-protein kinase B (AKT) signaling in skin appendage development.

Indexed as

MosaicismAdolescentAdultChildChild, PreschoolCross-Sectional StudiesDNA Mutational AnalysisFemaleHair FollicleHumansHypertrichosisMaleMutationPhosphatidylinositol 3-KinasesPrevalenceProteus SyndromeAKT1 protein, humanPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktAKTAKT1Blaschko lineshairhair follicleshypertrichosismosaicismProteus syndrome

Identifiers

PMID32035943
PMCPMC7415737
OpenAlexW3004837564

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.