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Archives of Disease in Childhood 1997;77:436-440; doi:10.1136/adc.77.5.436
Copyright © 1997 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 1997;77:436-440 ( November )

Juvenile hyaline fibromatosis: impaired collagen metabolism in human skin fibroblasts

F Breier,a S Fang-Kircher,b K Wolff,c W Jureckac

a Lainz Municipal Hospital, Vienna, b University of Vienna, Medical School, Austria: Institute for Medical Chemistry, c Department of Dermatology, Division of General Dermatology

Correspondence to: Dr Friedrich Breier, Department of Dermatology, Lainz Municipal Hospital, Wolkersbergenstr 1, A-1130 Vienna, Austria.


Accepted 17 June 1997

Juvenile hyaline fibromatosis (JHF) is inherited as a fatal autosomal recessive disorder characterised by multiple tumorous mucocutaneous proliferations. In this paper a 14 month old girl with JHF is described. For this condition, a malfunction of collagen synthesis is considered as the pathogenetic cause. Recently published data have revealed an absent band for type III collagen (TIIIC) chain in western blot studies of clinically unaffected JHF skin. Therefore supernatants of skin fibroblast cell cultures, obtained from normal human skin, were analysed for type I collagen (TIC) and TIIIC metabolites by radioimmunoassays. Besides the typical morphological connective tissue changes in the skin lesions, TIC synthesis and degradation were found increased in JHF fibroblasts compared with control fibroblasts. In contrast, TIIIC overall metabolism was significantly reduced by 36% compared with controls.

Keywords: juvenile hyaline fibromatosis; skin; collagen type I and type III metabolism


© 1997 by Archives of Disease in Childhood

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