Neonatal Medicine  2013;20(2):228-232

doi:10.5385/nm.2013.20.2.228

A Case of Incontinentia Pigmenti with Multiple Brain Infarction.

Tae Hee KIM 1 ; Young Jin CHOI ; Hyun Kyung PARK ; Chang Ryul KIM ; Hyun Ju LEE

Affiliations

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Keywords

Incontinentia pigmenti; Multiple brain infarction; NEMO gene

Country

Republic of Korea

Language

Korean

Abstract

Incontinentia pigmenti (IP) is a rare X-linked dominant disease that is typically lethal to males and usually affect female patients. IP is a neurocutaneous disorder, involving the ectodermal tissues such as the skin, eyes, teeth, hair, and central nervous system. The pathogenesis of IP is linked to the gene mutation in the NF-kappa B essential modulator (NEMO) on chromosome Xq28. We experienced one case of newborn with multiple vesiculobullous skin lesions over the entire body after birth. Skin biopsy and histologic studies revealed suspected IP stage I and the genetic analysis of the NEMO confirmed IP diagnosis. A brain MRI showed multiple cerebral infarctions and the infant has shown delayed development in follow-up clinic.