Science topic

Melanosis - Science topic

Disorders of increased melanin pigmentation that develop without preceding inflammatory disease.
Questions related to Melanosis
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Dear all, please, what are the main differences between pigmentation disorders in fish (albinism, melanosis and xanthochroism) and colour polymorphism. could they be essentially the same? are they both mutations? permanent? inheritable? I can't find any reference to differentiate between them. Thank you in advance
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pigmentation disorders = malformations/genetic mutation/errors
colour polymorphism = natural fenotipic variations
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Topical corticosteroids are well known to produce dermal atrophy and hypopigmentation which may justifies thier use alone or incombination for treating skin disease like melasma. Also these effects represent a chellenging side effects and explain the wide spread misuse of topical steroids for skin bleaching.So any idea about the molecular mechanism/s of the hypopigemting effects of topical steroids?
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Are these of any help:
Coondoo, A., Phiske, M., Verma, S., & Lahiri, K. (2014). Side-effects of topical steroids: A long overdue revisit. Indian dermatology online journal, 5(4), 416.
Kim, H., Choi, H. R., Kim, D. S., & Park, K. C. (2012). Topical hypopigmenting agents for pigmentary disorders and their mechanisms of action. Annals of dermatology, 24(1), 1-6.
Ghunawat, S., & Sarkar, R. (2018). Steroid-induced perilymphatic hypopigmentation: Response to tacrolimus. Pigment International, 5(2), 114.
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Various chromosomal abnormalities have been described in this disease ( at least 10 types). In our patient the skin -hypomelanosis and the central nervous system is involved. The common belief was that all of them had problems with chromosome morphology. Is FISH a good method to detect the change of chromosomes, or is there another method that can be used? What kind of sample should we have (mosaicism, skin fibroblast, cultured primary, or only cut-out skin, etc.)?
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There are only two other methods I can speak about, but both require that the specific location associated with the condition be targeted directly.  They are Direct DNA Sequencing and Karyotype, where chromosomes are extracted directly from the nucleus of a single cell.  Neither can be conclusive if the precise location of the mutation is unknown, or if the mutation is taking place on a sub-microscopic level. Array testing is also a method for comparison testing but does not provide conclusive results regarding the exact sequence of the specific region.
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Chronic diarrhea (started at 4 months of age - anamnesis); colonoscopy shows non-specific aspect - friability of the mucosa, hyperemia, edematous in the recto-sigmoid area, other segments are not explored!).
Rectal mucosa shows no architectural disturbance, no pathologic inflammation, no other significant pathologic changes but evident pseudomelanosis coli.
Thanky you!
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Hello, Dr. Nylund, you are right, thank you. It was my first opinion, also, but the child is hospitalized since last month and NBT test is in favor of CGD. Other tests are in work now (DHR?) and I wait  a call from the clinician...