Skip to main content

Laryngo-Onycho-Cutaneous Syndrome

  • Chapter
  • First Online:
Blistering Diseases

Abstract

Laryngo-onycho-cutaneous syndrome (LOC) is a rare autosomal recessive genodermatosis characterized by altered cry at birth, skin erosions, nail abnormalities, and excessive granulation tissue in the conjunctivae and larynx. Shabbir first described this condition in 1986 in several affected individuals born to consanguineous families from the Punjabi regions of India and Pakistan. In 2003, the molecular basis of LOC syndrome was elucidated with the discovery of a unique mutation affecting the N-terminus of the α3 chain of laminin-332. In 2008, LOC syndrome was reclassified as a variant of junctional epidermolysis bullosa-other (JEB-O) and termed JEB-LOC. In this chapter, we provide an overview of the clinical features, pathogenesis, and management of LOC syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Abbreviations

JEB:

Junctional epidermolysis bullosa

JEB-O:

Junctional epidermolysis bullosa-other

LOC:

Laryngo-onycho-cutaneous syndrome

LOGIC:

Laryngeal and ocular granulation tissue in children from the Indian subcontinent syndrome

References

  1. Ainsworth JR, Shabbir G, Spencer AF, Cockburn F. Multisystem disorder of Punjabi children exhibiting spontaneous dermal and submucosal granulation tissue formation: LOGIC syndrome. Clin Dysmorphol. 1992;1(1):3–15. Epub 1992/01/01.

    Article  CAS  PubMed  Google Scholar 

  2. Ainsworth JR, Spencer AF, Dudgeon J, Geddes NK, Lee WR. Laryngeal and ocular granulation tissue formation in two Punjabi children: LOGIC syndrome. Eye (Lond). 1991;5(Pt 6):717–22. Epub 1991/01/01.

    Article  Google Scholar 

  3. Shabbir G, Hassan M, Kazmi A. Laryngo-onycho-cutaneous syndrome: a study of 22 cases. Biomedica. 1986;2:15–25.

    Google Scholar 

  4. McLean WH, Irvine AD, Hamill KJ, Whittock NV, Coleman-Campbell CM, Mellerio JE, et al. An unusual N-terminal deletion of the laminin alpha3a isoform leads to the chronic granulation tissue disorder laryngo-onycho-cutaneous syndrome. Hum Mol Genet. 2003;12(18):2395–409. Epub 2003/08/14.

    Article  CAS  PubMed  Google Scholar 

  5. Figueira EC, Crotty A, Challinor CJ, Coroneo MT, Murrell DF. Granulation tissue in the eyelid margin and conjunctiva in junctional epidermolysis bullosa with features of laryngo-onycho-cutaneous syndrome. Clin Exp Ophthalmol. 2007;35(2):163–6. Epub 2007/03/17.

    Article  Google Scholar 

  6. Fine JD, Bruckner-Tuderman L, Eady RAJ, Bauer EA, Bauer JW, Has C, Heagerty A, Hintner H, Hovnanian A, Jonkman MF, Leigh I, Marinkovich MP, Martinez AE, McGrath JA, Mellerio JE, Moss C, Murrell DF, Shimizu H, Uitto J, Woodley D, Zambruno G. Inherited epidermolysis bullosa: Updated recommendations on diagnosis and classification. diagnosis and classification. J Am Acad Dermatol. Online Mar 31, 2014. doi:10.1016/j.jaad.2014.01.903.

    Google Scholar 

  7. Marinkovich MP, Lunstrum GP, Keene DR, Burgeson RE. The dermal-epidermal junction of human skin contains a novel laminin variant. J Cell Biol. 1992;119(3):695–703. Epub 1992/11/01.

    Article  CAS  PubMed  Google Scholar 

  8. Sugawara K, Tsuruta D, Ishii M, Jones JC, Kobayashi H. Laminin-332 and -511 in skin. Exp Dermatol. 2008;17(6):473–80. Epub 2008/05/14.

    Article  CAS  PubMed  Google Scholar 

  9. Budinger GR, Urich D, DeBiase PJ, Chiarella SE, Burgess ZO, Baker CM, et al. Stretch-induced activation of AMP kinase in the lung requires dystroglycan. Am J Respir Cell Mol Biol. 2008;39(6):666–72. Epub 2008/06/17.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  10. Frank DE, Carter WG. Laminin 5 deposition regulates keratinocyte polarization and persistent migration. J Cell Sci. 2004;117(Pt 8):1351–63. Epub 2004/03/05.

    Article  CAS  PubMed  Google Scholar 

  11. Jones JC, Lane K, Hopkinson SB, Lecuona E, Geiger RC, Dean DA, et al. Laminin-6 assembles into multimolecular fibrillar complexes with perlecan and participates in mechanical-signal transduction via a dystroglycan-dependent, integrin-independent mechanism. J Cell Sci. 2005;118(Pt 12):2557–66. Epub 2005/06/02.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Kariya Y, Miyazaki K. The basement membrane protein laminin-5 acts as a soluble cell motility factor. Exp Cell Res. 2004;297(2):508–20. Epub 2004/06/24.

    Article  CAS  PubMed  Google Scholar 

  13. Sehgal BU, DeBiase PJ, Matzno S, Chew TL, Claiborne JN, Hopkinson SB, et al. Integrin beta4 regulates migratory behavior of keratinocytes by determining laminin-332 organization. J Biol Chem. 2006;281(46):35487–98. Epub 2006/09/16.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Nievers MG, Schaapveld RQ, Sonnenberg A. Biology and function of hemidesmosomes. Matrix Biol. 1999;18(1):5–17. Epub 1999/06/15.

    Article  CAS  PubMed  Google Scholar 

  15. Hamill KJ, Paller AS, Jones JC. Adhesion and migration, the diverse functions of the laminin alpha3 subunit. Dermatol Clin. 2010;28(1):79–87. Epub 2009/12/01.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Hamill KJ, McLean WH. The alpha-3 polypeptide chain of laminin 5: insight into wound healing responses from the study of genodermatoses. Clin Exp Dermatol. 2005;30(4):398–404. Epub 2005/06/15.

    Article  CAS  PubMed  Google Scholar 

  17. Aumailley M, Bruckner-Tuderman L, Carter WG, Deutzmann R, Edgar D, Ekblom P, et al. A simplified laminin nomenclature. Matrix Biol. 2005;24(5):326–32. Epub 2005/06/28.

    Article  CAS  PubMed  Google Scholar 

  18. Atkinson SD, Moore JE, Shah S, Sharma A, Best RM, Leccisotti A, et al. P63 expression in conjunctival proliferative diseases: pterygium and laryngo-onycho-cutaneous (LOC) syndrome. Curr Eye Res. 2008;33(7):551–8. Epub 2008/07/05.

    Article  CAS  PubMed  Google Scholar 

  19. Cohn HI, Murrell DF. Laryngo-onycho-cutaneous syndrome. Dermatol Clin. 2010;28(1):89–92. Epub 2009/12/01.

    Article  CAS  PubMed  Google Scholar 

  20. Phillips RJ, Atherton DJ, Gibbs ML, Strobel S, Lake BD. Laryngo-onycho-cutaneous syndrome: an inherited epithelial defect. Arch Dis Child. 1994;70(4):319–26. Epub 1994/04/01.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Strauss RM, Bate J, Nischal KK, Clayton T, Gooi J, Darling JC, et al. A child with laryngo-onychocutaneous syndrome partially responsive to treatment with thalidomide. Br J Dermatol. 2006;155(6):1283–6. Epub 2006/11/17.

    Article  CAS  PubMed  Google Scholar 

  22. Phillips PS, Amonoo-Kuofi K, Hore ID, Atherton DJ, Albert DM. Successful treatment of laryngeal stenosis in laryngo-onycho-cutaneous syndrome with topical mitomycin C. Pediatr Dermatol. 2006;23(1):75–7. Epub 2006/02/01.

    Article  PubMed  Google Scholar 

  23. Moore JE, Dua HS, Page AB, Irvine AD, Archer DB. Ocular surface reconstruction in LOGIC syndrome by amniotic membrane transplantation. Cornea. 2001;20(7):753–6. Epub 2001/10/06.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amy S. Paller MS, MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Lai-Cheong, J.E., Murrell, D.F., Paller, A.S. (2015). Laryngo-Onycho-Cutaneous Syndrome. In: Murrell, D. (eds) Blistering Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45698-9_38

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-45698-9_38

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45697-2

  • Online ISBN: 978-3-662-45698-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics