Skip to main content
Log in

Central nervous system dysmyelination in PIBI(D)S syndrome: a further case

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

This is a report of new case of PIBI(D)S, a rare autosomal recessive syndrome characterized by photosensitivity, ichthyosis, brittle sulfur-deficient hair (trichothiodystrophy), impaired intelligence, decreased fertility, and short stature. Bilateral cataract and axial osteosclerosis were also detected. Magnetic resonance imaging (MRI) revealed diffuse central nervous system dysmyelination, a finding also described in the only three other reported cases in which MRI was performed. The paper also considers certain similarities in neurological signs and neuroradiological findings between PIBI(D)S, Cockayne syndrome, and xeroderma pigmentosum — all of which are inherited diseases characterized by photosensitivity and DNA repair defect.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Boltshauser E, Yalcinkaya C, Wichmann W, Reutter F, Prader A, Valavanis A (1989) MRI in Cockayne syndrome type I. Neuroradiology 31:276–277

    PubMed  Google Scholar 

  2. Chen E, Price WH, Cleaver JE, Weber CA, Williams ML, Packman S, Golabi M (1993) Trichothiodystrophy: clinical spectrum and central nervous system imaging and biochemical and molecular characterization of two siblings. Abstracts, David W Smith Workshop on Malformations and Morphogenesis, Quebec, 1993, p 119

  3. Crovato F, Borrone C, Rebora A (1984) The Tay syndrome (congenital ichthyosis with trichothiodystrophy) (letter). Eur J Pediatr 142:233–234

    PubMed  Google Scholar 

  4. Dabbagh O, Swaiman KF (1988) Cockayne syndrome: MRI correlates of hypomyelination. Pediatr Neurol 4:113–116

    PubMed  Google Scholar 

  5. Greenshaw GA, Hebert A, Duke Woodside ME, Buther IJ, Hecht JT, Cleaver JE, Thomas GH, Horton WA (1992) Xeroderma pigmentosum and Cockayne syndrome: overlapping clinical and biochemical phenotypes. Am J Hum Genet 50:677–689

    PubMed  Google Scholar 

  6. Itin PH, Pittelkow MR (1990) Trichothiodystrophy: review of sulfur-deficient brittle hair syndromes and association with the ectodermal dysplasias. J Am Acad Dermatol 22:705–717

    PubMed  Google Scholar 

  7. Jackson CE, Weiss L, Watson JHL (1974) Brittle hair with short stature, intellectual impairment and decreased fertility. An autosomal recessive syndrome in an Amish kindred. Pediatrics 54:201–207

    PubMed  Google Scholar 

  8. Jorizzo JL, Atherton DJ, Crounse RG, Wells RS (1982) Ichthyosis, brittle hair, impaired intelligence, decreased fertility and short stature (IBIDS syndrome). Br J Dermatol 106:705–710

    PubMed  Google Scholar 

  9. King MD, Gummer CL, Stephenson JBP (1984) Trichothiodystrophy-neurotrichocutaneous syndrome of Pollitt: a report of two unrelated cases. J Med Genet 21:286–289

    PubMed  Google Scholar 

  10. Marinoni S, Trevisan G, Gaeta G, Not T, Lagomarsini P, Stefanini M, Nazzaro V, Ermacora E (1990) Trichothiodystrophy associated with group D xeroderma pigmentosum in seven Italian patients. Third Congress of the European Society of Paediatric Dermatology, Bordeaux 1990

  11. McCuaig C, Marcoux D, Rasmussen JE, Werner MM, Gentner NE (1993) Trichothiodystrophy associated with photosensitivity, gonadal failure and striking osteosclerosis. J Am Acad Dermatol 28:820–826

    PubMed  Google Scholar 

  12. Mimaki T, Tagawa T, Tanaka J, Sato K, Yabuuchi H (1989) EEG and CT abnormalities in xeroderma pigmentosum. Acta Neurol Scand 80:136–141

    PubMed  Google Scholar 

  13. Nishio H, Kodama T, Matsuo M, Ichihashi M, Iro H, Fujiwara Y (1988) Cockayne syndrome: magnetic resonance images of the brain in a severe form with early onset. J Inherit Metab Dis 11:88–102

    PubMed  Google Scholar 

  14. Ohnishi A, Mitsudome A, Murai Y (1987) Primary segmental demyelination in the sural nerve in Cockayne's syndrome. Muscle Nerve 10:163–167

    PubMed  Google Scholar 

  15. Peserico A, Battistella PA, Bertoli P (1992) MRI of a very rare hereditary ectodermal dysplasia: PIBI(D)S. Neuroradiology 34:316–317

    PubMed  Google Scholar 

  16. Price VH, Odom RB, Ward WH, Jones FT (1980) Trichothiodystrophy. Sulfur-deficient brittle hair as a marker for a neuroectodermal symptom complex. Arch Dermatol 116:1375–1384

    PubMed  Google Scholar 

  17. Rebora A, Crovato F (1987) PIBI(D)S syndrome-trichothiodystrophy with xeroderma pigmentosum (group D) mutation. J Am Acad Dermatol 16:940–947

    PubMed  Google Scholar 

  18. Robbins JH (1989) A childhood neurodegeneration due to defective DNA repair: a novel concept of disease based on studies of xeroderma pigmentosum. J Child Neurol 4:143–146

    PubMed  Google Scholar 

  19. Robbins JH, Brumback RA, Mendiones M, Barret SF, Carl JR, Cho S, Denckla MB, Ganges MB, Gerber LH, Guthrie RA, Meer J, Moshell AN, Polinsky RJ, Ravin PD, Sonies BC, Tarone RE (1991) Neurological disease in xeroderma pigmentosum. Documentation of a late onset type of the juvenile onset form. Brain 114:1335–1361

    PubMed  Google Scholar 

  20. Robbins JH, Brumback RA, Moshell AN (1993) Clinically asymptomatic xeroderma pigmentosum neurological disease in an adult: evidence for a neurodegeneration in later life caused by defective DNA repair. Eur Neurol 23:188–190

    Google Scholar 

  21. Schmickel RD, Chu EHY, Trosko JE, Chang CC (1977) Cockayne syndrome: a cellular sensitivity to ultraviolet light. Pediatrics 60:135–139

    PubMed  Google Scholar 

  22. Smits MG, Ter Laak HJ, Gabreels FJM, Pinkers AJL, Renier WO, Hombergen GCJ, Joosten EMG, Notermans SLH, Gabreels-Festen AAWM, Thijssen HOM (1982) Peripheral and central myelinopathy in Cockayne's syndrome: report of 3 siblings. Neuropediatrics 13:161–167

    PubMed  Google Scholar 

  23. Soffer D, Grotsky W, Rapin I, Suzuki K (1979) Cockayne syndrome: unusual neuropathological findings and review of the literature. Ann Neurol 6:340–348

    PubMed  Google Scholar 

  24. Stefanini M, Giliani S, Nardo T, Marinoni S, Nazzaro V, Rizzo R, Trevisan G (1992) DNA repair investigations in nine Italian patients affected by trichothiodystrophy. Mutat Res DNA Repair 273:119–125

    PubMed  Google Scholar 

  25. Sung P, Bailly V, Weber C, Thompson LH, Prakash L, Prakash S (1993) Human xeroderma pigmentosum group D gene encodes a DNA helicase (letter). Nature 365:852–855

    PubMed  Google Scholar 

  26. Taylor AMR, Harnden DG, Arlett CF, Harcourt SA, Lehmann AR, Stevens S, Bridges BA (1975) Ataxia telangiectasia: a human mutation with abnormal radiation sensitivity. Nature 258:427–429

    PubMed  Google Scholar 

  27. Van Neste D, Boré P (1983) Trichothiodystrophie: une étude morphologique et biochimique. Ann Dermatol Venereol 110:409–417

    PubMed  Google Scholar 

  28. Van Neste DJ, Antoine JL, Vasseur F, Thomas P (1987) Tay's syndrome and xeroderma pigmentosum. Abstracts, Seventeenth World Congress of Dermatology, part 1, p 223, WS-18

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Battistella, P.A., Peserico, A. Central nervous system dysmyelination in PIBI(D)S syndrome: a further case. Child's Nerv Syst 12, 110–113 (1996). https://doi.org/10.1007/BF00819509

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00819509

Key words

Navigation