Skin manifestations among GATA2-deficient patients

A. Polat (1) , M. Dinulescu (1) , S. Fraitag (2) , S. Nimubona (1) , F. Toutain (1) , S. Jouneau (3, 1) , E. Poullot (1) , C. Droitcourt (1) , A. Dupuy (4, 1)

1 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
2 Hôpital Necker - Enfants Malades [AP-HP]
3 Irset - Institut de recherche en santé, environnement et travail
4 IGDR - Institut de Génétique et Développement de Rennes

GATA2 mutations have been identified in various diseases, such as MonoMAC syndrome, Emberger syndrome, familial myelodysplastic syndrome, acute myeloid leukaemia and dendritic cell, monocyte, B-cell and natural killer-cell deficiency. These syndromes present a wide range of clinical features, dominated by severe infections and haematological disorders such as myelodysplastic syndrome. Up to 70% of patients with GATA2 mutations have dermatological features, mainly genital or extragenital warts, panniculitis or erythema nodosum and lymphoedema. We report three patients presenting with common dermatological and haematological features leading to the diagnosis of GATA2 deficiency, but also with skin manifestations that have not been previously described gingival hypertrophy, macroglossitis and glossitis and granulomatous lupoid facial lesions. Dermatologists can encounter patients with GATA2 mutations and should recognize this disorder.

Domaines: Dermatologie; Génétique humaine

A. Polat, M. Dinulescu, S. Fraitag, S. Nimubona, F. Toutain, et al.. Skin manifestations among GATA2-deficient patients. British Journal of Dermatology, 2018, 178 (3), pp.781-785. ⟨10.1111/bjd.15548⟩. ⟨hal-01780493⟩