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May 2, 2026JAAD Case ReportsOpen Access

A rare case of Goltz syndrome: Clinical presentation and diagnostic challenges

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Authors

OTOmar Nabil TurkistaniRARenad AbbasSASaleh Mohammad Aldraibi

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Overview

Case report demonstrates characteristic cutaneomucosal, facial, and skeletal abnormalities of Goltz syndrome in a female adolescent, highlighting diagnostic features of this rare genodermatosis.

Key Points

  • To describe the clinical presentation, phenotypic features, and diagnostic challenges associated with Goltz syndrome in an adolescent female.
  • Clinical and physical examination of a 15-year-old female presenting with progressive cutaneous lesions following the lines of Blaschko since birth.
  • Comprehensive evaluation of developmental milestones, systemic involvement, and familial history including parental consanguinity and maternal recurrent miscarriages.
  • Dermatologic examination demonstrated linear Blaschkoid hyperpigmentation, hypopigmentation, scalp plaques, and psoriasiform plaques across limbs with pubertal accentuation.
  • Associated anomalies included beaked nasal morphology, back-slanted ears, a solitary oral commissure papilloma, digital syndactyly of the right foot, and nail dystrophy without intellectual impairment.

Cite This Study

Turkistani et al. (2026) studied this question.

synapsesocial.com/papers/6a99daa795d477d8a1f508a3https://doi.org/10.1016/j.jdcr.2026.04.051
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