Hyaline Fibromatosis Syndrome

Alternative Names

  • HFS
  • Hyalinosis, Systemic
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WHO-ICD-10 version:2010

Endocrine, nutritional and metabolic diseases

Metabolic disorders

OMIM Number

228600

Mode of Inheritance

Autosomal recessive

Gene Map Locus

4q21.21

Description

Hyaline fibromatosis syndrome is a very rare autosomal recessive disease of connective tissue characterized by abnormal synthesis of hyaline, a collagen like substance, painful progressive joint contractures, thickened skin with hyperpigmentation over prominences, small pearly facial papules, gingival hypertrophy, fleshy nodules in the perianal region, diarrhea, increased susceptibility to bone fractures, infections, and failure to thrive.  Affected patients may die within the first two years of life, mostly due to chronic diarrhea and recurrent infections. For patients who survive until adulthood, mobility remains severely restricted by joint contractures. 

Hyaline fibromatosis syndrome is caused by mutations in the ANTXR2 gene. These mutations cause an accumulation of a hyaline substance in different parts of the body.

Epidemiology in the Arab World

View Map
Subject IDCountrySexFamily HistoryParental ConsanguinityHPO TermsVariantZygosityMode of InheritanceReferenceRemarks
228600.1.1EgyptUnknownYesYes Neonatal respiratory distressNM_058172.5:c.1074delTHomozygousAutosomal, RecessiveEl-Kamah et al. 2010 Sibling of 228600.1....
228600.1.2EgyptUnknownYesYes Multiple joint contractures; Gingival o...NM_058172.5:c.1074delTHomozygousAutosomal, RecessiveEl-Kamah et al. 2010 Sibling of 228600.1....
228600.2.1EgyptMaleYesYes Gingival fibromatosis; Fibrous dysplasi...NM_058172.5:c.1340delCHomozygousAutosomal, RecessiveEl-Kamah et al. 2010 Sibling of 228600.2....
228600.2.2EgyptMaleYesYes Gingival fibromatosis; Fibrous dysplasi...NM_058172.5:c.1340delCHomozygousAutosomal, RecessiveEl-Kamah et al. 2010 Sibling of 228600.2....
228600.2.3EgyptMaleYesYes Gingival fibromatosis; Fibrous dysplasi...NM_058172.5:c.1340delCHomozygousAutosomal, RecessiveEl-Kamah et al. 2010 Sibling of 228600.2....
228600.3.1MoroccoMaleYesYes Skin nodule; Gingival fibromatosisNM_058172.5:c.1142A>GHomozygousAutosomal, RecessiveHanks et al. 2003; Mancini et al, 1999
228600.3.2MoroccoMaleYesYes Skin nodule; Gingival fibromatosisNM_058172.5:c.1142A>GHomozygousAutosomal, RecessiveHanks et al. 2003; Mancini et al, 1999 Sibling of 228600.3....
228600.4.1KuwaitUnknownYes Multiple joint contractures; Skin nodu...NM_058172.5:c.1074delTHomozygousAutosomal, RecessiveHanks et al. 2003; Glover et al, 1991
228600.4.2KuwaitUnknownYes Multiple joint contractures; Skin nodu...NM_058172.5:c.1074delTHomozygousAutosomal, RecessiveHanks et al. 2003; Glover et al, 1991 Sibling of 228600.4....
228600.5.1ArabUnknownYes Multiple joint contractures; Skin nodul...NM_058172.5:c.134T>CHomozygousAutosomal, RecessiveHanks et al. 2003
228600.5.2ArabUnknownYes Multiple joint contractures; Skin nodul...NM_058172.5:c.134T>CHomozygousAutosomal, RecessiveHanks et al. 2003
228600.6United Arab EmiratesMaleNo Multiple joint contractures; Fibrous d...NM_058172.5:c.134T>CHomozygousAutosomal, RecessiveAl-Gazali and Ali, 2010
228600.7.1LebanonMaleYesYes Skin nodule ; Papule ; Gingival ov...NM_058172.6:c.347G>THomozygousAutosomal, RecessiveHaidar et al, 2017 Proband
228600.7.2LebanonMaleYesYes Skin nodule ; Papule ; Gingival overgr...NM_058172.6:c.347G>THomozygousAutosomal, RecessiveHaidar et al, 2017 Brother of 228600.7....
228600.7.3LebanonMaleYesYes Skin nodule ; Papule ; Gingival overgr...NM_058172.6:c.347G>THomozygousAutosomal, RecessiveHaidar et al, 2017 Brother of 228600.7....
228600.7.4LebanonMaleYesYes Skin nodule ; Papule ; Gingival overgr...NM_058172.6:c.347G>THomozygousAutosomal, RecessiveHaidar et al, 2017 Relative of 228600.7...
228600.7.5LebanonMaleYesYes Skin nodule ; Papule ; Gingival overgr...NM_058172.6:c.347G>THomozygousAutosomal, RecessiveHaidar et al, 2017 Relative of 228600.7...
228600.8Saudi ArabiaFemaleYes Bilateral talipes equinovarus; Limb join...NM_058172.5:c.134T>CHomozygousAutosomal, RecessiveMaddirevula et al. 2018
228600.9Saudi ArabiaFemaleYesYes Long philtrum; Rectal prolapse; Low-set ...NM_058172.5:c.1074delTHomozygousAutosomal, RecessiveMaddirevula et al. 2018
228600.10OmanFemaleYesYes Failure to thrive; Intractable diarrhea;...NM_058172.6:c.867_945delHomozygousAutosomal, RecessiveMaddirevula et al. 2018
228600.11Saudi ArabiaMaleYes Arthrogryposis multiplex congenita; Hip ...NM_058172.6:c.720delHomozygousAutosomal, RecessiveMaddirevula et al. 2018
228600.12Saudi ArabiaFemaleYesYes Arthrogryposis multiplex congenitaNM_058172.5:c.134T>CHomozygousAutosomal, RecessiveMaddirevula et al. 2018

Other Reports

Egypt

Shawky et al. (2002) reported a 3-year old affected Egyptian boy, born to normal consanguineous parents. The authors considered infantile systemic hyalinosis, and Winchester syndrome for differential diagnosis, before concluding that the clinical picture of the patient was consistent with the diagnosis of JHF.

[Shawky RM, Zaky EA, El-Sayed SM, Aly MR, El-Zawahry KA, Sedhom K. Juvenile hyaline fibromatosis: case report. Egyptian J Med Hum Genet. 2002; 3(1):85-93.] 

Lebanon

Fayad et al (1987) described two siblings diagnosed with JHF. The older girl was more severely affected than her brother. Parents were consanguineous and healthy.  

Saudi Arabia

Al-Mayouf et al. (2005) conducted a retrospective analysis of the records of all patients diagnosed with Infantile Systemic Hyalinosis in a tertiary hospital in Saudi Arabia between 1992 and 2003. A total of 19 patients (11 male, 8 females) were diagnosed in this time period. 

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