A rare genetic disorder encountered in dentistry: a case of lipoid proteinosis

Authors

  • Betül Yazmaci Harran University, Faculty of Dentistry, Department of Pediatric Dentistry. Sanliurfa / Turkiye.
  • M. Sinan Dogan Harran University, Faculty of Dentistry, Department of Pediatric Dentistry. Sanliurfa / Turkiye.
  • Izzet Yavuz Dicle University, Faculty of Dentistry, Department of Pediatric Dentistry. Diyarbakir / Turkiye.

DOI:

https://doi.org/10.31436/ijohs.v6i2.407

Keywords:

dentistry, genetic disorder, lipoid proteinosis

Abstract

Lipoid proteinosis disease is a rare autosomal recessive genodermatosis first described by Urbach and Wiethe in 1929. This disease occurs as a result of homozygous or compound heterozygous mutations in the ECM1 gene located in the 1q21 chromosome region. Approximately 400 cases have been encountered in the literature to date. Although it is seen worldwide, a higher prevalence of has been observed in Europe and South Africa. Although this disease can be seen anywhere in the body, the upper respiratory tract and mouth are affected in the majority of patients. The first clinical sign in Lipoid Proteinosis patients is a weak and muffled cry caused by laryngeal infiltration that develops shortly after birth or during infancy. Skin and mucosal changes develop during the first few years of life and later. Intraoral symptoms include macroglossia due to infiltration of waxy yellowish-white plaques and nodules, fissured macrocheilia, and nodular thickened mucosa. The prognosis of Lipoid Proteinosis disease is good and there is no specific treatment. Dentists are in the earliest position to diagnose Lipoid Proteinosis and help provide appropriate treatment to improve the quality of life impaired by the disease.

Author Biographies

Betül Yazmaci, Harran University, Faculty of Dentistry, Department of Pediatric Dentistry. Sanliurfa / Turkiye.

Researcher, PhD Student, Harran University, Faculty of Dentistry, Department of Pediatric Dentistry. Sanliurfa / Turkiye

M. Sinan Dogan, Harran University, Faculty of Dentistry, Department of Pediatric Dentistry. Sanliurfa / Turkiye.

Dean, Professor,  Harran University, Faculty of Dentistry, Department of Pediatric Dentistry. Sanliurfa / Turkiye.

References

Alfahaad, H., Alshehri, H., Aljerayan, E., Alwabel, A., & Alfarwan, A. M. (2023). Successful treatment of lipoid proteinosis in a young adult with Isotretinoin. Journal of Pharmaceutical Research International, 35(10), 29-33.

An, I. (2025). Cutaneous findings and treatment responses of lipoid proteinosis patients. International Journal of Dermatology, 64(1), 119-129.

An, I., Aksoy, M., Öztürk, M., & Ayhan, E. (2021). Lipoid proteinosis. Mucosa, 4(2), Article 2.

Chan, I., Liu, L., Hamada, T., Sethuraman, G., & McGrath, J. A. (2007). The molecular basis of lipoid proteinosis: Mutations in extracellular matrix protein 1. Experimental Dermatology, 16(11), 881-890.

Deshpande, P., Guledgud, M. V., Patil, K., Hegde, U., Sahni, A., & Huchanahalli Sheshanna, S. (2015). Lipoid proteinosis: a rare encounter in dental office. Case Reports in Dentistry, 2015, 670369.

Dogru, S., Gungor, A., Küçükodaci, Z., Aydin, A., Senol, M. G., Karabudak, O., Cincik, H., Gunes, M., & Salihoglu, M. (2008). Lipoid proteinosis-report of three cases and brief review of the literature. American Journal of Case Reports, 9, 346-350.

Frenkel, B., Vered, M., Taicher, S., & Yarom, N. (2017). Lipoid proteinosis unveiled by oral mucosal lesions: A comprehensive analysis of 137 cases. Clinical Oral Investigations, 21(7), 2245-2251. https://doi.org/10.1007/s00784-016-2017-7

Gonçalves, F. G., de Melo, M. B., de L Matos, V., Barra, F. R., & Figueroa, R. E. (2010). Amygdalae and striatum calcification in lipoid proteinosis. AJNR. American Journal of Neuroradiology, 31(1), 88-90.

Jahanimoghadam, F., & Hasheminejad, J. (2022). Oral manifestations and dental management considerations of lipoid proteinosis: a case report and review of literature. Journal of Dentistry (Shiraz, Iran), 23(3), 321-326.

Kabre, V., Rani, S., Pai, K. M., & Kamra, S. (2015). Lipoid proteinosis: A review with two case reports. Contemporary Clinical Dentistry, 6(2), 233-236.

Khan, M. A. H., Reza, M. A., Sharaf, I. M., Alam, M. J., Rahman, M. M., Chandra, P., Anwar, K. S., & Salam, M. A. (2023). Lipoid Proteinosis: ?dentification of a novel nonsense mutation c.1246C>T:p.R416X in ECM1 gene from Bangladesh. Pakistan Journal of Medical Sciences, 39(4), 1212-1215.

Lee, K. C., Peters, S. M., Ko, Y. C. K., Kunkle, T. C., Perrino, M. A., Yoon, A. J., & Philipone, E. M. (2018). Oral manifestations of lipoid proteinosis in a 10-year-old female: a case report and literature update. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 126(4), e228-e232. https://doi.org/10.1016/j.oooo.2018.01.025

LeWitt, T. M., Paller, A. S., Bell, A., & Zhou, X. A. (2023). Lipoid proteinosis. Içinde StatPearls. StatPearls Publishing.

Lourenço, A. G., Araújo, V. C., Passador-Santos, F., Sperandio, M., Neville, B. W., & Dorta, R. G. (2020). Lipoid Proteinosis: A Rare Disease In Pediatric Dentistry. Brazilian Dental Journal, 31(2), 186-189.

Mainali, S., Nayak, R., & Gaur, S. (2011). Oral findings in a child with lipoid proteinosis: A case report and review. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 29(1), 62-67.

Mittal, H. C., Yadav, S., Malik, S., & Singh, G. (2016). Lipoid Proteinosis. International Journal of Clinical Pediatric Dentistry, 9(2), 149-151.

Nanda, A., Alsaleh, Q. A., Al-Sabah, H., Ali, A. M., & Anim, J. T. (2001). Lipoid proteinosis: Report of four siblings and brief review of the literature. Pediatric Dermatology, 18(1), 21-26.

Rao, A. G., & Koppada, D. (2015). Lipoid proteinosis. Indian Journal of Dermatology, Venereology and Leprology, 81(5), 549.

Ravi Prakash, S. M., Verma, S., Sumalatha, M. N., & Chattopadhyay, S. (2013). Oral manifestations of lipoid proteinosis: A case report and literature review. The Saudi Dental Journal, 25(2), 91-94.

Shah, J. S., & Shah, H. A. (2022). Lipoid proteinosis: Review of Indian cases. Journal of Oral and Maxillofacial Pathology, 26(2), 236-241.

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Published

2025-07-31

How to Cite

Yazmaci, B. ., Dogan, M. S. ., & Yavuz, I. (2025). A rare genetic disorder encountered in dentistry: a case of lipoid proteinosis. IIUM Journal of Orofacial and Health Sciences, 6(2), 268–272. https://doi.org/10.31436/ijohs.v6i2.407