{"id":7432,"date":"2020-04-24T11:44:07","date_gmt":"2020-04-24T14:44:07","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/sindrome-de-brooke-spiegler\/"},"modified":"2020-04-27T16:22:40","modified_gmt":"2020-04-27T19:22:40","slug":"brooke-spiegler-syndrome","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-brooke-spiegler\/","title":{"rendered":"Brooke-Spiegler syndrome"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-brooke-spiegler\/#%C2%BFQue-es-Brooke-Spiegler-sindrome\" >What is Brooke-Spiegler? syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-brooke-spiegler\/#%C2%BFQue-causa-el-sindrome-de-Brooke-Spiegler\" >What causes Brooke-Spiegler syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-brooke-spiegler\/#%C2%BFCuales-son-las-caracteristicas-del-sindrome-de-Brooke-Spiegler\" >What are the characteristics of Brooke-Spiegler syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-brooke-spiegler\/#%C2%BFComo-se-hizo-el-diagnostico\" >How was the diagnosis made?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-brooke-spiegler\/#%C2%BFQue-tratamiento-hay-disponible-para-el-sindrome-de-Brooke-Spiegler\" >What treatment is available for Brooke-Spiegler syndrome?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-Brooke-Spiegler-sindrome\"><\/span>What is Brooke-Spiegler? <span class=\"term\" data-term-id=\"350\">syndrome<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brooke-Spiegler syndrome (BRSS or BSS) is rare <span class=\"term\" data-term-id=\"558\">genetic<\/span> condition that results in a variety of tumors arising from the skin <span class=\"term\" data-term-id=\"14\">appendices<\/span> (<span class=\"term\" data-term-id=\"122\">hair<\/span> <span class=\"term\" data-term-id=\"1300\">follicle<\/span> tumors and sweat gland tumors). The syndrome includes limited variants, <span class=\"term\" data-term-id=\"849\">family<\/span> cylindromatosis and multiple familial trichoepitheliomas (MFT1).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-sindrome-de-Brooke-Spiegler\"><\/span>What causes Brooke-Spiegler syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brooke-Spiegler syndrome, familial cylindromatosis, and multiple familial trichoepitheliomas are due to <span class=\"term\" data-term-id=\"776\">germ line<\/span> <span class=\"term\" data-term-id=\"871\">mutations<\/span> in cylindromatosis (CYLD) <span class=\"term\" data-term-id=\"774\">gene<\/span> in <span class=\"term\" data-term-id=\"1271\">chromosome<\/span> 16q12. These disorders have a <span class=\"term\" data-term-id=\"828\">autosomal<\/span> dominant inheritance, meaning that half of an affected person&#039;s children will also have the condition.<\/p>\n<p>CYLD works as a <span class=\"term\" data-term-id=\"289\">tumor<\/span> suppressor gene and has regulatory functions in development, immunity and <span class=\"term\" data-term-id=\"148\">inflammation<\/span>. To date, a total of 51 germline CYLD mutations have been found. A wide range of ethnic and racial backgrounds have been reported in affected patients and families.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-del-sindrome-de-Brooke-Spiegler\"><\/span>What are the characteristics of Brooke-Spiegler syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brooke-Spiegler syndrome causes <span class=\"term\" data-term-id=\"1494\">predisposition<\/span> to three types of <span class=\"term\" data-term-id=\"22\">benign<\/span> skin appendix tumor.<\/p>\n<ul>\n<li>Cylindromas: solitary or multiple tumors on the scalp<\/li>\n<li>\n<p>Trichoepitheliomas \u2013 skin color <span class=\"term\" data-term-id=\"366\">papules<\/span> on the central face<\/li>\n<li>Spiradenomas \u2013 painful <span class=\"term\" data-term-id=\"367\">nodules<\/span> in head, neck and trunk<\/li>\n<\/ul>\n<p>Brooke-Spiegler syndrome is also infrequently associated with saliva and <span class=\"term\" data-term-id=\"1778\">parotid gland<\/span> tumors<\/p>\n<p>The limited forms of the disease are:<\/p>\n<ul>\n<li>Familial cylindromatosis: characterized by cylindromas alone; and;<\/li>\n<li>Multiple familial trichoepitheliomas: characterized by single trichoepitheliomas.<\/li>\n<\/ul>\n<p>Affected individuals typically present from late childhood to early adulthood with multiple papules and nodules on the scalp, face, and neck. They develop an increasing number of injuries over time. However, there is wide variability of presentation within and between families with Brooke-Spiegler syndrome.<\/p>\n<p>Although the tumors are generally considered harmless, there are reports of <span class=\"term\" data-term-id=\"176\">evil one<\/span> transformation.<\/p>\n<ul>\n<li>Spiradenoma can transform into spiradenocarcinoma.<\/li>\n<li>Cylindroma can transform into cylindrocarcinoma.<\/li>\n<li>Trichoepithelioma can transform into <span class=\"term\" data-term-id=\"831\">basal<\/span> cell <span class=\"term\" data-term-id=\"32\">carcinoma<\/span>.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-hizo-el-diagnostico\"><\/span>How was the diagnosis made?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brooke-Spiegler syndrome may be suspected if there is a family history of multiple benign skin tumors.<\/p>\n<p>Cylindromas, trichoepitheliomas, and spiradenomas are difficult to distinguish clinically. Therefore the skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> It is required to confirm the diagnosis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-tratamiento-hay-disponible-para-el-sindrome-de-Brooke-Spiegler\"><\/span>What treatment is available for Brooke-Spiegler syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brooke-Spiegler syndrome is not curable. Possible treatment options for individual tumors include:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"848\">Excision<\/span><\/li>\n<li>Electrosurgery<\/li>\n<li>Dermabrasion<\/li>\n<li>Erbium: yttrium-aluminum-garnet (Er: YAG) <span class=\"term\" data-term-id=\"1617\">To be<\/span><\/li>\n<li>Carbon dioxide laser resurfacing\n<\/li>\n<li><span class=\"term\" data-term-id=\"1145\">Cryotherapy<\/span><\/li>\n<li>\n<span class=\"term\" data-term-id=\"1325\">Radiotherapy<\/span>.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es Brooke-Spiegler? s\u00edndrome? El s\u00edndrome de Brooke-Spiegler (BRSS o BSS) es raro gen\u00e9tico condici\u00f3n que resulta en una variedad de tumores derivados de la piel ap\u00e9ndices (cabello fol\u00edculo tumores&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7432","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7432","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7432"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7432\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}