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Manifestations of Gorlin-Goltz syndrome

Anne Kristine Larsen1, Dorthe Bisgaard Mikkelsen2, Jens Michael Hertz3 & Anette Bygum2 FROM: 1) Department of Plastic Surgery, Odense University Hospital, 2) Department of Dermatology, Allergy Centre, Odense University Hospital, 3) Department of Clinical Genetics, Odense University Hospital


Gorlin-Goltz syndrome is an uncommon hereditary condition caused by mutations in the PTCH1 gene causing a wide range of developmental abnormalities. Multiple basal cell carcinomas, palmoplantar pits and jaw cysts are cardinal features. Many clinicians are unfamiliar with the different manifestations and the fact that patients are especially sensitive to ionizing radiation.


This was a retrospective analysis of patients with Gorlin-Goltz syndrome seen at the Department of Dermatology and Allergy Centre or at Department of Plastic Surgery, Odense University Hospital, Denmark in the period from 1994 to 2013.


A total of 17 patients from eight families fulfilled the diagnostic criteria. In all, 14 patients had basal cell carcinomas, 12 patients had jaw cysts and ten patients had calcification of the falx cerebri. Other clinical features were frontal bossing, kyphoscoliosis, rib anomalies, coalitio, cleft lip/palate, eye anomalies, milia and syndactyly. In one family, medulloblastoma and astrocytoma occurred. Traditional treatment principles of basal cell carcinomas were used including radiotherapy performed in six patients. PTCH1 mutations were identified in five families and none of these mutations had previously been described.


The patient cohort illustrates classic and rare disease manifestations. It is necessary to remind clinicians that radiation therapy in Gorlin-Goltz syndrome is relatively contraindicated. Today, mutation analysis can be used for confirmation of the diagnosis and for predictive genetic testing. Patients should be offered genetic counselling and life-long surveillance.


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CORRESPONDENCE: Anette Bygum. E-mail:

CONFLICTS OF INTEREST: Disclosure forms provided by the authors are available with the full text og this article at

REFERENCE: Dan Med J 2014;61(5):A4829

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