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This pathway is involved in embryogenesis and tumorigenesis, and the loss of function of PTCH1 protein produces an aberrant increase in the hedgehog signaling pathway activity. Basal cell nevus syndrome is characterized by tumor predisposition, particularly with the development of multiple basal cell carcinomas at an early age, along with odontogenic keratocysts, palmoplantar pits, skeletal abnormalities, and an increased risk of medulloblastoma. Diagnosis is clinical, with gene mutation analysis confirming the suspicion. The striking phenotypic variability of the syndrome may lead to a delayed diagnosis, making it an uncommon but important entity to recognize. A high index of suspicion and an early diagnosis is crucial for prevention, surveillance, and the prompt establishment of multidisciplinary medical care.<\/jats:p>","DOI":"10.1111\/ijd.15884","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T08:24:32Z","timestamp":1631089472000},"page":"1047-1055","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Basal cell nevus syndrome: an update on clinical findings"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5826-4808","authenticated-orcid":false,"given":"Luc\u00eda T.","family":"Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Department of Dermatology Hospital Universitario \u201cDr. Jos\u00e9 E. 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