Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique Mutation

Papillon–Lefevre syndrome is a rare autosomal recessive type of syndromic palmoplantar keratoderma, associated with ectodermal dysplasia. It is also known as keratoderma with periodontitis. This condition can cause irreversible loss of dentition with onset in early childhood and predispose to recurr...

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Main Authors: Sanjanaa Srinivasa, Sumedha Ballal, Preetha Tilak, Savitha Murali, Madhukara Jithendriya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Clinical Dermatology Review
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Online Access:https://journals.lww.com/10.4103/cdr.cdr_60_24
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author Sanjanaa Srinivasa
Sumedha Ballal
Preetha Tilak
Savitha Murali
Madhukara Jithendriya
author_facet Sanjanaa Srinivasa
Sumedha Ballal
Preetha Tilak
Savitha Murali
Madhukara Jithendriya
author_sort Sanjanaa Srinivasa
collection DOAJ
description Papillon–Lefevre syndrome is a rare autosomal recessive type of syndromic palmoplantar keratoderma, associated with ectodermal dysplasia. It is also known as keratoderma with periodontitis. This condition can cause irreversible loss of dentition with onset in early childhood and predispose to recurrent systemic infections. The characteristic clinical features include transgradient palmoplantar keratoderma along with psoriasiform plaques on the knees and elbows, periodontitis, gingivitis, and loss of teeth. There are few reports of this rare condition worldwide. Here, we report the case of a 45-year-old male, born to a third-degree consanguineous marriage, presenting with hyperkeratotic lesions on palms, soles, and knees from 1 year of age, followed by attrition of teeth from 7 years of age and loss of all teeth by the age of 18 years. Genetic analysis revealed a rare mutation in the cathepsin C gene.
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institution Kabale University
issn 2542-551X
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publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Clinical Dermatology Review
spelling doaj-art-8e33d175e9784c0285369da05dfc0bef2025-02-06T05:07:41ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282025-01-0191798210.4103/cdr.cdr_60_24Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique MutationSanjanaa SrinivasaSumedha BallalPreetha TilakSavitha MuraliMadhukara JithendriyaPapillon–Lefevre syndrome is a rare autosomal recessive type of syndromic palmoplantar keratoderma, associated with ectodermal dysplasia. It is also known as keratoderma with periodontitis. This condition can cause irreversible loss of dentition with onset in early childhood and predispose to recurrent systemic infections. The characteristic clinical features include transgradient palmoplantar keratoderma along with psoriasiform plaques on the knees and elbows, periodontitis, gingivitis, and loss of teeth. There are few reports of this rare condition worldwide. Here, we report the case of a 45-year-old male, born to a third-degree consanguineous marriage, presenting with hyperkeratotic lesions on palms, soles, and knees from 1 year of age, followed by attrition of teeth from 7 years of age and loss of all teeth by the age of 18 years. Genetic analysis revealed a rare mutation in the cathepsin C gene.https://journals.lww.com/10.4103/cdr.cdr_60_24cathepsin c gene mutationgenetic testingpalmoplantar keratodermapapillon–lefevre syndromeperiodontitis
spellingShingle Sanjanaa Srinivasa
Sumedha Ballal
Preetha Tilak
Savitha Murali
Madhukara Jithendriya
Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique Mutation
Clinical Dermatology Review
cathepsin c gene mutation
genetic testing
palmoplantar keratoderma
papillon–lefevre syndrome
periodontitis
title Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique Mutation
title_full Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique Mutation
title_fullStr Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique Mutation
title_full_unstemmed Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique Mutation
title_short Beyond the Common Causes of Palmoplantar Keratoderma: Papillon–Lefevre Syndrome with a Unique Mutation
title_sort beyond the common causes of palmoplantar keratoderma papillon lefevre syndrome with a unique mutation
topic cathepsin c gene mutation
genetic testing
palmoplantar keratoderma
papillon–lefevre syndrome
periodontitis
url https://journals.lww.com/10.4103/cdr.cdr_60_24
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