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Palmoplantar Keratoderma-Spastic Paralysis Syndrome
Palmoplantar Keratoderma - Hereditary Motor and Sensory Neuropathy

Presentation

Nail dystrophy affects both toes and fingers; it can be present at birth or developed during early childhood. Palmoplantar keratoderma becomes apparent in later childhood. [accessanesthesiology.mhmedical.com]

Maintenance therapy was required to prevent relapse.[5] This case is presented for its clinical rarity. [ijdvl.com]

[…] pseudoainhum formation can be ruled out due to the presence of autoamputation of digits in the present case [Figure 3]. [jdrntruhs.org]

Local hyperhidrosis may be present in acrokeratoelastoidosis but has not been reported for focal acral hyperkeratosis. These 2 entities are mainly distinguished histologically. [mdedge.com]

Skin

  • Localized Hyperhidrosis

    Local hyperhidrosis may be present in acrokeratoelastoidosis but has not been reported for focal acral hyperkeratosis. These 2 entities are mainly distinguished histologically. [mdedge.com]

  • Follicular Plugging

    However, Darier disease also demonstrates follicular plugging, parakeratosis, and irregular acanthosis with papillomatosis.24 The keratotic lesions of Cowden disease show nonspecific orthokeratosis, hypergranulosis, and acanthosis.25 A thorough examination [mdedge.com]

Face, Head & Neck

  • Aged Face

    A particular face is observed (narrow nose, prematurely aged face). Fitzsimmons Syndrome: Mental retardation with spastic paraplegia and palmoplantar hyperkeratosis. [accessanesthesiology.mhmedical.com]

Workup

[…] sporadically from unaffected parent carriers, and autosomal dominant PPK can also occur sporadically due to a new mutation in an affected person (a de novo mutation). [4] Histopathology of a biopsy from affected skin should be part of the diagnostic workup [rarediseases.info.nih.gov]

Many melanin granules in basal cells HID syndrome, CIE Sepsis workup none Meleda type Mal de Meleda, MDM, Meleda Disease, Keratosis Palmoplantaris Transgradiens of Siemens 757.4 Inhabitants of the island of Mljet off the Dalmation Coast SLURP-1, Ly-6/ [dermatologyadvisor.com]

Serum

  • Neutrophilia

    Leiomyomatosis And Renal Cell Cancer 3 Hereditary Liability To Pressure Palsies 1 Hereditary Lymphedema Type 1C 2 Hereditary Lymphedema Type I 2 Hereditary Mixed Polyposis Syndrome 2 2 Hereditary Myopathy With Early Respiratory Failure 2 Hereditary Neutrophilia [preventiongenetics.com]

Treatment

Last updated: 12/30/2016 Treatment of both hereditary and acquired palmoplantar keratodermas (PPK) is difficult. [1] The goal of treatment is to soften the thickened skin and make it less noticeable. [2] In many cases, treatment only results in short-term [rarediseases.info.nih.gov]

In 2010, Bassetto et al. proposed the surgical treatment of a case of a fourth to fifth cross-finger flap on the dorsum of the digit 6. [rbcp.org.br]

Standard Therapies Treatment is directed toward the specific symptoms that are apparent in each individual. Treatment may require the coordinated efforts of a team of specialists. [rarediseases.org]

Early treatment with acitretin in childhood may allow patients to have normal adult dentition. [emedicine.medscape.com]

Prognosis

PMID: 18389286Free PMC Article Prognosis Takigawa T, Tanaka M, Nakahara S, Sugimoto Y, Ozaki T Eur Spine J 2008 Sep;17 Suppl 2:S331-7. Epub 2008 Apr 4 doi: 10.1007/s00586-008-0663-4. PMID: 18389286Free PMC Article [ncbi.nlm.nih.gov]

Prognosis - Keratoderma palmoplantar spastic paralysis Not supplied. Treatment - Keratoderma palmoplantar spastic paralysis Not supplied. [checkorphan.org]

[…] palmoplantar keratodermas (PPKs) are a group of heterogeneous skin disorders classified based upon their mode of inheritance, age of onset, morphology and distribution of palmoplantar thickening, presence of skin lesions elsewhere, histopathology, and prognosis [jdrntruhs.org]

Etiology

Classification of these conditions often presents many nosological challenges, since underlying etiologies and pathogenetics are often not known. [doctors-hospitals-medical-cape-town-south-africa.blaauwberg.net]

Epidemiology

[…] palmoplantar keratoderma - dilated cardiomyopathy - Wooly hair-palmoplantar hyperkeratosis-dilated cardiomyopathy syndrome Classification (Orphanet): - Rare cardiac disease - Rare genetic disease - Rare skin disease Classification (ICD10): (no data available) Epidemiological [csbg.cnb.csic.es]

Mutations in keratin K9 in kindreds with epidermolytic palmoplantar keratoderma and epidemiology in Northern Ireland. The Journal of Investigative Dermatology, 111, 1207–1209. PubMed CrossRef Google Scholar Da Rosa Santos, O. L. R., Amorim, J. [link.springer.com]

Disorder Synonyms PPK Column* ICD-9 Selected Epidemiologic Features Genetic Cause Syndromic Associations Distinguishing features Age of onset (for disorder manifistation) Erythema Transgrediens Other Epidermal Features** Systemic Features*** Relevant [dermatologyadvisor.com]

Pathophysiology

Its pathophysiology is still unclear. However the combination of impairment of genetic and environmental factors is most likely. The transmission is often autosomal dominant, rarely autosomal recessive. [5, 6, 7]. [pubs.sciepub.com]

Pathophysiology Mutations in two different genes KRT1 and MPZ on 12q.13 and 1q23 appear to be responsible for this particular association. [accessanesthesiology.mhmedical.com]

Prevention

Maintenance therapy was required to prevent relapse.[5] This case is presented for its clinical rarity. [ijdvl.com]

Prevention - Keratoderma palmoplantar spastic paralysis Not supplied. Diagnosis - Keratoderma palmoplantar spastic paralysis signs and symptoms of Powell-Venencie-Gordon syndrome may vary on an individual basis for each patient. [checkorphan.org]

The treatment of Vohwinkel syndrome aims to alleviate the keratoderma and prevent digital self-amputation. The surgical release of the constrictive rings can be used to prevent self-amputation, the most disabling complication of the disease 3. [rbcp.org.br]

This is extremely important because early diagnosis and prompt treatment can potentially prevent aggressive periodontitis, tooth loss, and improve overall quality of life of people with Papillon-Lefèvre syndrome. [rarediseases.org]

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