Presentation
The present study was conducted on 12 unrelated Chinese patients who were clinically predicted to suffer from NPPK. [ncbi.nlm.nih.gov]
We report the case of a 61-year-old woman who presented with a long history of multiple symptomatic hyperkeratotic papules on the palms and soles. [mdedge.com]
In the present case, while the clinical presentation was characteristic, diagnosis was only made thanks to sequencing of a panel of over 50 genes responsible for PPK. The disease is effectively little-known in Europe. [okina.univ-angers.fr]
Gene Identification Often, the clinical presentation is not as straight forward as the texts present. Clinical evaluation can present with diffuse as well as punctuate keratodermas and associated nail dystrophy. [faoj.org]
Entire Body System
- Pain
Roth, W, Penneys, NS, Fawcett, N: Hereditary painful callosities. Arch. Dermatol. 114: 591 – 592, 1978. Google Scholar | Crossref | Medline 10. Samberger, F : Zur Pathologie der Hyperkeratosen. Arch. Derm. Syph. (Berlin). 77: 173 – 90, 1905. [doi.org]
Symptoms include photophobia, pain, tearing, and redness which may occur as early as one year of age. Corneal neovascularization, ulceration and scarring may lead to decreased visual acuity. [disorders.eyes.arizona.edu]
[…] keratosis palmoplantaris with corneal dystrophy ) tyrosinaemia type 2 An autosomal recessive metabolic defect (OMIM:276600) characterised by a marked elevation of tyrosine in the blood and urine, oculocutaneous manifestations (e.g., palmoplantar keratosis, painful [medical-dictionary.thefreedictionary.com]
Foot Pain Foot pain can sometimes be a sign of an underlying condition that requires medical attention. Find out when to see your doctor, and much more. Orthotics Many people use orthotics to improve the function and stability of their feet. [footvitals.com]
- Falling
Zimbabwe : Bulawayo, Harare, Mutare, Victoria Falls, etc. [maria-online.com]
[…] variable size around nuclei in upper layers of nucleated epidermis Granular layer contains an increased number of irregularly shaped keratohyaline granules Overlying hyperkeratosis Bullae form due to separation of edematous keratinocytes; keratinocytes fall [pathologyoutlines.com]
His deciduous teeth started falling off at age of three years and only his lower incisors erupted again that too became loose. [ayubmed.edu.pk]
About 10% of collodion babies fall into this group. 19 In bathing suit ichthyosis (BSI) the mutation in transglutaminase-1 appears to be temperature sensitive so that the face and extremities are almost completely spared apart from skin areas overlaying [basicmedicalkey.com]
But the condition can quickly progress to shock, which is marked by falling blood pressure and body temperature, confusion, clotting abnormalities and bleeding into the skin. Blood poisoning is a medical emergency and can be fatal if left untreated. [naturallivingcenter.net]
Ears
- Hearing Impairment
[…] in plaques, erythrokeratodermia variabilis with erythema gyratum repens;ekv; erythrokeratodermia variabilis, mendes da costa type Related symptoms: Autosomal recessive inheritance Autosomal dominant inheritance Intellectual disability Short stature Hearing [mendelian.co]
Patients with palmoplantar keratosis should be screened for hearing impairment, due to the strong association of these two conditions. [dermatologyadvisor.com]
Clinically, all neonates are hearing impaired from birth and develop diffuse PPK in childhood. Leukonychia and hyperkeratoses over the joints of the hand may also appear. [intechopen.com]
The soles can also be affected Patients may also have areas of focal keratoderma Some inherited cases of focal and striate keratoderma can occasionally have extracutaneous features, such as hearing impairment, sparse hair, woolly hair with cardiac disease [pcds.org.uk]
Clinically, all neonates are hearing impaired from birth and develop diffuse PPK in childhood. Leukonychia and hyperkeratoses over the joints of the hand also appear. [emedicine.com]
Eyes
- Photophobia
Symptoms include photophobia, pain, tearing, and redness which may occur as early as one year of age. Corneal neovascularization, ulceration and scarring may lead to decreased visual acuity. [disorders.eyes.arizona.edu]
Hypotrichosis and hyper IgE ◦ Epidermolytic Palmoplantar Keratoderma ◦ GJB3-Related Erythrokeratodermia Variabilis ◦ GJB4-Related Erythrokeratodermia Variabilis ◦ Harlequin Ichthyosis ◦ Ichthyosis Bullosa of Siemens ◦ Ichthyosis Follicularis, Atrichia, and Photophobia [genetests.org]
Painful keratoderma and photophobia: Hallmarks of tyrosinemia type II. The Journal of Pediatrics 126(2):266-269, 1995. 21. Mevorah B, Goldberg I, Sprecher E y col. Olmsted Syndrome. [siicsalud.com]
Sensorineural deafness, polydactyly, syndactyly, clubbing of fingers, mental retardation, dwarfism, photophobia, and strabismus are associated features. Clouston syndrome is mapped to 13q11. [emedicine.com]
Musculoskeletal
- Myopathy
Linearis with Ichthyosis Congenita and Sclerosing Keratoderma ◦ Keratosis Palmoplantaris Striata I, AD ◦ MEDNIK Syndrome ◦ NIPAL4-Related Autosomal Recessive Congenital Ichthyosis ◦ Naxos Disease ◦ Netherton Syndrome ◦ Neutral Lipid Storage Disease with Myopathy [genetests.org]
Alopecia, hearing loss, spastic paraplegia, myopathy, ichthyosiform dermatosis, and nail abnormalities are other associated manifestations. [intechopen.com]
Alopecia, hearing loss, spastic paraplegia, myopathy, ichthyosiform dermatosis, and nail abnormalities are associated findings. Cases of epithelioma cuniculatum have been reported. [emedicine.com]
Alopecia, hearing loss, spastic paraplegia, myopathy, ichthyosiform dermatosis, and nail abnormalities are associated. Cases of epithelioma cuniculatum have been reported. [emedicine.medscape.com]
Skin
- Keratosis
From Wikidata Jump to navigation Jump to search keratosis characterized by abnormal thickening of the palms and the soles Pajero's hand Keratosis palmaris et plantaris Palmoplantar Keratoderma edit English palmoplantar keratosis keratosis characterized [wikidata.org]
Ichthyosis, acquired Keratoderma blennorrhagicum Keratoderma foot, acquired Keratoderma punctata Keratosis Keratosis follicularis et parafollicularis in cutem penetrans Keratosis punctata Keratosis, pilaris, acquired Secondary keratoderma 701.1 Excludes [icd9data.com]
Keratosis palmoplantaris punctata (Buschke-Fischer-Brauer) with keratosis pilaris. Indian J Dermatol 2006;51:223-4 How to cite this URL: Kumari R, Thappa D. Keratosis palmoplantaris punctata (Buschke-Fischer-Brauer) with keratosis pilaris. [e-ijd.org]
Abstract Nagashima-type palmoplantar keratosis (NPPK) is an autosomal recessive diffuse non-epidermolytic palmoplantar keratosis caused by mutations in SERPINB7, a member of the serine protease inhibitor superfamily. [ncbi.nlm.nih.gov]
- Hyperkeratosis
Hyperkeratosis follicularis in cutem penetrans Ichthyosis, acquired Keratoderma blennorrhagicum Keratoderma foot, acquired Keratoderma punctata Keratosis Keratosis follicularis et parafollicularis in cutem penetrans Keratosis punctata Keratosis, pilaris [icd9data.com]
The clinicopathologic distinction between focal acral hyperkeratosis and acrokeratoelastoidosis is blurred. [doi.org]
Comment The hereditary palmoplantar keratodermas (PPK) are a heterogeneous group of disorders characterized by hyperkeratosis of the palms and soles. [dermatology.cdlib.org]
- Palmoplantar Keratosis
From Wikidata Jump to navigation Jump to search keratosis characterized by abnormal thickening of the palms and the soles Pajero's hand Keratosis palmaris et plantaris Palmoplantar Keratoderma edit English palmoplantar keratosis keratosis characterized [wikidata.org]
Abstract Nagashima-type palmoplantar keratosis (NPPK) is an autosomal recessive diffuse non-epidermolytic palmoplantar keratosis caused by mutations in SERPINB7, a member of the serine protease inhibitor superfamily. [ncbi.nlm.nih.gov]
Loss-of-function mutations in the cathepsin C gene result in periodontal disease and palmoplantar keratosis. Nature Genetics, 23 (4), 421-424. [pure.qub.ac.uk]
Cystic eyelids-palmoplantar keratosis-hypodontia-hypotrichosis is an extremely rare condition, with about only 10 cases reported in the scientific literature. [nutritionhouse.com]
- Erythema
The two brothers, were evaluated at New York University Medical Center's Dermatologic Associates in February 2000, with a life-long history of erythema and scale of the hands and feet. [dermatology.cdlib.org]
Definition / general Keratinization disorder which presents at birth with generalized erythema, widespread bullae and desquamation resulting in denuded skin Form of ichthyosis, an abnormality of epidermal maturation resulting in skin fragility "Epidermolytic [pathologyoutlines.com]
A 13-year-old boy and a 7-year-old boy, who are brothers, presented with a life-long history of erythema, hyperkeratosis, and desquamation of the hands and feet. Symptoms improved with the use of topical glucocorticoids and keratolytics. [ncbi.nlm.nih.gov]
Erythema may be very mild and almost invisible. [mendelian.co]
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]
- Hyperhidrosis
Finally, patients may have malodorous hyperhidrosis. [emedicine.com]
Hyperhidrosis is a typical feature, and pseudoainhum formation with autoamputation has been reported [ 5 ]. There are no associated extracutaneous anomalies. The gene locus for PPK of Sybert is unknown. [dermatology.cdlib.org]
Palmar and/or plantar hyperhidrosis has been described in a subset of cases with aquagenic syringeal acrokeratoderma, as in this instance. Endoscopic thoracic sympathectomy is an effective and long-term treatment for palmar hyperhidrosis. [doi.org]
It is distinguished from the other PPKs in terms of transgressive soft hyperkeratosis, inflammatory episodes and hyperhidrosis, as well as by its non-progressive nature. [okina.univ-angers.fr]
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]
Treatment
A 48-year-old woman developed palmoplantar hyperkeratosis during treatment with imatinib (400mg/day) for treatment of chronic myeloid leukemia. [ncbi.nlm.nih.gov]
Endoscopic thoracic sympathectomy is an effective and long-term treatment for palmar hyperhidrosis. [doi.org]
The final chapters discuss treatment methods including drugs and lasers. [books.google.de]
Prognosis
This syndrome requires a multidisciplinary team for treatment and control and the prognosis is still poor. [clinicadavilla.com.br]
Diagnosis - Keratosis palmoplantaris adenocarcinoma of the colon * Home Colorectal Cancer Tests * Home Fecal Occult Bleeding Tests Prognosis - Keratosis palmoplantaris adenocarcinoma of the colon Not supplied. [checkorphan.org]
Prognosis The prognosis of tylosis with oesophageal cancer is difficult to determine due to the limited number of affected individuals. [ojrd.biomedcentral.com]
Etiology
In terms of treatment, the most successful results occur when the underlying etiology is diagnosed and treated. [ncbi.nlm.nih.gov]
The third volume of Recent Advances in Dermatology has been fully revised to bring clinicians and trainees fully up to date with the latest advances in dermatology, with emphasis on etiology, clinical features, diagnosis and treatment. [books.google.de]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Epidemiology
[…] mechanisms of one of the most toxic minerals in the world • Helps readers understand potential health effects of arsenic, using population studies, mammalian and invertebrate models, and pharmacokinetic and toxicokinetic models • Discusses outcomes, epidemiology [books.google.de]
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]
Epidemiology The condition is rare in Europe but more common in the East [ 6 ]. It occurs much more commonly in smokers and ex-smokers. It may run in families and rarely occurs in childhood. [patient.info]
Recent perspectives on the global epidemiology of childhood eczema. Allergol Immunopathol (Madr). 2011;39:174-182. Bieber T. Mechanisms of disease: atopic dermatitis. New Engl J Med. 2008;358:1483. Kurian A, Barankin B. [dermatology.exeltisusa.com]
Genetic epidemiology of breast cancer and associated cancers in high risk families. I. Segregation analysis. JNCI 71, 455–461 (1983). 17 Hall, J.M., Lee, M.K., Morrow, J., Anderson, L. & King, M.-C. [nature.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]
[…] epidermolytic leukoplakia Terminology Other names: Epidermolytic ichthyosis Bullous congenital ichthyosiform erythroderma Bullous ichthysosis Bullous erythroderma ichthyosiformis congenita of Brocq Disorder of cornification type 3 Vorner's syndrome Pathophysiology [pathologyoutlines.com]
Decubitus ulcers: pathophysiology and primary prevention. Dtsch Arztebl Int. 2010;107:371-382. Beers MH, Berkow, R, eds. The Merck Manual of Diagnosis and Therapy. 17th ed. Whitehouse Station, NJ: Merck & Company, Inc; 1999. [dermatology.exeltisusa.com]
Prevention
Oral hygiene : Regular tooth care to prevent cavities is recommended. [nutritionhouse.com]
Prevention - Keratosis palmoplantaris adenocarcinoma of the colon Not supplied. [checkorphan.org]
Lobmann, R, Kayser, R, Kasten, G: Effects of preventative footwear on foot pressure as determined by pedobarography in diabetic patients: a prospective study. Diabet. Med. 18: 314 – 319, 2001. Google Scholar | Crossref | Medline | ISI 6. [doi.org]