Papillon–Lefèvre syndrome
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Papillon–Lefèvre syndrome
| Papillon-Lefevre syndrome | |
|---|---|
| Classification and external resources | |
| OMIM | 245000 |
| DiseasesDB | 9583 |
| MeSH | D010214 |
Papillon–Lefèvre syndrome (PLS), also known as palmoplantar keratoderma with periodontitis,[1][2] is an autosomal recessive[3] genetic disorder caused by a deficiency in cathepsin C.[4][5]
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Contents
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Characteristics
PLS is characterized by periodontitis and palmoplantar keratoderma.[6] The severe destruction of periodontium results in loss of most primary teeth by the age of 4 and most permanent teeth by age 14. Hyperkeratosis of palms and soles of feet appear in first few years of life.
Cause and Genetics
Mutations in the cathepsin C gene (CTSC), located at human chromosome 11q14.1-q14.3, are the cause of PLS.[4][7] The disorder is inherited in an autosomal recessive manner.[4] This means the defective gene responsible for the disorder is located on an autosome (chromosome 11 is an autosome), and two copies of the defective gene (one inherited from each parent) are required in order to be born with the disorder. The parents of an individual with an autosomal recessive disorder both carry one copy of the defective gene, but usually do not experience any signs or symptoms of the disorder.
Treatment
- Retinoids and antibiotics have been used.[8]
Eponym
It is named for M. M. Papillon and Paul Lefèvre.[9][10]
See also
References
- ^ Online 'Mendelian Inheritance in Man' (OMIM) 245000
- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
- ^ Ullbro C, Crossner CG, Nederfors T, Alfadley A, Thestrup-Pedersen K (2003). "Dermatalogical and oral findings in a cohort of 47 patients with Papillon-Lefevre syndrome". J Am Acad Dermatol. 48 (3): 345–351. doi:10.1067/mjd.2003.197. PMID 12637913.
- ^ a b c Wani A, Devkar N, Patole M, Shouche Y (2006). "Description of two new cathepsin C gene mutations in patients with Papillon-Lefèvre syndrome". J Periodontol. 77 (2): 233–237. doi:10.1902/jop.2006.050124. PMID 16460249.
- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology (10th ed.). Saunders. p. 214. ISBN 0-7216-2921-0.
- ^ Cagli NA, Hakki SS, Dursun R, et al. (Dec 2005). "Clinical, genetic, and biochemical findings in two siblings with Papillon-Lefèvre Syndrome". J. Periodontol. 76 (12): 2322–2329. doi:10.1902/jop.2005.76.12.2322. PMID 16332247.
- ^ Online 'Mendelian Inheritance in Man' (OMIM) 602365
- ^ Ahuja V, Shin RH, Mudgil A, Nanda V, Schoor R (November 2005). "Papillon-Lefèvre syndrome: a successful outcome". J. Periodontol. 76 (11): 1996–2001. doi:10.1902/jop.2005.76.11.1996. PMID 16274321.
- ^ synd/1804 at Who Named It?
- ^ M. M. Papillon, P. Lefèvre. Deux cas de kératodermie palmaire et plantaire symétrique familiale (maladie de Meleda) chez le frère et la soeur. Coexistence dans les deux cas d’altérations dentaires graves. Bulletin de la Société française de dermatologie et de vénéorologie, Paris, 1924, 31: 82-87.
External links
- Overview at mu.edu
- Keratosis palmoplantar periodontopathy; Papillon Lefevre Syndrome at NIH's Office of Rare Diseases
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