Knuckle pads, in an epidermal palmoplantar keratoderma patient with Keratin 9 R163W transgrediens expression

2009 ◽  
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Valeria Serra ◽  
Ginevra Pertusi ◽  
...  
2011 ◽  
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...  

2007 ◽  
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...  

2003 ◽  
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Qiji Liu ◽  
Xiyu Zhang ◽  
Lin Cheng ◽  
...  

2007 ◽  
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...  

2009 ◽  
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...  

2015 ◽  
Vol 7 (2) ◽  
pp. 220-226 ◽  
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Fahad Almutawa ◽  
Thusanth Thusaringam ◽  
Kevin Watters ◽  
Tenzin Gayden ◽  
Nada Jabado ◽  
...  

Background: Pachyonychia congenita (PC) is a rare autosomal dominant disease whose main clinical features include hypertrophic onychodystrophy and palmoplantar keratoderma. The new classification is based on genetic variants with mutations in keratin KRT6A, KRT6B, KRT6C, KRT16, KRT17, and an unknown mutation. Here, we present a case of PC with unusual clinical and histological features and a favorable response to oral acitretin. Case: A 49-year-old male presented with diffuse and striate palmoplantar keratoderma, thickened nails, knuckle pads, and pseudoainhum. Histology showed compact hyperkeratosis, prominent irregular acanthosis, and extensive epidermolytic hyperkeratosis, suggestive of Vörner's palmoplantar keratoderma. However, keratin 9 and 1 were not mutated, and full exome sequencing showed heterozygous missense mutation in type I keratin K16. Conclusion: To our knowledge, epidermolytic hyperkeratosis has not been previously described with PC. Our patient had an excellent response, maintained over the last 5 years, to a low dose of acitretin. We wish to emphasize the crucial role of whole exome sequencing in establishing the correct diagnosis.


2011 ◽  
Vol 39 (1) ◽  
pp. 84-87
Author(s):  
Masahiro HAYASHI ◽  
Hajime NAKANO ◽  
Daisuke SAWAMURA ◽  
Tamio SUZUKI

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