1
|
Schneider LC, Hotz A, Gugelmeier M, Fischer J, Peitsch WK. Pseudoainhum and universal alopecia. J Dtsch Dermatol Ges 2024. [PMID: 38923334 DOI: 10.1111/ddg.15449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 04/05/2024] [Indexed: 06/28/2024]
Affiliation(s)
- Lisa C Schneider
- Department of Dermatology and Phlebology, Vivantes Klinikum im Friedrichshain, Berlin, Germany
| | - Alrun Hotz
- Institute of Human Genetics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Moritz Gugelmeier
- Department of Orthopedics, Trauma, Hand and Reconstructive Surgery, Center for Musculoskeletal Medicine, Vivantes Klinikum im Friedrichshain, Berlin, Germany
| | - Judith Fischer
- Institute of Human Genetics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Wiebke K Peitsch
- Department of Dermatology and Phlebology, Vivantes Klinikum im Friedrichshain, Berlin, Germany
| |
Collapse
|
2
|
Richey PM, Stone MS. Resolution of pseudoainhum with acitretin therapy in a patient with palmoplantar keratoderma and congenital alopecia. JAAD Case Rep 2019; 5:219-221. [PMID: 30809564 PMCID: PMC6374960 DOI: 10.1016/j.jdcr.2018.12.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- Patricia M Richey
- Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa
| | - Mary S Stone
- Department of Dermatology and Pathology, University of Iowa Hospitals and Clinics, Iowa City, Iowa
| |
Collapse
|
3
|
Guerra L, Castori M, Didona B, Castiglia D, Zambruno G. Hereditary palmoplantar keratodermas. Part I. Non-syndromic palmoplantar keratodermas: classification, clinical and genetic features. J Eur Acad Dermatol Venereol 2018; 32:704-719. [PMID: 29489036 DOI: 10.1111/jdv.14902] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 02/09/2018] [Indexed: 12/15/2022]
Abstract
The term palmoplantar keratoderma (PPK) indicates any form of persistent thickening of the epidermis of palms and soles and includes genetic as well as acquired conditions. We review the nosology of hereditary PPKs that comprise an increasing number of entities with different prognoses, and a multitude of associated cutaneous and extracutaneous features. On the basis of the phenotypic consequences of the underlying genetic defect, hereditary PPKs may be divided into the following: (i) non-syndromic, isolated PPKs, which are characterized by a unique or predominant palmoplantar involvement; (ii) non-syndromic PPKs with additional distinctive cutaneous and adnexal manifestations, here named complex PPKs; (iii) syndromic PPKs, in which PPK is associated with specific extracutaneous manifestations. To date, the diagnosis of the different hereditary PPKs is based mainly on clinical history and features combined with histopathological findings. In recent years, the exponentially increasing use of next-generation sequencing technologies has led to the identification of several novel disease genes, and thus substantially contributed to elucidate the molecular basis of such a heterogeneous group of disorders. Here, we focus on hereditary non-syndromic isolated and complex PPKs. Syndromic PPKs are reviewed in the second part of this 2-part article, where other well-defined genetic diseases, which may present PPK among their phenotypic manifestations, are also listed and diagnostic and therapeutic approaches for PPKs are summarized.
Collapse
Affiliation(s)
- L Guerra
- Laboratory of Molecular and Cell Biology, Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - M Castori
- Division of Medical Genetics, Casa Sollievo della Sofferenza-IRCCS, San Giovanni Rotondo, Foggia, Italy
| | - B Didona
- Rare Skin Disease Center, Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - D Castiglia
- Laboratory of Molecular and Cell Biology, Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - G Zambruno
- Genetic and Rare Diseases Research Area and Dermatology Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy
| |
Collapse
|
4
|
Castori M, Morlino S, Sana ME, Paradisi M, Tadini G, Angioni A, Malacarne M, Grammatico P, Iascone M, Forzano F. Clinical and molecular characterization of two patients with palmoplantar keratoderma-congenital alopecia syndrome type 2. Clin Exp Dermatol 2016; 41:632-5. [DOI: 10.1111/ced.12857] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2015] [Indexed: 11/26/2022]
Affiliation(s)
- M. Castori
- Division/Laboratory of Medical Genetics; San Camillo-Forlanini Hospital; Rome Italy
| | - S. Morlino
- Division/Laboratory of Medical Genetics; San Camillo-Forlanini Hospital; Rome Italy
| | - M. E. Sana
- Laboratory of Medical Genetics; Papa Giovanni XXIII Hospital; Bergamo Italy
| | - M. Paradisi
- Department of Dermatology and Plastic Surgery; Campus Biomedico University Hospital; Rome Italy
| | - G. Tadini
- Pediatric Dermatology, Department of Physiopathology and Transplantation; Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico di Milano; University of Milan; Milan Italy
| | - A. Angioni
- Laboratory of Medical Genetics; IRCCS-Ospedale Pediatrico Bambino Gesù; Rome Italy
| | - M. Malacarne
- Laboratory of Human Genetics; Galliera Hospital; Genoa Italy
| | - P. Grammatico
- Division/Laboratory of Medical Genetics; San Camillo-Forlanini Hospital; Rome Italy
| | - M. Iascone
- Laboratory of Medical Genetics; Papa Giovanni XXIII Hospital; Bergamo Italy
| | - F. Forzano
- Department of Medical Genetics; Galliera Hospital; Genoa Italy
| |
Collapse
|
5
|
Castori M, Valiante M, Ritelli M, Preziosi N, Colombi M, Paradisi M, Grammatico P. Palmoplantar keratoderma, pseudo-ainhum, and universal atrichia: A new patient and review of the palmoplantar keratoderma-congenital alopecia syndrome. Am J Med Genet A 2010; 152A:2043-2047. [DOI: 10.1002/ajmg.a.33490] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
|
6
|
Abstract
Keratoderma hereditarium mutilans, or Vohwinkel syndrome, is a very rare genetic skin condition which causes palmoplantar hyperkeratosis and constricting rings of the fingers and toes. Approximately 50 cases have been reported in the literature with only three having been managed surgically. All three had a high rate of recurrence and unfavourable results in the long term. We report two more cases managed surgically with a follow up of 5 and 8 years respectively. Our experience suggests that the use of full thickness grafts to line the released contractures does not work in the long term as the grafts become raised and painful, requiring multiple revisions. Surgical correction was easy to achieve but difficult to maintain and achieved poor outcomes in general. We therefore feel that the indication for surgical treatment should be a neurovascular compromise.
Collapse
Affiliation(s)
- M Sinha
- Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow UK.
| | | |
Collapse
|
7
|
Cavalcante LIDS, Holanda ÉDM, Almeida TLPD, Accioly-Filho JW. Ceratodermia mutilante de Vohwinkel: relato de três casos em uma família. An Bras Dermatol 2003. [DOI: 10.1590/s0365-05962003000300007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
A ceratodermia hereditária mutilante ou síndrome de Vohwinkel é afecção dermatológica rara caracterizada pelo espessamento cutâneo das palmas, plantas e dorso de mãos e pés, e por constrições em faixa dos dedos (pseudoainhum). São relatados três casos em uma família, envolvendo duas gerações. Em todos havia, adicionalmente, perda auditiva neurossensorial. Discutem-se o diagnóstico diferencial com outras ceratodermias palmoplantares e o tratamento com retinóides. Trata-se da primeira descrição dessa entidade no Brasil.
Collapse
|
8
|
Atabay K, Yavuzer R, Latifoğlu O, Ozmen S. Keratoderma hereditarium mutilans (Vohwinkel syndrome): an unsolved surgical mystery. Plast Reconstr Surg 2001; 108:1276-80. [PMID: 11604631 DOI: 10.1097/00006534-200110000-00027] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- K Atabay
- Department of Plastic and Reconstructive Surgery, Gazi University, Medical Faculty, Ankara, Turkey
| | | | | | | |
Collapse
|
9
|
Abstract
Vohwinkel's syndrome or keratoderma hereditaria mutilans is a diffuse, honeycombed, palmar, and plantar keratosis usually accompanied by pseudoainhum near the distal interphalangeal creases. The mutilating keratoderma associated with sensorineural hearing loss is thought to have an etiologic basis, resting on a mutation of the GJB2 gene, which encodes the gap junction protein connexin26 (Cx26). This specific mutation results in impaired epidermal differentiation as well as inner ear function. We describe a patient with Vohwinkel's syndrome accompanied by high-frequency sensorineural hearing loss whose mother and son were similarly affected.
Collapse
Affiliation(s)
- R R Solis
- Department of Dermatology, University of Texas Medical Branch, Galveston, USA
| | | | | |
Collapse
|
10
|
Peris K, Salvati EF, Torlone G, Chimenti S. Keratoderma hereditarium mutilans (Vohwinkel's syndrome) associated with congenital deaf-mutism. Br J Dermatol 1995; 132:617-20. [PMID: 7748756 DOI: 10.1111/j.1365-2133.1995.tb08721.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Keratoderma hereditarium mutilans, or Vohwinkel's syndrome, is a rare cutaneous disorder which is characterized by thickening of the palms, soles and dorsa of the hands and feet, and by ainhum-like constrictions of the fingers. We report a clinically typical case of Vohwinkel's syndrome in a 28-year-old, deaf-mute, woman. The patient presented with keratotic palms and soles which had a 'honeycomb' appearance, starfish-like keratoses on the dorsa of the hands, and pseudoainhum of the digits. Osteoporotic changes were present distal to the constricting bands. Successful treatment with retinoids has been reported recently, and the hyperkeratosis and constricting bands in our patient improved on therapy with etretinate.
Collapse
Affiliation(s)
- K Peris
- Department of Dermatology, University of L'Aquila, Italy
| | | | | | | |
Collapse
|