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Vincent Comraj D, Zainab A, Arthur M, Chauhan J, Pandurangan V, Srinivasan D. A Case Report of Hereditary Palmoplantar Keratoderma with Esophageal Melanosis. Middle East J Dig Dis 2023; 15:141-143. [PMID: 37546510 PMCID: PMC10404083 DOI: 10.34172/mejdd.2023.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 03/16/2023] [Indexed: 08/08/2023] Open
Abstract
A 70-year-old man, a known case of diabetes mellitus since 10 years ago, presented with lower limb swelling and dyspnea on exertion for one month and dysphagia to solids associated with early satiety for 2 weeks. The patient had palmoplantar keratosis (PPK), which was present since birth with a similar family history. The patient was admitted to rule out esophageal malignancy. Upper gastrointestinal gastroscopy revealed esophagitis and esophageal melanosis with gastric mucosal erythema. Biopsies samples were taken. Histopathological examination revealed reflux esophagitis and chronic active Helicobacter pylori gastritis with no evidence of malignancy. His symptoms improved following H. pylori eradication and treatment for coronary artery disease and heart failure. The patient was advised of regular follow-up as he had risk factors for the development of esophageal melanoma or squamous cell carcinoma.
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Affiliation(s)
- Delvina Vincent Comraj
- Department of General Medicine, Sri Ramachandra Medical College and Research, Institue, Chennai, India
| | - Ayisha Zainab
- Department of General Medicine, Sri Ramachandra Medical College and Research, Institue, Chennai, India
| | - Manisha Arthur
- Department of General Medicine, Sri Ramachandra Medical College and Research, Institue, Chennai, India
| | - Jaba Chauhan
- Department of General Medicine, Sri Ramachandra Medical College and Research, Institue, Chennai, India
| | - Viswanathan Pandurangan
- Department of General Medicine, Sri Ramachandra Medical College and Research, Institue, Chennai, India
| | - Devasena Srinivasan
- Department of General Medicine, Sri Ramachandra Medical College and Research, Institue, Chennai, India
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Mohapatra L, Behera B, Sahu B, Patnaik M. A case of acrodermatitis enteropathica mimicking mutilating palmoplantar keratoderma. Indian J Dermatol 2022; 67:314. [DOI: 10.4103/ijd.ijd_112_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Olmsted Syndrome: Case Report of Nursing Management of Premature Twins. Adv Neonatal Care 2021; 22:333-340. [PMID: 34596089 DOI: 10.1097/anc.0000000000000942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Olmsted syndrome is a rare and complex skin disorder affecting 46 (published) infants as of 2012. The infants affected in this case were born premature at 28 weeks' gestation. Infants affected by this syndrome demonstrate numerous plaques on several specific areas of the skin. Common treatments include exfoliation in addition to psoriasis treatments. The extremely fragile nature of the premature infants' skin complicates treatment modalities. CLINICAL FINDINGS The progression of the infants' dermatologic findings and plaque formation is discussed in this case study. PRIMARY DIAGNOSIS The primary diagnosis of Olmsted syndrome was made with the assistance of a multidisciplinary team to work through several differential diagnoses presenting with severe forms of palmoplantar keratoderma. INTERVENTIONS The management of skin plaques in twin premature infants is presented in this case study. An evidence-based approach, utilizing the model of family-centered care, is presented with multidisciplinary involvement and an outline of the specific plan of care for the extensive skin care regimen used. OUTCOMES An interdisciplinary skin care regimen was created to provide consistency in transition from hospital to home. Using a consistent approach, the plaques were able to be softened and many removed. Continual maintenance is required to manage continual buildup of skin plaques. PRACTICE RECOMMENDATIONS Premature infants are at increased risk for infection due to the immaturity of their skin. The complexity of their skin complicates the ability to recognize and care for rare skin disorders. This case study illuminates the practicality of a consistent and evidence-based approach to a complex and rare skin disorder.
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Yadav M, Goswami C. TRPV3 mutants causing Olmsted Syndrome induce impaired cell adhesion and nonfunctional lysosomes. Channels (Austin) 2016; 11:196-208. [PMID: 27754757 DOI: 10.1080/19336950.2016.1249076] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
TRPV3 is a non-selective cationic channel and is important for several physiological functions. It can be activated by physiological temperature and selective endogenous and exogenous compounds. TRPV3 is one of the key ion channel involved in Ca2+-signaling in keratinocyte and thus involved in skin-related functions. Recently, naturally occurring mutations in TRPV3, namely G573A, G573S, G573C and W692G have been detected which are linked with the development of pathophysiological conditions such as Olmsted Syndrome (OS) and other skin disorders. Our qualitative and quantitative data suggests that these naturally occurring TRPV3 mutants are mainly restricted in the ER. Expression of OS-mutants cause impaired vesicular trafficking resulting reduced surface localization of these mutants and other membrane proteins too. OS-mutants also cause reduced cell adhesion, altered distribution and less number of lysosomes. Our data confirms that TRPV3 is a lysosomal protein suggesting that Olmsted Syndrome is a lysosomal disorder. These findings may have a broad implication in the context of keratinocyte functions, skin-degeneration and in skin-cancer.
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Affiliation(s)
- Manoj Yadav
- a National Institute of Science Education and Research, Institute of Physics Campus , Bhubaneswar , Orissa , India.,b Homi Bhabha National Institute, Training School Complex , Mumbai , India
| | - Chandan Goswami
- a National Institute of Science Education and Research, Institute of Physics Campus , Bhubaneswar , Orissa , India.,b Homi Bhabha National Institute, Training School Complex , Mumbai , India
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Dessureault J, Poulin Y, Bourcier M, Gagne E. Olmsted Syndrome—Palmoplantar and Periorificial Keratodermas: Association with Malignant Melanoma. J Cutan Med Surg 2016. [DOI: 10.1177/120347540300700309] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: Olmsted syndrome is a rare congenital disorder with mutilating palmoplantar keratoderma, periorificial keratotic plaques, and other variable features. Objective: We describe a 65-year-old woman with Olmsted syndrome complicated by the occurrence of a malignant melanoma inside the plantar keratoderma. To our knowledge, this is the first reported case of such an occurrence in Olmsted syndrome. The published cases of this rare disorder are reviewed. Conclusion: An association between malignant epithelial tumors and Olmsted syndrome has already been reported. The association of malignant melanoma with other types of palmoplantar keratodermas has been reported. This may suggest a predisposition to melanocytic as well as squamous cell malignancies in congenital keratodermas. Oral retinoids appear to be the most promising treatment for Olmsted syndrome and for other symptomatic keratodermas.
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Affiliation(s)
- Josee Dessureault
- Department of Dermatology, Centre Hospitalier Universitaire de Québec, pavilion Hotel-Dieu de Québec, Québec, Québec, Canada
| | - Yves Poulin
- Department of Dermatology, Centre Hospitalier Universitaire de Québec, pavilion Hotel-Dieu de Québec, Québec, Québec, Canada
| | - Marc Bourcier
- Department of Dermatology, Hopital Docteur Georges-L-Dumont, Moncton, New Brunswick, Canada
| | - Eric Gagne
- Department of Pathology, Centre Hospitalier Universitaire de Québec, pavilion Hotel-Dieu de Québec, Québec, Québec, Canada
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Zhi YP, Liu J, Han JW, Huang YP, Gao ZQ, Yang Y, Wu RN. Two familial cases of Olmsted-like syndrome with a G573V mutation of theTRPV3gene. Clin Exp Dermatol 2016; 41:510-3. [PMID: 27273692 DOI: 10.1111/ced.12833] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2015] [Indexed: 11/27/2022]
Affiliation(s)
- Y. P. Zhi
- Department of Dermatology; International Mongolian Hospital of Inner Mongolia; Hohhot Inner Mongolia Autonomous Region PR China
| | - J. Liu
- Department of Dermatology; Affiliated Hospital of Inner Mongolia Medical University; Hohhot Inner Mongolia Autonomous Region PR China
| | - J. W. Han
- Department of Dermatology; Affiliated Hospital of Inner Mongolia Medical University; Hohhot Inner Mongolia Autonomous Region PR China
| | - Y. P. Huang
- Department of Dermatology; Affiliated Hospital of Inner Mongolia Medical University; Hohhot Inner Mongolia Autonomous Region PR China
| | - Z. Q. Gao
- Department of Dermatology; International Mongolian Hospital of Inner Mongolia; Hohhot Inner Mongolia Autonomous Region PR China
| | - Y. Yang
- Department of Dermatology; Peking University First Hospital; Beijing PR China
| | - R. N. Wu
- Department of Dermatology; International Mongolian Hospital of Inner Mongolia; Hohhot Inner Mongolia Autonomous Region PR China
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Duchatelet S, Hovnanian A. Olmsted syndrome: clinical, molecular and therapeutic aspects. Orphanet J Rare Dis 2015; 10:33. [PMID: 25886873 PMCID: PMC4373112 DOI: 10.1186/s13023-015-0246-5] [Citation(s) in RCA: 59] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Accepted: 02/24/2015] [Indexed: 11/17/2022] Open
Abstract
Olmsted syndrome (OS) is a rare genodermatosis classically characterized by the combination of bilateral mutilating transgredient palmoplantar keratoderma (PPK) and periorificial keratotic plaques, but which shows considerable clinical heterogeneity. The disease starts usually at birth or in early childhood. About 73 cases have been reported worldwide. OS is observed in both sexes, although male cases are more frequent. The most suggestive symptoms associate PPK with pseudoainhum and periorificial keratotic plaques. Frequently associated features include hair and nail abnormalities, leukokeratosis, corneal default and recurrent infections. Pain and itching are variable but can be severe. Most of reported OS cases are sporadic, although familial cases with different mode of inheritance were also described. Mutations in TRPV3 (Transient receptor potential vanilloid-3) gene have recently been identified as a cause of autosomal dominant (gain-of-function mutations) or recessive OS. Mutations in MBTPS2 (membrane-bound transcription factor protease, site 2) gene were identified in a recessive X-linked form. The diagnosis relies mainly on clinical features associating severe PPK and periorificial keratotic plaques, but can be challenging in patients with incomplete phenotype or atypical features. OS has to be differentiated from other severe forms of PPK including Vohwinkel, Clouston, Papillon-Lefèvre or Haim-Munk syndromes, Mal de Meleda, pachyonychia congenita, Tyrosinemia type II and acrodermatitis enteropathica. When differential diagnoses are difficult to exclude, genetic studies are essential to search for a TRPV3 or MBTPS2 mutation. However, additional genes remain to be identified. No specific and satisfactory therapy is currently available for OS. Current treatments of hyperkeratosis (mainly emollients, keratolytics, retinoids or corticosteroids), either topical or systemic, are symptomatic and offer only temporary partial relief. Specific management of pain and itching is important to reduce the morbidity of the disease. The disease is debilitating and progressive keratoderma and auto-amputation of digits can prevent patients from grasping and walking, and confine them to a wheelchair. New therapeutic options are therefore crucial and are expected from a better understanding of the disease mechanisms. The use of TRPV3 antagonists would represent such a targeted and potentially powerful strategy.
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Affiliation(s)
- Sabine Duchatelet
- INSERM UMR 1163, Laboratory of Genetic skin diseases, Imagine Institute, 2nd floor, 24 bld du Montparnasse, 75015, Paris, France. .,University Paris Descartes, Sorbonne Paris Cité, Paris, France.
| | - Alain Hovnanian
- INSERM UMR 1163, Laboratory of Genetic skin diseases, Imagine Institute, 2nd floor, 24 bld du Montparnasse, 75015, Paris, France. .,University Paris Descartes, Sorbonne Paris Cité, Paris, France. .,Department of Genetics, Necker Enfants Malades Hospital, Paris, France.
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Discovery in genetic skin disease: the impact of high throughput genetic technologies. Genes (Basel) 2014; 5:615-34. [PMID: 25093584 PMCID: PMC4198921 DOI: 10.3390/genes5030615] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Revised: 07/07/2014] [Accepted: 07/14/2014] [Indexed: 11/21/2022] Open
Abstract
The last decade has seen considerable advances in our understanding of the genetic basis of skin disease, as a consequence of high throughput sequencing technologies including next generation sequencing and whole exome sequencing. We have now determined the genes underlying several monogenic diseases, such as harlequin ichthyosis, Olmsted syndrome, and exfoliative ichthyosis, which have provided unique insights into the structure and function of the skin. In addition, through genome wide association studies we now have an understanding of how low penetrance variants contribute to inflammatory skin diseases such as psoriasis vulgaris and atopic dermatitis, and how they contribute to underlying pathophysiological disease processes. In this review we discuss strategies used to unravel the genes underlying both monogenic and complex trait skin diseases in the last 10 years and the implications on mechanistic studies, diagnostics, and therapeutics.
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Olmsted Syndrome Caused by a Homozygous Recessive Mutation in TRPV3. J Invest Dermatol 2014; 134:1752-1754. [DOI: 10.1038/jid.2014.37] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Alotaibi AK, Alotaibi MK, Alsaeed S, Alyahya A, Shuler CF. Olmsted syndrome with oral involvement, including premature teeth loss. Odontology 2014; 103:241-5. [PMID: 24474548 DOI: 10.1007/s10266-014-0148-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2013] [Accepted: 12/16/2013] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Olmsted syndrome is a rare palmoplantar keratodermal disease that has not previously been reported to have an association with periodontal disease. The aim of this study is to report and document a case of Olmsted syndrome with evidence of severe periodontal disease. CASE REPORT A 38-year old Saudi male patient presented to the dental clinic diagnosed previously with Olmsted syndrome. Clinical and radiographic examinations were done and provided evidence of the typical clinical findings in Olmsted syndrome and evidence of severe periodontal disease. The patient had severe generalized hyperkeratotic lesions on the palms, soles, and perioral skin as well as hyperkeratosis of oral mucosa at multiple sites. CONCLUSION This case report documents the first reported case of Olmsted syndrome to be associated with severe periodontal disease. The altered differentiation of oral mucosa linked to Olmsted syndrome may contribute to the periodontal disease. Patients diagnosed with this syndrome should receive a comprehensive oral examination to determine whether periodontal destruction is a significant component of their disease or not.
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Affiliation(s)
- Ahmed K Alotaibi
- Bachelor of Dental Surgery Collage of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Abstract
BACKGROUND Olmsted syndrome is a rare keratinization disorder characterized by a combination of periorificial keratotic plaques and bilateral palmoplantar transgredient keratoderma. Other clinical manifestations include diffuse alopecia, leukokeratosis of the oral mucosa, onychodystrophy, hyperkeratotic linear streaks, follicular hyperkeratosis and constriction of digits. MAIN OBSERVATIONS We report a case of Olmsted syndrome in a 5-year-old male presented by mutilating palmoplantar keratoderma, perioral keratoses and linear hyperkeratotic lower limb plaques. CONCLUSIONS Olmsted syndrome is a rare genodermatosis with only 43 cases reported so far. We present another case of the disease.
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Affiliation(s)
- Abdalla M Attia
- Department of Dermatology, Andrology and S.T.Ds, Faculty of Medicine, Menoufiya University, Menoufiya, Egypt
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Haghighi A, Scott CA, Poon DS, Yaghoobi R, Saleh-Gohari N, Plagnol V, Kelsell DP. A Missense Mutation in the MBTPS2 Gene Underlies the X-Linked Form of Olmsted Syndrome. J Invest Dermatol 2013; 133:571-3. [DOI: 10.1038/jid.2012.289] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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TANG L, ZHANG L, DING H, WANG X, WANG H. Olmsted syndrome: A new case complicated with easily broken hair and treated with oral retinoid. J Dermatol 2012; 39:816-7. [DOI: 10.1111/j.1346-8138.2012.01535.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Lin Z, Chen Q, Lee M, Cao X, Zhang J, Ma D, Chen L, Hu X, Wang H, Wang X, Zhang P, Liu X, Guan L, Tang Y, Yang H, Tu P, Bu D, Zhu X, Wang K, Li R, Yang Y. Exome sequencing reveals mutations in TRPV3 as a cause of Olmsted syndrome. Am J Hum Genet 2012; 90:558-64. [PMID: 22405088 DOI: 10.1016/j.ajhg.2012.02.006] [Citation(s) in RCA: 232] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2011] [Revised: 12/30/2011] [Accepted: 02/07/2012] [Indexed: 01/27/2023] Open
Abstract
Olmsted syndrome (OS) is a rare congenital disorder characterized by palmoplantar and periorificial keratoderma, alopecia in most cases, and severe itching. The genetic basis for OS remained unidentified. Using whole-exome sequencing of case-parents trios, we have identified a de novo missense mutation in TRPV3 that produces p.Gly573Ser in an individual with OS. Nucleotide sequencing of five additional affected individuals also revealed missense mutations in TRPV3 (which produced p.Gly573Ser in three cases and p.Gly573Cys and p.Trp692Gly in one case each). Encoding a transient receptor potential vanilloid-3 cation channel, TRPV3 is primarily expressed in the skin, hair follicles, brain, and spinal cord. In transfected HEK293 cells expressing TRPV3 mutants, much larger inward currents were recorded, probably because of the constitutive opening of the mutants. These gain-of-function mutations might lead to elevated apoptosis of keratinocytes and consequent skin hyperkeratosis in the affected individuals. Our findings suggest that TRPV3 plays essential roles in skin keratinization, hair growth, and possibly itching sensation in humans and selectively targeting TRPV3 could provide therapeutic potential for keratinization or itching-related skin disorders.
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Nofal A, Assaf M, Nassar A, Nofal E, Shehab M, El-Kabany M. Nonmutilating palmoplantar and periorificial kertoderma: a variant of Olmsted syndrome or a distinct entity? Int J Dermatol 2010; 49:658-65. [PMID: 20618471 DOI: 10.1111/j.1365-4632.2009.04429.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Olmsted syndrome is a rare keratinization disorder characterized by mutilating palmoplantar and periorificial keratoderma as the two major diagnostic features. Some authors believe that atypical cases without this standard combination may not really belong to Olmsted syndrome. Herein, we describe two familial cases with congenital nonmutilating palmoplantar and periorificial keratoderma, and discuss their similarities and differences with Olmsted syndrome. PATIENTS The study included two sisters who presented with focal and punctate nonmutilating palmoplantar keratoderma (PPK), periorificial hyperkeratotic plaques, and widely distributed keratotic lesions. Fragile denuded areas of the skin were found in sites exposed to trauma. Fingernails showed a characteristic form of leukonychia. RESULTS Histopathology of plantar keratoderma showed psoriasiform hyperplasia with marked compact hyperkeratosis, while vicinity of denuded skin revealed thin parakeratotic zone and dissolution of the granular cell layer. Immunohistochemistry demonstrated suprabasal staining pattern for acidic keratin (AE1) and uniform positivity, starting four to six layers above the basal layer, for cytokeratin 10. Electron microscopy showed defective keratinization. Cytogenetic studies revealed normal karyotype and no chromosomal breakage. CONCLUSION Our cases share Olmsted syndrome in the early onset, and the presence of symmetrical PPK, periorificial keratoderma and keratotic lesions. However, the striking nonmutilating nature of PPK and the presence of unique features in our patients suggest a newly described keratinization disorder.
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Affiliation(s)
- Ahmad Nofal
- Department of Dermatology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
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Epidermal growth factor receptor inhibition with erlotinib for palmoplantar keratoderma. J Am Acad Dermatol 2010; 63:e58-9. [PMID: 20633794 DOI: 10.1016/j.jaad.2009.10.052] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2009] [Revised: 09/30/2009] [Accepted: 10/08/2009] [Indexed: 11/23/2022]
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Tao J, Huang CZ, Yu NW, Wu Y, Liu YQ, Li Y, Tian J, Yang LY, Zhang J, Li JW, Zhou YW, Tu YT. Olmsted syndrome: a case report and review of literature. Int J Dermatol 2008; 47:432-7. [DOI: 10.1111/j.1365-4632.2008.03595.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Bédard MS, Powell J, Laberge L, Allard-Dansereau C, Bortoluzzi P, Marcoux D. Palmoplantar keratoderma and skin grafting: postsurgical long-term follow-up of two cases with Olmsted syndrome. Pediatr Dermatol 2008; 25:223-9. [PMID: 18429785 DOI: 10.1111/j.1525-1470.2008.00639.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Olmsted syndrome is a rare congenital mutilating palmoplantar keratoderma associated with periorificial keratotic plaques. Treatment options include topical keratolytics, systemic retinoids, and debulking procedures. Full-thickness excision of hyperkeratotic plaques followed by skin grafting has been reported in the medical literature, although long-term results have not been evaluated. We present two cases of Olmsted syndrome with severe palmoplantar keratoderma treated with excision and skin grafting, along with long-term clinical results 11 years (patient 1) and 6 years (patient 2) following the initial surgery.
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Mevorah B, Goldberg I, Sprecher E, Bergman R, Metzker A, Luria R, Gat A, Brenner S. Olmsted syndrome. J Am Acad Dermatol 2005; 53:S266-72. [PMID: 16227106 DOI: 10.1016/j.jaad.2005.03.036] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2004] [Revised: 03/04/2005] [Accepted: 03/17/2005] [Indexed: 11/26/2022]
Affiliation(s)
- Baruch Mevorah
- Department of Dermatology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Bergonse FN, Rabello SM, Barreto RL, Romiti R, Nico MMS, Aoki V, Reis VMS, Rivitti EA. Olmsted syndrome: the clinical spectrum of mutilating palmoplantar keratoderma. Pediatr Dermatol 2003; 20:323-6. [PMID: 12869154 DOI: 10.1046/j.1525-1470.2003.20410.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Olmsted syndrome is a rare variety of transgredient palmoplantar keratoderma with an undefined inheritance pattern. It starts in the neonatal period or in childhood and has a progressive and extremely disabling course. We report two new, unrelated patients with Olmsted syndrome, one with the early signs and symptoms of the disorder, the other showing the full-blown spectrum of the syndrome during a 30-year follow-up period.
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Requena L, Manzarbeitia F, Moreno C, Izquierdo MJ, Pastor MA, Carrasco L, Fariña MC, Martín L. Olmsted syndrome: report of a case with study of the cellular proliferation in keratoderma. Am J Dermatopathol 2001; 23:514-20. [PMID: 11801792 DOI: 10.1097/00000372-200112000-00003] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Olmsted syndrome is a rare disorder that consists of sharply marginated keratoderma of the palms and soles, constriction of digits and toes that may result in spontaneous amputation of the distal phalanges, hyperkeratotic plaques around the body orifices, onychodystrophy, and other less common cutaneous and extracutaneous anomalies. Although some patients had other affected family members, most cases of Olmsted syndrome seem to be of sporadic occurrence. We describe a patient with the characteristic features of Olmsted syndrome. The symptoms consisted of diffuse transgrediens palmoplantar keratoderma and keratotic plaques around the mouth and nose. Our patient also had the associated anomalies of hyperhidrosis of the palms and soles and congenital deaf-mutism. Histopathologic study of the keratoderma demonstrated epidermal hyperplasia with acanthosis, papillomatosis, and orthokeratotic hyperkeratosis. Immunohistochemical study showed more basal and suprabasal keratinocytes of the epidermis with immunoreactivity for Ki-67 marker when compared with the keratinocytes of the epidermis of the adjacent non-involved skin. These results support the notion that Olmsted syndrome is a hyperproliferative disorder of the epidermis.
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Affiliation(s)
- L Requena
- Department of Dermatology, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.
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