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Published on: October 20, 2019
Haim-Munk syndrome.
Priyanka Pahwa1, Arundeep K Lamba, Farrukh Faraz
1Department of Periodontics and Oral Implantology, Maulana Azad Institute of Dental Sciences, University of Delhi, Government of National Capital Territory of Delhi, India.
Haim-Munk syndrome is a rare genetic disorder causing severe skin and nail issues, along with aggressive periodontitis leading to early tooth loss. Genetic mutations in the cathepsin C gene are identified as the cause.
Area of Science:
- Genetics
- Dermatology
- Periodontology
Background:
- Haim-Munk syndrome is an extremely rare autosomal recessive disorder of keratinization.
- It is characterized by palmoplantar hyperkeratosis, severe early onset periodontitis, onychogryphosis, pes planus, arachnodactyly, and acro-osteolysis.
- Germline mutations in the lysosomal protease cathepsin C gene are the identified genetic cause.
Observation:
- The periodontal disease in Haim-Munk syndrome is aggressive and unresponsive to conventional treatments.
- Patients typically become edentulous by 15 years of age.
- This report details a patient exhibiting the primary characteristics of Haim-Munk syndrome.
Findings:
- Germline mutations in the cathepsin C gene are linked to Haim-Munk syndrome.
- This genetic defect also underlies related conditions like Papillon-Lefèvre syndrome and prepubertal periodontitis.
- The study highlights the severe periodontal manifestations associated with these genetic defects.
Implications:
- Understanding the genetic basis of Haim-Munk syndrome can inform diagnostic approaches.
- This knowledge may lead to the development of targeted therapies for aggressive periodontitis in affected individuals.
- Early diagnosis and management are crucial for improving patient outcomes and preventing premature tooth loss.
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