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Vohwinkel syndrome, ichthyosiform variant--by Camisa--case report
Liliam Dalla Corte1, Mariana Vale Scribel da Silva1, Carina Flores de Oliveira1
1Santa Casa de Misericórdia de Porto Alegre, Dermatology Service, Porto AlegreRS, Brazil.
Vohwinkel syndrome, a rare genetic keratosis, presents with palmoplantar hyperkeratosis and digital constrictions. This report details a unique ichthyosiform variant of this condition.
Area of Science:
- Dermatology
- Medical Genetics
Background:
- Vohwinkel syndrome (keratoderma hereditaria mutilans) is a rare autosomal dominant palmoplantar keratosis.
- It is associated with mutations in the loricrin and Connexin 26 genes.
Observation:
- Patients exhibit palmoplantar hyperkeratosis, constricting digital bands (often on the fifth digit), and dorsal starfish-shaped hyperkeratosis.
- Constricting bands can lead to auto-amputation (pseudo-ainhum), predominantly affecting white women.
Findings:
- The authors present a rare case of Vohwinkel syndrome with an ichthyosiform variant.
- This highlights the phenotypic variability within this rare genetic disorder.
Implications:
- This case expands the known clinical spectrum of Vohwinkel syndrome.
- Further research into genetic variations and clinical presentations is warranted for improved diagnosis and management.
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