Keratin 17 Mutations in Four Families from India with Pachyonychia Congenita
Manoj Agarwala1, Pankaj Salphale1, Dincy Peter1
1Department of Dermatology, Christian Medical College, Vellore, Tamil Nadu, India.
Insights
Pachyonychia congenita (PC) is a rare genetic skin disorder. Genetic testing revealed mutations in the KRT17 gene in four Indian families, confirming the diagnosis.
Area of Science:
- Genetics
- Dermatology
- Molecular Biology
Background:
- Pachyonychia congenita (PC) is a rare autosomal dominant skin disorder.
- It is caused by mutations in keratin genes KRT6A, KRT6B, KRT6C, KRT16, or KRT17.
- Key features include palmoplantar keratoderma, plantar pain, and nail dystrophy.
Purpose of the Study:
- To investigate the genetic basis of Pachyonychia congenita in four unrelated Indian families.
- To confirm clinical diagnoses of PC through genetic testing.
Main Methods:
- Clinical diagnosis of Pachyonychia congenita.
- Genetic testing to identify mutations in keratin genes.
Main Results:
- Four Indian families with clinical PC diagnosis were studied.
- Genetic analysis identified mutations in the KRT17 gene in all affected individuals across these families.
Conclusions:
- Mutations in the KRT17 gene are a cause of Pachyonychia congenita in the studied Indian population.
- Genetic confirmation is crucial for diagnosing PC.
Abstract:
Pachyonychia congenita (PC) is a rare autosomal dominant genetic skin disorder due to a mutation in any one of the five keratin genes, KRT6A, KRT6B, KRT6C, KRT16, or KRT17. The main features are palmoplantar keratoderma, plantar pain, and nail dystrophy. Cysts of various types, follicular hyperkeratosis, oral leukokeratosis, hyperhidrosis, and natal teeth may also be present. Four unrelated Indian families presented with a clinical diagnosis of PC. This was confirmed by genetic testing; mutations in KRT17 were identified in all affected individuals.
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