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Papillon-Lefevre syndrome. A report of six cases in one family

Insights

Papillon-Lefevre syndrome, a rare genetic disorder, was identified in six Saudi children from one family. The study details the onset of palmoplantar keratosis and severe periodontitis leading to tooth loss.

Area of Science:

  • Genetics
  • Dermatology
  • Pediatric Dentistry

Background:

  • Papillon-Lefevre syndrome (PLS) is an autosomal recessive disorder.
  • It is characterized by palmoplantar hyperkeratosis and severe periodontitis.
  • Genetic factors and consanguinity play a role in its inheritance.

Observation:

  • Six Saudi children from a single family presented with PLS.
  • Parents were unaffected, but consanguinity was noted.
  • Palmoplantar keratosis began around 1.5 years of age.

Findings:

  • All affected children exhibited essential features of Papillon-Lefevre syndrome.
  • Juvenile periodontitis led to the loss of deciduous teeth.
  • The clinical presentation was consistent with established PLS criteria.

Implications:

  • This case series highlights the importance of recognizing PLS in familial clusters.
  • Early diagnosis and management of periodontitis are crucial for preserving dentition.
  • Understanding the genetic basis in this Saudi family may offer insights into PLS pathogenesis.

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