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Triangular Lunulae in Papillon-Lefèvre Syndrome: A Case Report.
Zarak Khan Shiraz1, Fahad Faizullah2, Qaisar Ali Khan1
1Khyber Teaching Hospital MTI KTH Peshawar Pakistan.
Clinical Case Reports
|April 16, 2025
Summary
Triangular lunulae, often linked to Nail-Patella Syndrome, can appear in other genetic disorders like Papillon-Lefèvre syndrome. Recognizing consanguinity as a risk factor is crucial for early diagnosis and reducing disease burden.
Area of Science:
- Dermatology
- Genetics
- Syndromology
Background:
- Triangular lunulae are typically associated with Nail-Patella Syndrome.
- Papillon-Lefèvre syndrome (PLS) is a rare genodermatosis with substantial morbidity.
- Consanguinity is a significant risk factor for rare genetic disorders like PLS.
Purpose of the Study:
- To highlight that triangular lunulae can be indicative of conditions beyond Nail-Patella Syndrome.
- To emphasize the importance of considering PLS in cases presenting with triangular lunulae.
- To underscore the role of consanguinity in the prevalence of PLS.
Main Methods:
- Case presentation of a patient with triangular lunulae.
- Review of literature on nail abnormalities and genodermatoses.
- Analysis of the association between consanguinity and PLS.
Main Results:
- The case demonstrates that triangular lunulae are not exclusive to Nail-Patella Syndrome.
- Papillon-Lefèvre syndrome presents a significant clinical challenge due to its associated morbidity.
- Consanguinity was identified as a key factor contributing to the occurrence of the syndrome in the studied population.
Conclusions:
- Early diagnosis and management are critical for reducing morbidity in patients with PLS.
- Increased societal awareness regarding consanguinity can help mitigate the impact of genetic diseases in affected communities.
- Broadening the differential diagnosis for triangular lunulae is essential for accurate syndromic identification.

