Jijin M J, Jaishankar H P, Narayaran Veena Sathya, Rangaswamy Krupashankar, Puthaswamy Kavitha Ankanathapura
Post Graduate, Department of Oral Medicine and Radiology, Coorg Institute of Dental Sciences , Virajpet, Karnataka, India .
Professor, Department of Oral Medicine and Radiology, JSS Dental College , Mysore, Karnataka, India .
J Clin Diagn Res. 2015 May;9(5):ZD23-5. doi: 10.7860/JCDR/2015/12780.5921. Epub 2015 May 1.
Papillon-Lefevre Syndrome (PLS) is a rare inherited autosomal-recessive condition with one-third of the patients' showing consanguinity of the parents. Lesions are characterised by palmar-plantar hyperkeratosis and hyperhidrosis. Early onset of periodonditis, severe periodontal destruction in both primary and permanent dentitions, and calcification of the duramater form the three important features of this disease. Here, we present a case of a 14-year-old female who presented to the Department of Oral Medicine and Radiology with a complaint of mobility of the teeth since four months. Oral examination of the patient showed generalised mobility of the teeth. General physical examination of the patient showed dry scaly skin on dorsum of bilateral feet, hands, and knee. The patient had familial history positive for consanguinity. The patient was medically diagnosed as positive for PLS. The patients with PLS show combination of dermatological and dental lesions and it requires the dentist to assume a more prominent role in early treatment and rehabilitation. There is a need for symbiotic and synergetic approach between the two specialties for effective management of this rare disease.
掌跖角化牙周破坏综合征(PLS)是一种罕见的常染色体隐性遗传病,三分之一的患者父母为近亲结婚。病变特征为掌跖角化和多汗。早期牙周炎、乳牙列和恒牙列严重牙周破坏以及硬脑膜钙化是该疾病的三个重要特征。在此,我们报告一例14岁女性病例,该患者因牙齿松动4个月就诊于口腔内科和口腔放射科。对该患者的口腔检查显示牙齿普遍松动。对患者的全身体格检查显示双侧足部、手部和膝部背面皮肤干燥、有鳞屑。该患者有近亲结婚的家族史。经医学诊断,该患者PLS呈阳性。PLS患者表现出皮肤和牙齿病变的组合,这要求牙医在早期治疗和康复中发挥更突出的作用。为有效管理这种罕见疾病,两个专科之间需要采取共生和协同的方法。