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Papillon-Lefèvre Syndrome with Homozygous Nonsense Mutation of Cathepsin C Gene Presenting with Late-Onset Periodontitis.
[papillon-lefèvre syndrome]
Papillon-
Lefèvre
syndrome
(
PLS
)
is
a
rare
autosomal
recessive
disorder
of
keratinization
caused
by
homozygous
mutations
in
the
gene
encoding
lysosomal
protease
cathepsin
C
(
CTSC
)
.
It
is
clinically
characterized
by
transgredient
palmoplantar
keratoderma
(
PPK
)
and
periodontitis
.
A
15
-
year
-old
boy
presenting
with
PPK
from
the
age
of
6
months
and
late-onset
periodontitis
that
began
at
the
age
of
12
years
is
described
.
Mutation
analysis
revealed
a
homozygous
nonsense
mutation
(
p
.
Y
304
X
)
in
exon
7
of
the
CTSC
gene
.
Late
-onset
periodontitis
in
a
patient
with
Papillon-
Lefèvre
syndrome
is
a
rare
phenotypic
variation
.