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Papillon-Lefevre syndrome: A case report of 2 affected siblings.
[papillon-lefèvre syndrome]
Papillon-
Lefèvre
syndrome
(
PLS
)
is
a
very
rare
syndrome
of
autosomal
recessive
inheritance
characterized
by
palmar
-
plantar
hyperkeratosis
and
early
onset
periodontitis
,
leading
to
premature
loss
of
both
primary
and
permanent
dentitions
.
Various
etiopathogenic
factors
are
associated
with
the
syndrome
,
but
a
recent
report
has
suggested
that
the
condition
is
linked
to
x
mutations
of
the
cathepsin
C
gene
.
The
purpose
of
this
report
is
to
describe
two
cases
of
PLS
in
the
same
family
who
presented
to
the
Department
of
Dentistry
of
Dr
.
R
.
P
.
Government
Medical
College
at
Tanda
,
Kangra
(
Himachal
Pradesh
)
with
a
chief
complaint
of
mobility
and
rapid
loss
of
teeth
.
Hyperkeratosis
of
palms
and
soles
was
present
.
On
intraoral
examination
,
there
was
severe
gingival
inflammation
,
abscess
formation
,
and
deep
periodontal
pockets
with
mobility
of
teeth
.
Histopathological
examination
of
the
specimen
taken
from
the
thickened
skin
was
reported
to
be
consistent
with
PLS
.
The
dental
treatment
comprised
oral
prophylaxis
,
scaling
and
root
planning
,
antibiotic
therapy
,
instructions
on
oral
hygiene
,
restorations
,
extraction
of
hopelessly
affected
teeth
,
and
prosthetic
rehabilitation
.
Diseases
Validation
Diseases presenting
"oral hygiene"
symptom
dentin dysplasia
dentinogenesis imperfecta
kindler syndrome
papillon-lefèvre syndrome
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