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Papillon-Lefevre syndrome-like presentation in chronic arsenicosis: A rare mimicry.
[papillon-lefèvre syndrome]
Chronic
arsenicosis
is
a
major
health
and
occupational
problem
in
rural
parts
of
West
Bengal
such
as
in
parts
of
the
Gangetic
plain
of
India
.
Chronic
arsenicosis
occurs
due
to
accidental
ingestion
of
repeated
amounts
of
small
doses
by
those
working
with
metal
or
by
taking
food
or
drink
in
which
there
are
traces
of
arsenic
.
Chronic
exposure
may
result
accumulation
in
the
hair
,
nail
,
and
skin
.
Arsenic
can
also
cross
the
placenta
.
Papillon-
Lefèvre
syndrome
is
a
rare
disease
characterized
by
skin
lesions
caused
by
palmar
-
plantar
hyperkeratosis
and
severe
periodontal
destruction
involving
both
the
primary
and
permanent
dentitions
.
Until
date
,
more
than
200
cases
have
been
reported
worldwide
.
Palmoplantar
hyperkeratosis
is
a
major
manifestation
in
both
chronic
arsenicosis
and
Papillon-
Lefèvre
syndrome
.
We
report
herein
a
rare
case
of
chronic
arsenicosis
in
a
patient
from
rural
Bengal
,
whose
all
features
mimic
Papillon-
Lefèvre
syndrome
.
It
is
probably
the
first
case
of
Papillon-
Lefevre
syndrome-like
presentation
in
chronic
arsenicosis
from
India
.
Diseases
Validation
Diseases presenting
"skin lesions"
symptom
child syndrome
cowden syndrome
cutaneous mastocytosis
cystinuria
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
familial mediterranean fever
focal myositis
gm1 gangliosidosis
heparin-induced thrombocytopenia
hirschsprung disease
junctional epidermolysis bullosa
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
oligodontia
omenn syndrome
papillon-lefèvre syndrome
primary effusion lymphoma
proteus syndrome
severe combined immunodeficiency
sneddon syndrome
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
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