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Papillon-lefevre syndrome with congenital hepatic fibrosis.
[papillon-lefèvre syndrome]
Papillon
Lefevre
syndrome
(
PLS
)
is
a
rare
autosomal
recessive
disorder
,
which
is
characterized
by
palmar
-
plantar
hyperkeratosis
,
periodontitis
,
and
premature
loss
of
dentition
.
We
report
a
16
years
old
girl
with
PLS
.
The
patient
presented
at
08
years
of
age
with
complaints
of
corn
on
the
feet
and
hands
,
and
failure
to
thrive
.
On
examination
,
her
upper
primarily
canines
were
loose
,
she
had
severe
periodontitis
,
eruption
of
permanent
teeth
,
diffuse
eritematous
and
hyperkeratotic
palms
and
soles
that
suggested
the
syndrome
.
During
the
follow-up
,
the
patient
was
diagnosed
to
have
congenital
hepatic
fibrosis
(
CHF
)
when
she
was
16
years
old
,
while
she
was
being
investigated
for
the
etiology
of
her
splenomegaly
and
pancytopenia
.
We
report
a
patient
with
PLS
associated
with
CHF
,
an
association
that
has
not
been
previously
described
.
Abbreviations-
HbsAg
:
Hepatitis
B
virus
surface
antigen
,
Anti
Hbs
:
Antibody
against
Hepatitis
B
surface
antigen
,
Anti
Hbc
IgM
:
Antibody
against
Hepatitis
B
cor
antigen
immunglobulin
M
,
Anti
dsDNA
:
Antibody
against
double
stranded
deoksiribonucleic
acid
,
Anti
HCV
:
Antibody
against
Hepatit
C
virus
,
Anti
HIV
:
Antibody
against
human
immun
deficiency
virus
,
AST
:
Aspartat
amino
transferase
,
ALT
:
Alanin
amino
transferase
,
Gamma-
GT
:
Gamma
glutamyl
transferase
,
LDH
:
Lactate
dehydrogenase
&
MRI
:
Magnetic
resonance
imaging
.
Diseases
Validation
Diseases presenting
"primarily canines"
symptom
papillon-lefèvre syndrome
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