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Acroerythrokeratoderma(MDM)

MedGen UID:
7522
Concept ID:
C0025221
Disease or Syndrome
Synonyms: Keratosis palmoplantaris transgradiens of Siemens; KERATOSIS PALMOPLANTARIS TRANSGREDIENS OF SIEMENS; Mal de Meleda; MDM; Meleda disease; PALMOPLANTAR KERATODERMA, GAMBORG NIELSEN TYPE; PALMOPLANTAR KERATODERMA, NORRBOTTEN RECESSIVE TYPE
SNOMED CT: Acroerythrokeratoderma (239069005); Mal de Meleda (239069005)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): SLURP1 (8q24.3)
 
Monarch Initiative: MONDO:0009552
OMIM®: 248300
Orphanet: ORPHA87503

Definition

Mal de Meleda (MDM) is a rare autosomal recessive skin disorder characterized by transgressive palmoplantar keratoderma (PPK), keratotic skin lesions, perioral erythema, brachydactyly, and nail abnormalities (summary by Fischer et al., 2001). The PPK in MDM is often accompanied by hyperhidrosis, maceration, fetid odor, and painful fissures (Ward et al., 2003). Some patients exhibiting similar but less severe features of MDM, with milder hyperkeratosis and no nail dystrophy, lichenoid plaques, pachydermia, or distant keratosis, were previously designated as having 'Gamborg Nielsen (Norrbotten) PPK' (see NOMENCLATURE). [from OMIM]

Additional description

From MedlinePlus Genetics
Mal de Meleda is a rare skin disorder that begins in early infancy. Affected individuals have a condition known as palmoplantar keratoderma, in which the skin of the palms of the hands and soles of the feet becomes thick, hard, and callused. In mal de Meleda, the thickened skin is also found on the back of the hands and feet and on the wrists and ankles. In addition, affected individuals may have rough, thick pads on the joints of the fingers and toes and on the elbows and knees. Some people with mal de Meleda have recurrent fungal infections in the thickened skin, which can lead to a strong odor. Other features of this disorder can include short fingers and toes (brachydactyly), nail abnormalities, red skin around the mouth, and excessive sweating (hyperhidrosis).  https://medlineplus.gov/genetics/condition/mal-de-meleda

Clinical features

From HPO
Brachydactyly
MedGen UID:
67454
Concept ID:
C0221357
Congenital Abnormality
Digits that appear disproportionately short compared to the hand/foot. The word brachydactyly is used here to describe a series distinct patterns of shortened digits (brachydactyly types A-E). This is the sense used here.
Congenital symmetrical palmoplantar keratosis
MedGen UID:
344502
Concept ID:
C1855459
Congenital Abnormality
Hyperhidrosis
MedGen UID:
5690
Concept ID:
C0020458
Finding
Abnormal excessive perspiration (sweating) despite the lack of appropriate stimuli like hot and humid weather.
Ichthyosis
MedGen UID:
7002
Concept ID:
C0020757
Disease or Syndrome
An abnormality of the skin characterized the presence of excessive amounts of dry surface scales on the skin resulting from an abnormality of keratinization.
Perioral erythema
MedGen UID:
340873
Concept ID:
C1855458
Finding
Erythema (Redness of the skin caused by hyperemia of the capillaries in the lower layers of the skin) localized to the region surrounding the mouth.
Fragile nails
MedGen UID:
341661
Concept ID:
C1856963
Finding
Nails that easily break.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAcroerythrokeratoderma
Follow this link to review classifications for Acroerythrokeratoderma in Orphanet.

Professional guidelines

PubMed

Giannetti L, Apponi R, Dello Diago AM, Jafferany M, Goldust M, Sadoughifar R
Dermatol Ther 2020 May;33(3):e13336. Epub 2020 Apr 9 doi: 10.1111/dth.13336. PMID: 32222110
Thomas BR, O'Toole EA
Acta Derm Venereol 2020 Mar 25;100(7):adv00094. doi: 10.2340/00015555-3430. PMID: 32147745Free PMC Article
Sakiyama T, Kubo A
J Dermatol 2016 Mar;43(3):264-74. doi: 10.1111/1346-8138.13219. PMID: 26945534

Supplemental Content

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