Keratosis palmoplantaris with scleratrophy Q82.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Scleroatrophic and keratotic dermatosis of limbs; Sclerotylosis

History
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Huriez, 1968

Definition
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Etiopathogenesis
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Autosomal-dominantly inherited mutations of the sclerotylosis gene (HRZ gene; TYS gene; gene locus: 4q23 TYS).

Manifestation
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Disease may be present at birth.

Clinical features
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  • Discrete sometimes lamellar keratoses with atrophy, which diffusely cover the palms. Skin of the soles of the feet is less affected.
  • Associated are sclerodactyly (scleroderma-like), nail changes and hypohidrosis.

Histology
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Histological changes are unspecific; epidermal Langerhans cells are missing in the affected skin.

Therapy
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Externally according to the keratosis palmoplantaris diffusa circumscripta. Response to systemic retinoids. Retinoids can apparently prevent or delay the development of carcinomas.

Progression/forecast
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Development of squamous cell carcinomas in the infected skin. High frequency of metastasis!

Literature
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  1. Guerriero C et al (2000) Huriez syndrome: case report with a detailed analysis of skin dendritic cells. Br J Dermatol 143: 1091-1096
  2. Huriez Cl, Agache P, Bombart M, Souilliart F (1963) Epitheliomas spinocellulaires sur atrophie cutanee congenitale dans deux familles a morbidite cancereuse elevee. Bull Soc Fr Dermatol Syph 70: 24-28
  3. Huriez C, Deminatti M, Agache P, Mennecier M (1968) Talking about the 28 cas d'epidermolysis bulleuse dans 11 familles dont une famille etudiee du point de une genetique, sans mise en evidence de linkage. Bull Soc Franc Derm Syph 75: 750-755
  4. Watanabe E et al (2003) A nonfamilial Japanese case of Huriez syndrome: p53 expression in squamous cell carcinoma. Dermatology 207: 82-84

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020