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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 59-year-old male was referred for palmoplantar keratoderma associated with dental issues&#46; The patient&#8217;s sister had similar lesions&#44; but these were never assessed&#46; The physical examination showed multifocal hyperkeratotic plaques on both palms &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; and bottoms of the feet &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; Severe periodontology dental symptoms were associated &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#44; including loose teeth&#44; frequent bleeding of the gums&#44; and loss of permanent teeth&#46; Papillon-Lef&#232;vre syndrome was suspected and confirmed through genetic study&#44; showing mutation of the cathepsin C gene &#40;chromosome 11q14&#41;&#46; Acitretin 10&#160;mg 2&#215; per day was prescribed&#46; The patient was referred to the maxillofacial surgery department for evaluation of the periodontal involvement&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Papillon-Lef&#232;vre syndrome is an uncommon autosomal recessive disorder characterised by destructive periodontal disease starting in infancy and palmoplantar keratoderma and frequent cutaneous pyogenic and systemic infections&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Haneke described three criteria for classifying a case as Papillon-Lef&#232;vre syndrome&#58; &#40;1&#41; palmoplantar hyperkeratosis&#59; &#40;2&#41; autosomal recessive trait&#44; and &#40;3&#41; loss of deciduous and permanent teeth&#46;</p></span>"
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Medicine in Images
DOI: 10.1016/j.rceng.2021.07.001
Keratoderma and dental involvement
Queratodermia y afectación dental
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F.J. Navarro-Triviñoa,
Corresponding author
fntmed@gmail.com

Corresponding author.
, M. Moreno-Higuerasb
a Servicio de Dermatología y Venereología, Hospital Universitario San Cecilio, Granada, Spain
b Servicio de Medicina Interna, Hospital Universitario San Cecilio, Granada, Spain

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