Dermatologic therapy · 2014
First case of pachyonychia congenita in the Czech Republic.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Jiráková Anna, Rajská Lucie, Rob Filip, Džambová Martina, Sečníková Zuzana, Göpfertová Dana, Schwartz Mary, Smith Frances, Lotti Torello, Hercogová Jana
Аннотация
Pachyonychia congenita (PC) is a rare autosomal dominant skin disorder characterized predominantly by hypertrophic nail dystrophy, oral leukokeratosis, and painful palmoplantar keratoderma. It is associated with a mutation in one of five keratin genes, KRT6A, KRT6B, KRT6C, KRT16, or KRT17. The International PC Research Registry (IPCRR) confirms that as of January 2014 there have been 547 cases of PC genetically confirmed. It is estimated that there are between 2000 and 10,000 cases of PC in the world. However, the exact prevalence of PC is not yet established. We report a case of PC-K6a, p.Arg164Pro, in a 40-year-old man. Initially he was diagnosed with onychomycosis and was treated with systemic antifungals. This is the first genetically confirmed case of PC in the Czech Republic.