1. Mal de Meleda keratoderma with pseudoainhum
- Author
-
Reuven Bergman, Rachel Friedman-Birnbaum, R Gershoni-Baruch, Manigé Fartasch, and O. Bitterman-Deutsch
- Subjects
congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,Keratosis ,Hyperkeratosis ,Etretinate ,Hand Dermatoses ,Dermatology ,Ainhum ,Hand Dermatosis ,medicine ,Humans ,Child ,skin and connective tissue diseases ,Keratoderma ,Skin ,Foot Dermatoses ,business.industry ,medicine.disease ,Dyskeratosis ,Pedigree ,Surgery ,Microscopy, Electron ,Family member ,Female ,business ,medicine.drug - Abstract
Pseudoainhum is an infrequent complication in the autosomal-recessive keratodermas. We describe two related families in which the diagnosis of mal de Meleda keratoderma has been confirmed by mode of inheritance and ultrastructural findings. One family member, a 9-year-old girl, developed pseudoainhum which threatened the viability of her little fingers. This responded to treatment with etretinate. The treatment dilemma posed by keratoderma-induced pseudoainhum in children, i.e. the concern over the possible skeletal toxic effects of long-term etretinate treatment vs. the risks and outcome of surgery, is discussed.
- Published
- 1993