A number sign (#) is used with this entry because of evidence that Haim-Munk syndrome (HMS) is caused by homozygous mutation in the gene encoding. Haim–Munk syndrome is a cutaneous condition caused, like Papillon-Lefevre Syndrome, by a mutation in the cathepsin C gene. It is named after Dr. Salim Haim. Abstract. Of the many palmoplantar keratoderma (PPK) conditions, only Papillon- Lefèvre syndrome (PLS) and Haim-Munk syndrome (HMS) are associated with.

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Her oral hygiene was extremely poor, with an abundance of plaque accumulation [ Figure 2 ]. Puliyel and Sridharan[ 7 ] were the first to describe flat feet in four cases of HMS. Both disorders combine severe periodontitis with palmoplantar hyperkeratosis. It has been reported that Inflammation associated with the arthritis caused by HMS can be controlled by removal of the synovial hqim surrounding affected joints synovectomyat the cost of permanent handicap.

Affected skin may be unusually red erythema and become abnormally thick and scaly symmetrical cornification.

Haim-Munk syndrome

Footnotes Source of Support: The proband did have a history of repeated skin infections. The proband had a metacarpal index of 9. Received May 4; Accepted Oct 5.

In some cases, skin abnormalities, syncrome characteristic red, scaly thick patches of skin hyperkeratosis on the palms of the hands and the soles of the feet, may be apparent at birth congenital or during infancy. Keratosis palmo-plantaris congenita, with periodontosis, arachnodactyly and peculiar deformity of the terminal phalanges.

Salim Haim and the syndrome that bears his name. Patients also demonstrate hypertrophy and curving of nails onychogryphosisflat footextreme length and slenderness of hai and toes arachnodactylyand osteolysis involving the distal phalanges of fingers and toes acro-osteolysis. An allele is one mink two or more alternative forms of a gene that may occupy a particular chromosomal location. In conclusion, a patient with periodontitis, palmoplantar keratosis, arachnodactyly and pes planus is described here.


Keratosis palmoplantaris with periodontopathy: Physicians may carefully monitor affected individuals to help prevent and ensure early identification of infection.

Click on image for details. Note the abundance of plaque accumulation and gingival inflammation. How to cite this URL: Pairs of human chromosomes are numbered from 1 through 22, with an unequal 23rd pair of X and Y chromosomes for males and two X chromosomes for females.

Haim-Munk syndrome is inherited as an autosomal recessive trait. Chromosomes are found in the nucleus of all body cells.

Investigations Superficial palmar biopsy revealed marked hyperkeratosis with focal parakeratosis and acanthotic epidermis [ Figure 5 ]. Infobox medical condition new. Haim Munk syndrome, palmo plantar keratoderma, acetretin, acroosteolysis, cathepsin C gene.

Please review our privacy policy. Munkk syndrome is a rare inherited disorder characterized by the development of dry scaly patches of skin that are abnormally red and thickened on syndorme palms of the hands and soles of synddrome feet palmoplantar hyperkeratosis. Pediatricians, surgeons, physicians who evaluate and treat skin problems dermatologistsdentists, specialists in treating disorders affecting the structures supporting and surrounding the teeth periodontists ssyndrome, specialists in treating disorders affecting the feet podiatristsand other health care professionals may need to systematically and comprehensively plan an affected child’s treatment.

Report of a case and review of the cases in the literature. Genetic counseling will be of benefit for affected individuals and their families. Most of the signs of Haim—Munk syndrome begin to manifest during the first 2—4 years of life.

Among members of a small community of Jews from Cochin, India so-called ‘Black Jews’Haim and MunkSmith and Rosenzweigand Puliyel and Sridharan Iyer described a rare syndrome of congenital palmoplantar keratosis, pes planus, onychogryphosis, periodontitis, arachnodactyly, and acroosteolysis. National Center for Biotechnology InformationU.


Published by Wolters Kluwer – Medknow. In addition, Hart et al. She had normal eruption of deciduous teeth, but early shedding starting at three years of age with complete shedding by the age of kunk years. Such patches may appear around the age of one to five years. There was no instance of parent-to-child transmission and the parents were consanguineous in many cases. Destructive arthritis in a patient with Haim-Munk syndrome.


The treatment of Haim-Munk syndrome is directed toward the specific symptoms that are apparent in each individual. Ultrastructural study and successful treatment with acitretin. Without appropriate treatment, most of the permanent teeth may be lost in the same manner by the age of approximately 16 years. Abstract Haim-Munk syndrome is an extremely rare autosomal recessive disorder of keratinization characterized clinically by palmoplantar hyperkeratosis, severe early onset periodontitis, onychogryphosis, pes planus, arachnodactyly, and acro-osteolysis.

A homozygous cathepsin C mutation associated with Haim-Munk syndrome. The periodontium in HMS is thought to be less severely affected than in PLS,[ 9 ] therefore early diagnosis can aid in early intervention to retain teeth for longer; as reported in the proband, majority of the permanent teeth were in functional condition at age Treatment may require the coordinated efforts of sybdrome team of specialists.

Both deciduous and permanent teeth are usually affected in the order of their eruption. How to cite this article: Note severe alveolar bone loss in relation to the permanent teeth. The estimated occurrence given by Gorlin et al ,[ 1 ] of Dyndrome, of which Haiim is an extremely rare variant, is considered to be one to four persons per million.

The CTSC cathepsin C gene regulates the production of the enzyme cathepsin C, which is expressed in various organs and tissues. It has sometimes been referred to as Cochin Jewish disorder.