RESUMO
UNLABELLED: We report a rare genetic condition characterized by gingival hyperkeratosis with skin changes affecting the hands and feet. The patient presented with asymptomatic oral lesions and the diagnosis was reached by taking a full clinical history and biopsy tests. Palmoplantar keratosis can be a feature of a range of different syndromes and can be associated with periodontal destruction, benign oral keratosis or cancer of the oesophagus. It is important for dentists to be aware that clues to diagnosis can be gained from examination of the hands and feet, in addition to an oral examination, particularly in recognizing oral genetic disorders. CLINICAL RELEVANCE: To inform clinicians of both the intra-oral and extra-oral features of focal palmoplantar and gingival hyperkeratosis.
Assuntos
Doenças da Gengiva/patologia , Ceratodermia Palmar e Plantar/patologia , Biópsia , Diagnóstico Diferencial , Dermatoses do Pé/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Linhagem , SíndromeRESUMO
This paper presents a case report of a patient who showed severe oral and skin manifestations of acute idiopathic thrombocytopenic purpura, followed by a discussion of the approach to its differential diagnosis and management in the context of the dental setting.