Lesions are located primarily on the dorsal feet and lower legs, with a decreasing likelihood of manifestation proximally. Hyperkeratosis lenticularis persians, international. There was a problem providing the content you requested. Aug 23, 2019 a clinicopathological study of flegels disease hyperkeratosis lenticularis perstans.
Familial hyperkeratosis lenticularis perstans, the. Familial hyperkeratosis lenticularis perstans, the journal of. Hyperkeratosis excessive development of the corneous layer of the skin in humans. Flegels disease, also known as hyperkeratosis lenticularis perstans, is a rare skin disease characterized by small red dishbrown asymptomatic hyperkeratotic papules usually located on the lower. Hyperkeratosis may be caused by external factors such as prolonged pressure, friction, or the effects of lubricating oils or internal. She presented with a hard mobile lesion over her nose which was excised. Get a printable copy pdf file of the complete article 83k, or click on a page image below to browse page by page. Hyperkeratosis lenticularis perstans flegels disease successful treatment with topical corticosteroids.
Hyperkeratosis lenticularis perstans also known as flegel disease, hyperkeratosis lenticularis perstans is a cutaneous condition characterised by rough, yellowbrown keratotic, flattopped papules of irregular outline measuring 15mm in diameter and up to 1mm in depth 32. Mar 01, 2020 access to this database is free of charge. Hyperkeratosis lenticularis perstans was first described by flegel 1 in 1958. Click on the link to view a sample search on this topic. Hyperkeratosis lenticularis perstans genetic and rare. Hyperkeratosis lenticularis perstans how is hyperkeratosis.
Hyperkeratosis lenticularis perstans of flegel, he 60x 14187 flegels disease. A corn or callus on your hands or feet is a form of hyperkeratosis. A clinicopathological study of flegels disease hyperkeratosis lenticularis perstans. It may rightly be redefined as an autosomal dominant mucocutaneous syndrome of. Dermatopathology reference describes hyperkeratosis lenticularis perstans flegel s disease histopathology including histologic features and provides links to additional medical references. It is characterised by redbrown papules with irregular horny scales located mainly on the top surface of the feet and lower legs.
Hyperkeratosis lenticularis perstans vs solar keratosis, he 20x 23. Flegel originally described hyperkeratosis lenticularis perstans hlp in 1958 as redbrown papules with horny scales of irregular outline measuring 15 mm in diameter and up to 1 mm in depth. Pubmed is a searchable database of medical literature and lists journal articles that discuss hyperkeratosis lenticularis perstans. Discussion hyperkeratosis lenticularis perstans is a rare dermatosis first described in. Hyperkeratosis lenticularis perstans flegel disease. It is very similar to kyrle disease and has been regarded as a variant of kyrle disease, however its clinical and pathological. Patient was prescribed oral vitamin a 5000 iu daily for 15 days, topical tretinoin cream 0.
Confluent and reticulated papillomatosis callus ichthyosis acquisita arsenical keratosis chronic scar keratosis hyperkeratosis lenticularis perstans hydrocarbon keratosis hyperkeratosis of the nipple and areola inverted follicular keratosis lichenoid keratosis multiple. Characteristics include generalized redness of the skin and severe hyperkeratosis with small, hard wartlike scales over the entire body, accentuated in areas that flex or bend and sometimes involving the palms and soles. Hyperkeratosis lenticularis perstans jama dermatology. Hyperkeratosis lenticularis perstans hlp also known as flegel disease, hlp is a cutaneous condition characterised by rough, yellowbrown keratotic, flattopped papules of irregular outline measuring 15mm in diameter and up to 1mm in depth rapini et al, 2007. Hyperkeratosis lenticularis perstans was first described by flegel1 in 1958. Hyperkeratosis lenticularis perstans definition of. Most cases have been reported in europe with age of presentation between 35 and 60 years. The differential diagnosis of pls includes conditions such as hypophosphatasia, histiocytosis x, haim munk.
Lesions are located primarily on the dorsal feet and lower legs, with a. Hyperkeratosis lenticularis perstans flegel disease workup. Differential diagnosis of hyperkeratosis lenticularis perstans flegel disease pathology. Hyperkeratosis may be accompanied by the formation of painful cracks on the palms and soles. Hyperkeratosis in flegels disease jama jama network. These are the options to access the full texts of the publication piel. Antonio bazzini free sheet music to download in pdf. This rare chronic disorder is characterized by asymptomatic hyperkeratotic papules, usually located on the lower extremities. Clinical and histopathological correlation confirmed the diagnosis of hyperkeratosis lenticularis perstans hlp or flegels disease. Hyperkeratosis definition of hyperkeratosis by the free. He termed this condition hyperkeratosis lenticularis perstans, owing to the persistent perstans presence of a disclike central keratinous plug lenticularis. Find out information about hyperkeratosis lenticularis perstans.
Such is their prevalence in the population that community nurses are very likely to encounter unfamiliar dermatological problems during their practice, many of which will have been selftreated for. A case of infantile kyrleflegel disease in a 6yearold yemeni girl. Histologically, serial sections of several papules revealed no marked thinning of the epidermis nor severe cell. Hyperkeratosis lenticularis perstans of flegel, he 20x 4255 flegels disease.
Explanation of hyperkeratosis lenticularis perstans. Dermoscopy of hyperkeratosis lenticularis perstans flegel disease enzo errichetti marco turina stefano pizzolitto. Prevention hyperkeratosis lenticularis perstans not supplied. Hyperkeratosis article about hyperkeratosis by the free. Hyperkeratosis definition of hyperkeratosis by merriam. Hyperkeratosis lenticularis perstans genetic and rare diseases.
A case of flegels disease, or hyperkeratosis lenticularis perstans, is reported. We describe here the clinical and histological features of two female patients with widespread keratoses affecting the limbs, features which closely resemble those of the patient reported by flegel. Kyrles hyperkeratosis follicularis et parafollicularis, flegels hyperkeratosis lenticularis perstans, lichen spinulosus, phrynoderma, spiny keratoderma, arsenical keratosis, hyperkeratotic spicules and trichodysplasia spinulosa. The information presented here is not intended to diagnose, treat, cure or prevent any disease.
We report on new immunohistochemical and ultrastructural findings suggesting a complex disorder of epidermal differentiation. Hyperkeratosis lenticularis persians, international journal. A rare skin disorder characterized by reddishbrown papules that tend to occur mainly on the lower legs and top part of the feet. Hyperkeratosis lenticularis perstans article about. Six members of his family have died of cancers of the stomach, liver, and colon. More detailed information about the symptoms, causes, and treatments of hyperkeratosis lenticularis perstans is available below. Changes showed sharp demarcation from normal skin, which showed basket weave hyperkeratosis figure 5. Jun 15, 2017 in some cases, hyperkeratosis is the skins response to rubbing or irritation.
Hyperkeratosis lenticularis perstans hlp or flegels disease is a rare. Hyperkeratosis lenticularis perstans also known as flegels disease is a keratinisation disorder characterized by small keratotic papules with horny scales. Electron microscopy of skin lesions from a patient with hyperkeratosis lenticularis perstans showed formation of a compact hyperkeratotic stratum corneum which appears to be related to lack of odland bodies in the underlying epidermis. Hyperkeratosis lenticularis perstans flegel disease likely has both a familial and nonfamilial variant, since several reports have postulated both an autosomal dominant and a sporadic mode of inheritance. Hyperkeratosis lenticularis perstans also known as flegels disease is a keratinisation disorder characterized by small keratotic papules. Hyperkeratosis lenticularis perstans flegels disease is a rare but clinically and histologically highly characteristic genodermatosis. There may be some relationship between genes participating in oncogenesis and hlp genes. Hyperkeratosis lenticularis perstans also known as flegels disease is a cutaneous condition characterized by rough, yellowbrown keratotic, flattopped papules 639. Hyperkeratosis lenticularis perstans flegel springerlink. Symptoms of hyperkeratosis lenticularis perstans including 3 medical symptoms and signs of hyperkeratosis lenticularis perstans, alternative diagnoses, misdiagnosis, and correct diagnosis for hyperkeratosis lenticularis perstans signs or hyperkeratosis lenticularis perstans symptoms. Diagnosis hyperkeratosis lenticularis perstans not supplied. Deficiencies of vitamins a and e, b complex vitamins, and essential fatty acids have all been implicated in the etiology.
The purpose of this study is to show the significant association of squamous metaplasia the precursor for cervical cancer, hyperkeratosis, and parakeratosis, and as the pap smear finding in patients with uterine prolapse, which is sparsely represented in the literature despite the high incidence of the later. Share the full text of this article with up to 5 colleagues for free. Indian j dermatol serial online 20 cited 2020 apr 16. Since 1970, eight patients with hlp have been reported in the japanese literature, but most of the archives readers would not have the opportunity to read the original japanese articles. Read hyperkeratosis lenticularis persians, international journal of dermatology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
The term hyperkeratosis is often used in connection with lesions of the mucous membranes, such as leukoplakia. Multiple asymptomatic hyperkeratotic papules on the lower part of. Jan 31, 2017 no data exist on incidence or prevalence of this disease. Prognosis hyperkeratosis lenticularis perstans not supplied. Flegel disease is also known as hyperkeratosis lenticularis perstans. In some cases, hyperkeratosis is the skins response to rubbing or irritation. We present a case of hyperkeratosis lenticularis perstans flegels disease in a 71yearoldwoman. Hyperkeratosis lenticularis perstans the free dictionary. Hyperkeratosis follicularis in cutem penetrans definition. Hyperkeratosis definition is hypertrophy of the corneous layer of the skin.
Full text full text is available as a scanned copy of the original print version. Consanguinity has been observed in onethird of the cases described 5, 8. Hyperkeratosis is manifested by the formation of horny plates, nodes of various sizes, protuberances, and spurs. If you have hyperkerafosis concerns with your skin or its treatment, see a dermatologist for advice. Kyrle disease should exhibit an impressive keratin plug and inflammatory material perforating through the epidermis. Since 1970, eight patients with hlp have been reported in the japanese literature, but most of the archives readers would not have the opportunity to read the original japanese ar. Pdf on mar 1, 20, krina b patel and others published hyperkeratosis lenticularis perstans. Hyperkeratosis lenticularis perstans, or flegel disease, with. Zinc paste bandages and the treatment of flegels disease. Multiple minute digitate hyperkeratosisa peculiar entity.
There is a proposed autosomal dominant mode of inheritance, so inquire about a family history. Dermoscopy of hyperkeratosis lenticularis perstans flegel disease. Hyperkeratosis lenticularis perstans symptoms, diagnosis. Sep 28, 2012 hyperkeratosis lenticularis perstans also known as flegels disease is a keratinisation disorder characterized by small keratotic papules with horny scales. Familial hyperkeratosis lenticularis perstans associat ed with tumours of the skin.1429 1471 807 851 232 262 1551 1246 1435 1523 53 1065 1327 270 1028 674 306 1027 468 1557 1551 302 1118 1204 193 1251 934 1253 1419