papillon-lefe'vre syndrome: neutrophil motility and killing defect in a child with recurrent severe infections
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abstract
a case of palmoplantar hyperkeratosis with periodontosis and a history of recurrent severe pyoderma, pneumonia and multiple liver abscesses is described in a 12 year old girl. the patient demonstrated neutrophil dysfunction characterized by decreased random migration and chemotaxis and defective bactericidal activity. the exact immunopathological mechanism for susceptibility to infections in papillon-lefe'vre syndrome patients still remains to be determined. however, the mode of clinical presentation, laboratory findings and response to retinoid treatment, all support the speculation of papillon-lefe'vre syndrome as a primary immunologic disease with a variable defect in neutrophil motility and bactericidal activity. the pattern of clinical presentations as skin and periodontal lesions alone or with susceptibility to infection in other sites will change accordingly.
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Journal title:
medical journal of islamic republic of iranجلد ۱۱، شماره ۲، صفحات ۱۴۹-۱۵۲
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