papillon-lefe'vre syndrome: neutrophil motility and killing defect in a child with recurrent severe infections

Authors

m moin from the department of clinical immunology and allergy, children's medical center, tehran university of medical sciences, tehran

abolhasan farhoudi from the department of clinical immunology and allergy, children's medical center, tehran university of medical sciences, tehran

athar moin the department of dermatology, shahed university, tehran, islamic republic of iran.

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 iran

جلد ۱۱، شماره ۲، صفحات ۱۴۹-۱۵۲

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