Abstract:
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We reported an 18 year old Sudanese female patient, Gaali tribe, and another 2 males, brothers ages 10 and 8
years old, presented with diffuse trangrediens palmoplantar keratosis with scaly, non-erythematous, psoriasiform-like
transgradient plaque in elbows and knees, and periodontosis, the female patient has been misdiagnosed before as a case of
Psoriasis and given phototherapy in the form of PUVA with satisfactory results and the 2 brothers has been also missed as a
cases of eczemas with poor response to treatment and frequent relapses. The female case is associated with thyroid swelling
and increased Thyroid Stimulating Hormone TSH, and considered as a first cases record at Sudan, as Papillon-Lefèvre
syndrome is known as a rare presentation globally and in Sudan specifically |