Papillon-Lefèvre Syndrome: A Report of Three Siblings

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-Lefevre syndrome is known as a rare presentation globally and in Sudan specifically.