raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2309

Pachyonychia congenita

Synonyms: PC

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
All ages
Status
active

A rare genetic skin disease predominantly featuring painful palmoplantar keratoderma, thickened nails, cysts and white plaques affecting tongue and oral mucosa.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPachyonychia congenitaPC
frPachyonychie congénitale= en
dePachyonychia congenitaPC · Pachyonychie, kongenitale
esPaquioniquia congénita= en
itPachionichia congenita= en
nlPachyonychia congenita= en
ptPaquioniquia congénita= en
plWrodzone zgrubienie paznokci= en
csVrozená panyonychie= en
ukВроджена пахіоніхія= en
zh先天性厚甲症= en
trPakioniki konjenita= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM167200BTNTvalidated
OMIM167210BTNTvalidated
OMIM260130BTNTvalidated
OMIM615726BTNTvalidated
OMIM615728BTNTvalidated
ICD-10Q84.5NTBTattributedvalidated
ICD-11LD27.YNTBTindexvalidated
MONDO0016471Evalidated
MeSHD053549Evalidated
UMLSC0265334Evalidated
GARD10753Evalidated
MedDRA10080088Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
KRT16Disease-causing germline mutation(s) inAssessedHGNC:6423ENSG0000018683214806717q21.2keratin 1620301457[PMID]
KRT17Disease-causing germline mutation(s) inAssessedHGNC:6427ENSG0000012842214806917q21.2keratin 1720301457[PMID]
KRT6ADisease-causing germline mutation(s) inAssessedHGNC:6443ENSG0000020542014804112q13.13keratin 6A20301457[PMID]
KRT6BDisease-causing germline mutation(s) inAssessedHGNC:6444ENSG0000018547914804212q13.13keratin 6B20301457[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families1000 casesWorldwideCase(s)Validated[EXPERT]
Point prevalence<1 / 1 000 0000.09 / 100 000WorldwideValue and classValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

27 annotations · validated 2020-05-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0030268Hyperplastic callus formation
HP:0012514Lower limb pain
HP:0008404Nail dystrophy
HP:0008401Onychogryposis of toenails
HP:0007446Palmoplantar blistering
HP:0000982Palmoplantar keratoderma
Frequent (79-30%)
HP:0025245Cutaneous cyst
HP:0200040Epidermoid cyst
HP:0100798Fingernail dysplasia
HP:0007502Follicular hyperkeratosis
HP:0007490Linear arrays of macular hyperkeratoses in flexural areas
HP:0040036Onychogryposis of fingernail
HP:0002745Oral leukoplakia
HP:0010765Palmar hyperkeratosis
HP:0007410Palmoplantar hyperhidrosis
HP:0012035Steatocystoma multiplex
Occasional (29-5%)
HP:0006288Advanced eruption of teeth
HP:0030766Ear pain
HP:0025248Eruptive vellus hair cyst
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0000695Natal tooth
HP:0001818Paronychia
Very rare (<4-1%)
HP:0001596Alopecia
HP:0030318Angular cheilitis
HP:0001609Hoarse voice
HP:0002098Respiratory distress

Run the differential on the 6 obligate / very frequent terms

Annotation source: 20301457[PMID]_23056978[PMID]

7

Sources for this card