raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:38

Acrokeratoelastoidosis of Costa

Synonyms: AKE · PPKP3 · Punctate palmoplantar hyperkeratosis type 3 · Punctate palmoplantar keratoderma type 3

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Adolescent, Adult
Status
active

A rare punctate palmoplantar keratoderma characterized by multiple small, round to oval or rhomboid, yellowish, hyperkeratotic papules and plaques most commonly localized to the palms of the hands and soles of the feet, potentially extending to the dorsum of the hands and feet in severe cases. Histopathological analysis shows hyperkeratosis, epidermal hypertrophy, and fragmentation and rarefaction of elastic fibers. The condition can be sporadic or familial.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAcrokeratoelastoidosis of CostaAKE · PPKP3 · Punctate palmoplantar hyperkeratosis type 3 · Punctate palmoplantar keratoderma type 3
frAcro-kérato-élastoïdose de CostaAKE · Hyperkératose palmoplantaire ponctuée type 3 · KPPP3 · Kératodermie palmoplantaire ponctuée type 3 · PPKP3
deAkrokeratoelastoidose CostaAKE · Hypokeratose, palmoplantare punktierte, Typ 3 · PPKP3 · Palmoplantarkeratose, punktierte, Typ 3
esAcroqueratoelastoidosis de CostaAKE · Hiperqueratosis palmoplantar punctata tipo 3 · PPKP3 · Queratodermia palmoplantar punctata tipo 3
itAcrocheratoelastosi di CostaAKE · Cheratoderma palmoplantare puntato, tipo 3 · Ipercheratosi palmoplantare puntata, tipo 3 · PPKP3
nlAcrokerato-elastoïdosis van CostaAKE · PPKP3 · Puntvormige hyperkeratose van handpalm of voetzool type 3 · Puntvormige keratodermie van handpalm of voetzool type 3 · Puntvormige palmoplantaire hyperkeratose type 3 · Puntvormige palmoplantaire keratodermie type 3
ptAcroqueratoelastoidose de Costa
plKeratoelastoza dłoni i stóp CostaAKE · PPKP3 · Punktowa hiperkeratoza dłoni i stóp typu 3 · Punktowy rogowiec dłoni i stóp typu 3 · Zrogowacenie punktowe skóry dłoni i podeszew stóp typu 3 · Nadmierne rogowacenie skóry dłoni i podeszew typ 3
csCostova akrokeratoelastoidózaAKE · PPKP3 · Tečkovaná palmoplantární hyperkeratóza, typ 3 · Tečkovaná palmoplantární keratoderma, typ 3
ukАкрокератоеластоїдоз КостаAKE · PPKP3 · Пунктирний долонно-підошовний гіперкератоз, тип 3 · Пунктирна долонно-підошовна кератодермія, тип 3
zh肋骨肢端角化类弹力纤维病点状掌跖角化过度3型
trKosta akrokeratoelastoidozuAKE · PPKP3 · Punktata palmoplantar keratoderma tip 3 · Punktata palmoplantar hiperkeratoz tip 3

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM101850Evalidated
ICD-10Q82.8NTBTattributedvalidated
ICD-11EC20.32NTBTindexvalidated
MONDO0007047Evalidated
MeSHC535653Evalidated
UMLSC0545044Evalidated
GARD125Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CCDC91Disease-causing germline mutation(s) inAssessedHGNC:24855ENSG0000012310661736612p11.22coiled-coil domain containing 9138627542[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

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HPO phenotypes

12 annotations · validated 2021-08-27
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0025092Epidermal acanthosis
HP:0025167Fragmented elastic fibers in the dermis
HP:0045059Hyperkeratotic papule
HP:0000972Palmoplantar hyperkeratosis
Frequent (79-30%)
HP:0002955Granulomatosis
HP:0025114Hypergranulosis
HP:0040162Orthokeratosis
HP:0025507Yellow papule
Occasional (29-5%)
HP:0006089Palmar hyperhidrosis
HP:0025509Piezogenic pedal papules
HP:0200035Skin plaque
Very rare (<4-1%)
HP:0002814Abnormality of the lower limb

Run the differential on the 4 obligate / very frequent terms

Annotation source: 29634304[PMID]_29080320[PMID]

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Sources for this card