raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:444138

Peeling skin-leukonychia-acral punctate keratoses-cheilitis-knuckle pads syndrome

Synonyms: PLACK syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy
Status
active

A rare genetic skin disease characterized by generalized skin peeling or superficial blisters without scarring, leukonychia, acral punctate keratoses coalescing into focal keratoderma on the weight-bearing areas, painful angular cheilitis, and knuckle pads with multiple hyperkeratotic micropapules. The skin appears dry and scaly with superficial exfoliation and underlying erythema. Histopathologic examination of affected skin areas is not specific and shows hyperkeratosis, acanthosis, and occasional intraepidermal clefting with irregular acantholysis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPeeling skin-leukonychia-acral punctate keratoses-cheilitis-knuckle pads syndromePLACK syndrome
frSyndrome de peau déciduale-leuconychie-kératose acrale ponctuée-chéilite-nodosités calleusesSyndrome PLACK
deHautablösung-Leukonychie-akral punktierte Keratosen-Cheilitis-Fingerknöchelpolster-SyndromPLACK-Syndrom
esSíndrome de descamación cutánea-leuconiquia-queratosis punctata acral-queilitis-almohadillas de nudilloSíndrome PLACK
itSindrome desquamazione cutanea-leuconichia-cheratosi puntata acrale-cheilite-nocche imbottiteSindrome PLACK
nlAfschilferende huid - leukonychie - acrale puntvormige keratoses - cheilitis - knokkelkussentjes-syndroomPLACK-syndroom
ptSíndrome de pele descamativa-leuconíquia-queratoses punctiformes acrais-queilite-lesões cutâneas nas articulações das mãos
plZespół złuszczającej się skóry, leukoonychii, punktowej keratozy kończynowej, zapalenia warg i palców poduszeczkowatychZespół plACK
csSyndrom zahrnující olupování kůže, leukonychii, akrální tečkovanou keratózu, cheilitidu a Garrodovy uzlyPLACK syndrom
ukСиндром лущення шкіри-лейконіхії-акрального точкового кератозу-хейліту-суглобових подушечокСиндром PLACK
zh脱皮-白甲-肢端点状角化-唇炎-指节垫综合征 PLACK综合征PLACK综合征
trPeeling cilt-lökonyak-akral noktalı keratozlar-cheilitis-knuckle pads sendromuPLACK sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616295Evalidated
ICD-10Q82.8NTBTattributedvalidated
ICD-11EC20.1NTBTattributedvalidated
MONDO0014574Evalidated
UMLSC4225381Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CASTDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:1515ENSG000001531131140905q15calpastatin25683118[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated25683118[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25683118[PMID]

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

Orphanet has no HPO annotation for this code in this release.

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Sources for this card