raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:494

Keratoderma hereditarium mutilans

Synonyms: Mutilating keratoderma of Vohwinkel · Mutilating keratoderma plus deafness · Mutilating keratoderma plus hearing loss · PPK mutilans and deafness · PPK mutilans and hearing loss · Vohwinkel syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Childhood, Infancy
Status
active

Keratoderma hereditarium mutilans is a rare, diffuse, mutilating, hereditary palmoplantar keratoderma disorder characterized by severe, honeycomb-pattern palmoplantar keratosis and pseudoainhum of the digits leading to autoamputation, associated with mild to moderate congenital sensorineural hearing loss. Additional features include stellate keratosis on the extensor surfaces of the fingers, feet, elbows and knees. Alopecia, onychogryphosis, nail dystrophy or clubbing, spastic paraplegia and myopathy may also be associated.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enKeratoderma hereditarium mutilansMutilating keratoderma of Vohwinkel · Mutilating keratoderma plus deafness · Mutilating keratoderma plus hearing loss · PPK mutilans and deafness · PPK mutilans and hearing loss · Vohwinkel syndrome
frKératodermie aïnhumoïde et mutilanteKPP mutilante et surdité · Kératodermie mutilante de Vohwinkel · Kératodermie mutilante et surdité · PPK mutilans et surdité · Syndrome de Vohwinkel
deKeratoderma hereditarium mutilansPPK mutilans - Schwerhörigkeit · PPK mutilans Vohwinkel · Palmoplantarhyperkeratose Typ mutilans Vohwinkel · Vohwinkel-Syndrom
esQueratodermia hereditaria mutilantePPK mutilante e hipoacusia · PPK mutilante y sordera · Queratodermia mutilante de Vohwinkel · Queratodermia mutilante más hipoacusia · Queratodermia mutilante más sordera · Síndrome de Vohwinkel
itCheratoderma mutilante ereditarioCheratoderma mutilante di Vohwinkel · Cheratoderma mutilante e sordità · PPK mutilans e sordità · Sindrome di Vohwinkel
nlKeratoderma hereditarium mutilansMutilerende keratodermie plus doofheid · Mutilerende keratodermie van Vohwinkel · PPK-mutilans en doofheid · Syndroom van Vohwinkel
ptQueratodermia hereditária mutilanteSíndrome Vohvinkel
plZespół VohwinkelaPPK mutilans i głuchota · Rogowiec okaleczający plus głuchota · Rogowiec okaleczający Vohwinkela · Zespół Vohwinkela
csHereditární keratoderma mutilansVohnwinkelova mutilující keratoderma · Mutilující keratoderma s hluchotou · Mutilující PPK a hluchota · Vohnwinkelův syndrom
ukСпадкова мутилююча кератодерміяКалічаща кератодермія Фогвінкеля · Калічаща кератодермія плюс глухота · Калічить кератодермія плюс втрата слуху · PPK мутиланс і глухота · PPK mutilans та втрата слуху · Синдром Вохвінкеля
zh残毁性掌跖角皮症残毁性角皮症伴听力损失
trKeratoderma hereditarium mutilansVohwinkel sendromu · PPK mutilans ve sağırlık · PPK mutilans ve işitme kaybı · Vohwinkel'in keratoderma bozulması · Keratoderma bozulması artı sağırlık · Keratoderma bozulması artı işitme kaybı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM124500Evalidated
ICD-10Q82.8NTBTattributedvalidated
ICD-11EC20.30NTBTindexvalidated
MONDO0007422Evalidated
MeSHC536457Evalidated
UMLSC0265964Evalidated
GARD3092Evalidated

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
GJB2Disease-causing germline mutation(s) inAssessedHGNC:4284ENSG0000016547412101113q12.11gap junction protein beta 220854437[PMID]_22960825[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families50 casesWorldwideCase(s)Validated19282408[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_19282408[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

17 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0009775Amniotic constriction ring
HP:0007460Autoamputation of digits
HP:0007465Honeycomb palmoplantar keratoderma
HP:0000962Hyperkeratosis
HP:0000407Sensorineural hearing impairment
Frequent (79-30%)
HP:0100543Cognitive impairment
HP:0000044Hypogonadotropic hypogonadism
Occasional (29-5%)
HP:0001597Abnormal nail morphology
HP:0008388Abnormal toenail morphology
HP:0002143Abnormality of the spinal cord
HP:0001596Alopecia
HP:0000175Cleft palate
HP:0000365Hearing impairment
HP:0008064Ichthyosis
HP:0002797Osteolysis
HP:0200034Papule
HP:0100716Self-injurious behavior

Run the differential on the 5 obligate / very frequent terms

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Sources for this card