raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:495

Transgrediens et progrediens palmoplantar keratoderma

Synonyms: Greither disease · Keratosis extremitatum hereditaria progrediens · Keratosis palmoplantaris transgrediens et progrediens · Progressive diffuse PPK · Progressive diffuse palmoplantar keratoderma · Transgrediens et progrediens PPK

Type
Disease
Group
Disorder
Age of onset
Childhood
Status
active

A rare, isolated, diffuse palmoplantar keratoderma disorder characterized by red-yellow, moderate to severe hyperkeratosis of the palms and soles, extending to the dorsal aspects of the hands, feet and/or wrists and involving the skin over the Achilles' tendon (transgrediens), gradually worsening with age (progrediens) to include patchy hyperkeratosis over the shins, knees, elbows and, sometimes, skin flexures. Hyperhidrosis is usually associated. Histologically, either epidermolytic or nonepidermolytic changes may be seen.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTransgrediens et progrediens palmoplantar keratodermaGreither disease · Keratosis extremitatum hereditaria progrediens · Keratosis palmoplantaris transgrediens et progrediens · Progressive diffuse PPK · Progressive diffuse palmoplantar keratoderma · Transgrediens et progrediens PPK
frKératodermie palmoplantaire transgrediens et progrediensKPP diffuse progressive · KPP transgrediens et progrediens · Keratosis extremitatum hereditaria progrediens · Keratosis palmoplantaris transgrediens et progrediens · Kératodermie palmoplantaire diffuse progressive · Maladie de Greither
deKeratoderma palmoplantaris transgrediens et progrediensDiffuse palmoplantare progressive Hyperkeratose · Greither-Syndrom · Keratosis extremitatum hereditaria progrediens · PPK, diffuse progressive
esQueratodermia palmoplantar transgrediens y progrediensEnfermedad de Greither · PPK difusa progresiva · PPK transgrediens y progrediens · Queratodermia palmoplantar difusa progresiva · Queratosis palmoplantar transgrediens y progrediens · Queratosis progrediens hereditaria de las extremidades
itCheratoderma palmoplantare transgrediens e progrediensCheratoderma palmoplantare diffuso progressivo · Keratosis extremitatum hereditaria progrediens · Keratosis palmoplantaris transgrediens et progrediens · Malattia di Greither · PPK diffuso progressivo · PPK transgrediens e progrediens
nlPalmoplantaire keratoderma transgrediens en progrediensKeratosis extremitatum hereditaria progrediens · Keratosis palmoplantaris transgrediens et progrediens · Progressieve diffuse PPK · Progressieve diffuse keratoderma van handpalm of voetzool · Progressieve diffuse palmoplantaire keratodermie · Transgrediens et progrediens PPK · Ziekte van Greither
ptQueratodermia palmoplantar transgrediens et progrediensMal de Meleda
plRogowiec dłoniowo - podeszwowy z tendencją do transgrediencji i progrediencjiChoroba Greithera · Keratosis extremitatum hereditaria progrediens · Keratosis palmoplantaris transgrediens et progrediens · Postępujący rozlany PPK · Postępujący rozlany rogowiec dłoni i stóp · PPK z tendencją do transgrediencji i progrediencji
csTransgredientní a progredientní palmoplantární keratodermaGreitherova choroba · Keratosis extremitatum hereditaria progrediens · Keratosis palmoplantaris transgrediens et progrediens · Progresivní difuzní PPK · Progresivní difuzní palmoplantární keratoderma · Transgredientní a progredientní PPK
ukТрансгресивна та прогресуюча долонно-підошвова кератодерміяХвороба Гретера · Спадковий екстремальний прогресуючий кератоз · Кератоз долонь трансгредиентний та прогредиентний · Прогресуюча дифузна долонно-підошовна кератодермія · Прогресивна дифузна ППК · Transgrediens et progrediens PPK
zh掌跖角化病逾越型和进育型掌跖角化病
trTransgrediens et progrediens palmoplantar keratodermaGreither hastalığı · ilerleyici yaygın PPK · Transgrediens ve progrediens PPK · İlerleyici yaygın palmoplantar keratoderma · Keratosis ekstremitatum hereditaria progrediens · Keratoz palmoplantaris transgrediens ve progrediens

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM133200NTBTvalidated
ICD-10Q82.8NTBTattributedvalidated
ICD-11EC20.30NTBTattributedvalidated
MONDO0018853Evalidated
UMLSC1851480Evalidated
GARD3096Evalidated

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 (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families21 casesWorldwideCase(s)Validated8274799[PMID]_10738633[PMID]_16227096[PMID]_32864403[PMID]_Iranian Journal of Dermatology[OTHER]_International Journal of Advances in Medicine(IJAM)[OTHER]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated8274799[PMID]_10738633[PMID]_16227096[PMID]_32864403[PMID]_Iranian Journal of Dermatology[OTHER]_International Journal of Advances in Medicine (IJAM)[OTHER]_ORPHANET

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

18 annotations · validated 2021-11-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007447Diffuse palmoplantar kyperkeratosis
Frequent (79-30%)
HP:0030318Angular cheilitis
HP:0008391Dystrophic fingernails
HP:0001810Dystrophic toenail
HP:0001041Facial erythema
HP:0012785Flexion contracture of finger
HP:0000218High palate
HP:0001795Hyperconvex nail
HP:0007404Nonepidermolytic palmoplantar keratoderma
HP:0010765Palmar hyperkeratosis
HP:0007556Plantar hyperkeratosis
HP:0005406Recurrent bacterial skin infections
HP:0011370Recurrent cutaneous fungal infections
HP:0001072Thickened skin
Occasional (29-5%)
HP:0009775Amniotic constriction ring
HP:0025474Erythematous plaque
HP:0031452Lichenoid skin lesion
HP:0001805Onychogryphosis

Run the differential on the 1 obligate / very frequent terms

Annotation source: 31911611[PMID]

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Sources for this card