eMedicine Specialties > Dermatology > Papulosquamous Diseases
Vohwinkel Syndrome: Differential Diagnoses & Workup
Updated: Feb 19, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Other Problems to Be Considered
The following could be considered in the differential diagnosis of palmar and plantar keratodermas:
Acral keratoderma
Pachyonychia congenita
Palmoplantar keratoderma of Sybert
Olmsted syndrome
Palmoplantar keratoderma of Gamborg Nielsen
Scleroderma
Hereditary bullous acrokeratotic poikiloderma of Weary-Kindler
Clouston syndrome
Psoriasis
Other causes of pseudo-ainhum (eg, vascular abnormalities [Raynaud disease, scleroderma, diabetes mellitus], infections [leprosy, tertiary syphilis, yaws], scar formation following ergot poisoning)
Workup
Imaging Studies
- Obtain radiographs of the hands and feet to detect abnormalities of the underlying bones.
- Use craniofacial imaging studies if clinical findings justify them.
Other Tests
- Audiometry is suggested to evaluate the nature and extent of hearing loss and for eventual follow-up.
Procedures
- No invasive diagnostic procedures are routinely indicated.
Histologic Findings
- Histologic findings are nonspecific. The constricting bands consist of fibrous connective tissue resembling scars.
More on Vohwinkel Syndrome |
| Overview: Vohwinkel Syndrome |
Differential Diagnoses & Workup: Vohwinkel Syndrome |
| Treatment & Medication: Vohwinkel Syndrome |
| Follow-up: Vohwinkel Syndrome |
| Multimedia: Vohwinkel Syndrome |
| References |
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References
Lucker GP, Van de Kerkhof PC, Steijlen PM. The hereditary palmoplantar keratoses: an updated review and classification. Br J Dermatol. Jul 1994;131(1):1-14. [Medline].
Bondeson ML, Nyström AM, Gunnarsson U, Vahlquist A. Connexin 26 (GJB2) mutations in two Swedish patients with atypical Vohwinkel (mutilating keratoderma plus deafness) and KID syndrome both extensively treated with acitretin. Acta Derm Venereol. 2006;86(6):503-8. [Medline].
Kelsell DP, Wilgoss AL, Richard G, Stevens HP, Munro CS, Leigh IM. Connexin mutations associated with palmoplantar keratoderma and profound deafness in a single family. Eur J Hum Genet. Jun 2000;8(6):469-72. [Medline].
Solis RR, Diven DG, Trizna Z. Vohwinkel's syndrome in three generations. J Am Acad Dermatol. Feb 2001;44(2 Suppl):376-8. [Medline].
Drera B, Tadini G, Balbo F, Marchese L, Barlati S, Colombi M. De novo occurrence of the 730insG recurrent mutation in an Italian family with the ichthyotic variant of Vohwinkel syndrome, loricrin keratoderma. Clin Genet. Jan 2008;73(1):85-8. [Medline].
White TW. Functional analysis of human Cx26 mutations associated with deafness. Brain Res Brain Res Rev. Apr 2000;32(1):181-3. [Medline].
Camisa C, Rossana C. Variant of keratoderma hereditaria mutilans (Vohwinkel's syndrome). Treatment with orally administered isotretinoin. Arch Dermatol. Oct 1984;120(10):1323-8. [Medline].
Spitz JL. Genodermatoses: A Clinical Guide to Genetic Skin Disorders. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2004.
Further Reading
Keywords
Vohwinkel syndrome, keratoderma hereditaria mutilans, palmoplantar keratoderma mutilans, autoamputation, palmar keratosis, plantar keratosis, pseudo-ainhum, hearing loss
Differential Diagnoses & Workup: Vohwinkel Syndrome