Pachyonychia congenita: pathogenesis of pain and approaches to treatment.

Clin Exp Dermatol

Centre for Cell Biology and Cutaneous Research, Blizard Institute, The Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.

Published: November 2024

AI Article Synopsis

  • Pachyonychia congenita is a genetic skin disorder that is autosomal dominant, leading to severe foot pain, thickened skin on palms and soles, and nail problems.
  • The chronic pain from this condition can greatly reduce a person's quality of life, and current treatment options mainly involve lifestyle changes and some mechanical methods, with only a few patients finding relief from oral medications like retinoids.
  • This review explores the causes of pain associated with pachyonychia congenita and discusses existing and potential future treatments.

Article Abstract

Pachyonychia congenita (PC) is an autosomal dominant genodermatosis characterized by a triad of chronic severe plantar pain, focal palmoplantar keratoderma and hypertrophic nail dystrophy. Plantar pain can be debilitating and have a profound impact on quality of life. Current therapeutic options for pain in PC are limited to lifestyle adjustment and mechanical techniques, with a small subgroup of patients benefiting from oral retinoids. This review investigates the pathogenesis of pain in PC and provides a summary of the current and future therapeutic options.

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Source
http://dx.doi.org/10.1093/ced/llae199DOI Listing

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