Mal de Meleda (MDM) Overview Mal de Meleda (MDM) is a rare, inherited autosomal recessive skin disorder characterized by severe, progressive thickening of the skin on the palms and soles (palmoplantar keratoderma), often spreading to the wrists and ankles. It appears in infancy, often with sharply defined, waxy yellow-brown plaques, and is typically managed with oral retinoids. Symptoms Palmoplantar Keratoderma: The skin on the palms of the hands and soles of the feet becomes diffusely thick, hard, waxy, and yellowish. Transgredient Spread: The keratoderma often spreads to the back of the hands and feet (dorsum), wrists, ankles, and lower forearms in a "glove and stocking" distribution. Erythema (Redness): Affected areas are often surrounded by a sharp, clearly demarcated red, scaly border. Plaques on Joints: Thickened, scaly, and rough plaques frequently appear on the elbows, knees, and knuckles. Causes Protein Function: The \(SLURP1\) gene provides instructions for produ...
Pfeiffer Syndrome Overview What is Pfeiffer syndrome? Pfeiffer syndrome is a genetic condition where the bones (sutures) in the skull close before the brain is fully grown (craniosynostosis). This causes deformities. Characteristics that lead to a Pfeiffer syndrome diagnosis include an underdeveloped or sunken face, bulging or wide eyes and an abnormally shaped head. Another characteristic is when the thumbs and the first (big) toe bends away from other fingers and toes. What are the types of Pfeiffer syndrome? There are three different types of Pfeiffer syndrome based on the severity of the condition, including: Type 1: Type 1 or classic Pfeiffer syndrome has mild symptoms, including facial deformities and well-defined thumbs and big toes. Children diagnosed with classic Pfeiffer syndrome usually have an average life expectancy and typical intelligence with treatment. Type 2: Type 2 Pfeiffer syndrome is more severe than type 1, often with more complex bone growth abnormalities in th...