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A diffuse palmoplantar keratoderma, characterized by honeycomb palmoplantar hyperkeratosis associated with pseudoainhum of the fifth digit of the hand, ichthyosis and deafness. Keratoderma hereditarium mutilans with ichthyosis follows an autosomal dominant mode of transmission.
Features include always present findings: Amniotic constriction ring; and very common findings: Palmoplantar hyperkeratosis, Generalized ichthyosis, and Digital constriction ring. 19 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 9 | Honeycomb palmoplantar hyperkeratosis, Thickened, rough skin (hyperkeratosis), Palmoplantar hyperkeratosis |
LORICRIN encodes loricrin cornified envelope precursor protein (312 aa). Major keratinocyte cell envelope protein Highest expression in Skin Sun Exposed Lower leg (2,580 TPM) and Skin Not Sun Exposed Suprapubic (1,900 TPM).
Loricrin keratoderma is associated with mutations in the LORICRIN gene on chromosome 1.
The LORICRIN protein participates in Fillagrin and keratin intermediate filaments polymerize forming a network, Reinforcement of the Cornified Envelope, and Keratinocyte of spinosum layer differentiates into keratinocyte of granulosum layer in interfollicular epidermis pathways.
LORICRIN is classified as a druggable target with score 0.0.
Genetic testing for LORICRIN is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 3 very common features, 8 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for loricrin keratoderma.
6 publications have been identified in PubMed for loricrin keratoderma. Research spans Other (50%), Review / Meta-Analysis (17%), and Case Report / Case Series (17%).
Bhalla D (2026). [PMID: 41912209](https://pubmed.ncbi.nlm.nih.gov/41912209/). *Dermatol Pract Concept*. [Other]
Saleh D (2026). [PMID: 30335335](https://pubmed.ncbi.nlm.nih.gov/30335335/). *Unknown Journal*. [Case Report / Case Series]
Muna B (2025). [PMID: 39361864](https://pubmed.ncbi.nlm.nih.gov/39361864/). *Indian J Dermatol Venereol Leprol*. [Other]
Maki T (2025). [PMID: 40105269](https://pubmed.ncbi.nlm.nih.gov/40105269/). *J Dermatol*. [Other]
Yavas C (2025). [PMID: 41307748](https://pubmed.ncbi.nlm.nih.gov/41307748/). *Mol Biol Rep*. [Review / Meta-Analysis]
Gram SB (2025). [PMID: 39630431](https://pubmed.ncbi.nlm.nih.gov/39630431/). *JAMA Dermatol*. [Clinical Trial Publication]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 6:24 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Arms and legs |
2 |
Digital constriction ring, Scaling skin on fingertip |
Pregnancy and birth | 1 | Congenital nonbullous ichthyosiform erythroderma |
Brain and nerves | 1 | Nervous system problems (abnormality of the nervous system) |