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Nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndrome is a rare genetic ectodermal dysplasia syndrome characterized by short stature, nail dystrophy and/or nail loss, oral mucosa and/or tongue hyperpigmentation, dentition abnormalities (delayed teeth eruption, hypodontia, enamel hypoplasia), keratoderma on the margins of the palms and soles and focal hyperkeratosis on the dorsum of the hands and feet. Additionally, dysphagia with esophageal strictures, sensorineural deafness, bronchial asthma and severe iron-deficiency anemia have been observed.
Features include always present findings: Delayed eruption of teeth, Short stature, Epidermal acanthosis, and Enamel hypoplasia and others; and common findings: Difficulty swallowing (dysphagia), Esophageal stricture, Asthma, and Inner ear hearing loss (sensorineural hearing impairment). 13 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 3 | Nail dystrophy, Palmoplantar keratoderma, Thickened, rough skin (hyperkeratosis) |
GRHL2 encodes grainyhead like transcription factor 2 (625 aa). Transcription factor playing an important role in primary neurulation and in epithelial development. Highest expression in Skin Not Sun Exposed Suprapubic (41.4 TPM) and Skin Sun Exposed Lower leg (39.8 TPM).
Nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndrome is associated with mutations in the GRHL2 gene on chromosome 8.
The GRHL2 protein participates in Positive Regulation of CDH1 Gene Transcription pathway.
GRHL2 is classified as a druggable target (Enzyme and Transcription Factor categories) with score 0.0.
Genetic testing for GRHL2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 7 always present features, 4 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndrome.
14 publications have been identified in PubMed for nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndrome. Research spans Case Report / Case Series (71%), Basic Science / Preclinical (14%), and Other (7%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 10 | 71% |
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 6:18 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Digestive system | 2 | Difficulty swallowing (dysphagia), Esophageal stricture |
Brain and nerves | 1 | Difficulty swallowing (dysphagia) |
Growth and development | 1 | Short stature |
Lungs and breathing | 1 | Asthma |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Laboratory research | 2 | 14% |
Other research | 1 | 7% |
Research summaries | 1 | 7% |
Zhu T (2026). [PMID: 42040894](https://pubmed.ncbi.nlm.nih.gov/42040894/). *Hum Mutat*. [Basic Science / Preclinical]
Ngulube MM (2026). [PMID: 40198060](https://pubmed.ncbi.nlm.nih.gov/40198060/). *Unknown Journal*. [Other]
Kolkiran A (2025). [PMID: 40475170](https://pubmed.ncbi.nlm.nih.gov/40475170/). *Molecular syndromology*. [Case Report / Case Series]
Shah I (2025). [PMID: 39801877](https://pubmed.ncbi.nlm.nih.gov/39801877/). *Journal of orthopaedic case reports*. [Case Report / Case Series]
Sezer A (2025). [PMID: 40615527](https://pubmed.ncbi.nlm.nih.gov/40615527/). *European journal of human genetics : EJHG*. [Basic Science / Preclinical]
Jangili B (2025). [PMID: 40469827](https://pubmed.ncbi.nlm.nih.gov/40469827/). *International journal of clinical pediatric dentistry*. [Case Report / Case Series]
Li CY (2025). [PMID: 40695519](https://pubmed.ncbi.nlm.nih.gov/40695519/). *Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics*. [Case Report / Case Series]
Wójcik-Niklewska B (2025). [PMID: 40647705](https://pubmed.ncbi.nlm.nih.gov/40647705/). *Diagnostics (Basel, Switzerland)*. [Case Report / Case Series]
Zhang J (2025). [PMID: 41039413](https://pubmed.ncbi.nlm.nih.gov/41039413/). *BMC pediatrics*. [Case Report / Case Series]
Shah HH (2025). [PMID: 40093016](https://pubmed.ncbi.nlm.nih.gov/40093016/). *Frontiers in medicine*. [Review / Meta-Analysis]