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Papillon-Lefevre syndrome (PLS) is a rare ectodermal dysplasia characterized by palmoplantar keratoderma associated with early-onset periodontitis.
Features include: Atrophy of alveolar ridges, Severe periodontitis, Premature loss of teeth, and Choroid plexus calcification and 1 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 1 | Atrophy of alveolar ridges |
Skin | 1 | Palmoplantar hyperkeratosis |
Age of onset: infancy.
CTSC encodes cathepsin C (463 aa). Thiol protease. Has dipeptidylpeptidase activity. Active against a broad range of dipeptide substrates composed of both polar and hydrophobic amino acids. Highest expression in Cells Cultured fibroblasts (104.9 TPM) and Lung (61.5 TPM).
Papillon-Lefevre disease is associated with mutations in the CTSC gene on chromosome 11.
The CTSC protein participates in LMAN family proteins bind glycosylated cargo pathway.
CTSC is classified as a druggable target (Druggable Genome, Enzyme, and Protease categories) with score 7.5.
Genetic testing for CTSC is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
No clinical trials have been registered for Papillon-Lefevre disease.
27 publications have been identified in PubMed for Papillon-Lefevre disease. Research spans Case Report / Case Series (48%), Review / Meta-Analysis (19%), and Basic Science / Preclinical (19%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 13 | 48% |
Research summaries | 5 | 19% |
Laboratory research | 5 | 19% |
Disease patterns and progression | 2 | 7% |
New treatment approaches | 2 | 7% |
Assas M (2026). [PMID: 41914522](https://pubmed.ncbi.nlm.nih.gov/41914522/). *Spec Care Dentist*. [Review / Meta-Analysis]
El-Hawary H (2026). [PMID: 41971476](https://pubmed.ncbi.nlm.nih.gov/41971476/). *J Maxillofac Oral Surg*. [Case Report / Case Series]
Alibrahim L (2026). [PMID: 41755622](https://pubmed.ncbi.nlm.nih.gov/41755622/). *Dermatology reports*. [Case Report / Case Series]
Grotra R (2026). [PMID: 40966759](https://pubmed.ncbi.nlm.nih.gov/40966759/). *The Pediatric infectious disease journal*. [Case Report / Case Series]
Jaddoua Q (2026). [PMID: 42000349](https://pubmed.ncbi.nlm.nih.gov/42000349/). *Curr Probl Surg*. [Case Report / Case Series]
Shiraz ZK (2025). [PMID: 40236306](https://pubmed.ncbi.nlm.nih.gov/40236306/). *Clinical case reports*. [Gene Therapy / Novel Therapeutics]
Astolfi-Labrador L (2025). [PMID: 41462866](https://pubmed.ncbi.nlm.nih.gov/41462866/). *Biomedicines*. [Review / Meta-Analysis]
Zhang D (2025). [PMID: 40918524](https://pubmed.ncbi.nlm.nih.gov/40918524/). *Frontiers in pharmacology*. [Review / Meta-Analysis]
Alrubaiaan M (2025). [PMID: 41133531](https://pubmed.ncbi.nlm.nih.gov/41133531/). *Reports (MDPI)*. [Case Report / Case Series]
Li J (2025). [PMID: 40632515](https://pubmed.ncbi.nlm.nih.gov/40632515/). *JAMA dermatology*. [Gene Therapy / Novel Therapeutics]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 9:38 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Papillon-Lefevre disease