Erythrokeratodermia variabilis

Erythrokeratodermia variabilis
Other namesProgressive symmetric erythrokeratodermia, Gottron type
Erythrokeratodermia variabilis is inherited in an autosomal dominant manner of inheritance
SpecialtyDermatology, medical genetics 
Usual onsetInfancy

Erythrokeratodermia variabilis (also known as "erythrokeratodermia figurata variabilis", "keratosis extremitatum progrediens", "keratosis palmoplantaris transgrediens et progrediens",:509 "Mendes da Costa syndrome", "Mendes da Costa type erythrokeratodermia", and "progressive symmetric erythrokeratoderma") is a rare autosomal dominant disorder that usually presents at birth or during the first year of life. To date, it is thought to be caused by mutations in genes encoding for connexin channels proteins in the epidermis, leading to the misregulation of homeostasis in keratinocytes.

One type is characterized by generalized, persistent, brown hyperkeratosis with accentuated skin markings, while a second type is localized, with involvement that is limited in extent and characterized by sharply demarcated, hyperkeratotic plaques.:565

It can be associated with GJB3 and GJB4. It was characterized in 1925.