Table 1.
Woolly hair-Palmoplantar keratoderma syndromes
| Type 1 (NAXOS syndrome)[1] | Type 2 (CARVAJAL syndrome)[2] | Type 3 (NAXOS-like phenotype) | Type 4 | |
|---|---|---|---|---|
| Epidemiology | Presents during 2nd-3rd decade. | Presents early during childhood. | - | - |
| 1:1000 incidence in Greek islands | ||||
| Clinical features | diffuse palmoplantar keratoderma, woolly hair, and recessive form of arrhythmogenic right ventricular cardiomyopathy | Striate keratoderma, woolly hair and dilated left ventricular cardiomyopathy. | Arrhythmogenic right ventricular cardiomyopathy, woolly hair and mild palmoplantar keratoderma | Woolly hair with palmoplantar keratoderma without cardiac abnormality |
| Gene mutation | JUP gene (encodes plakoglobin) | DSP gene (encodes desmoplakin) | DSC2 gene (encodes desmocollin-2) | KANK2 mutation |
| Prognosis | High risk of sudden cardiac death | Heart failure and sudden cardiac death can occur in adolescence | - | Good prognosis due to absence of cardiac involvement |