title: Acral peeling skin syndrome in two East-African siblings: case report.
abstract: BACKGROUND
  Acral peeling skin syndrome is a rare autosomal recessive genodermatosis due to a missense mutation in transglutaminase 5. The skin peeling occurs at the separation of the stratum corneum from the stratum granulosum.
  
  
  METHODS
  We present a case of two siblings who developed continuous peeling of the palms and soles from the first year of life. This peeling was more severe on the soles than palms and on younger sibling than elder sibling. Peeling is worsened by occlusion and sweating.
  
  
  CONCLUSIONS
  Sporadic cases of Acral Peeling Skin Syndrome occur in African population. There is variability in time of presentation and clinical severity even within families.
authors.affiliation: Department of Dermatology, Regional Dermatology Training Center at KCMC, Box 8332, Moshi, Tanzania. kipsam2@yahoo.com
authors.forename: Samson K
authors.initials: SK
authors.lastname: Kiprono
authors.forename: Baraka M
authors.initials: BM
authors.lastname: Chaula
authors.forename: Bernard
authors.initials: B
authors.lastname: Naafs
authors.forename: John E
authors.initials: JE
authors.lastname: Masenga
mesh_terms: D000293:Adolescent; D000351:Africa, Eastern; D002648:Child; D003873:Dermatitis, Exfoliative / Q000473:pathology*; D005260:Female; D005533:Foot Dermatoses / Q000473:pathology*; D006229:Hand Dermatoses / Q000473:pathology*; D006801:Humans; D008297:Male; D010859:Pigmentation Disorders / Q000473:pathology*; D035781:Siblings; D012871:Skin Diseases / Q000151:congenital