RT Journal Article SR Electronic T1 Destructive arthritis in a patient with Haim-munk syndrome. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 814 OP 817 VO 31 IS 4 A1 Merav Lidar A1 Abraham Zlotogorski A1 Pnina Langevitz A1 Nurit Tweezer-Zaks A1 Gisele Zandman-Goddard YR 2004 UL http://www.jrheum.org/content/31/4/814.abstract AB Haim-Munk and Papillon-Lefèvre are 2 closely related syndromes, inherited in an autosomal recessive pattern, manifested by palmoplantar keratoderma and early, destructive periodontitis. Recently, mutations in the cathepsin C gene have been recognized in both syndromes. We describe a patient with Haim-Munk syndrome (palmar plantar keratosis and periodontitis) and destructive arthritis of the wrists and shoulder joints, an association that has not been previously described.