“…Preus has suggested that the periodontal component of PLS may simply be a casual association with PPK, so that individuals without periodontal destruction will be diagnosed with a different form of PPK, and those with periodontal destruction will be diagnosed with PLS [Preus, 1988]. Although apparent partial expression of PLS has been reported [Kotzot and Pfeiffer, 1993;Bullon et al, 1993;Soskolne et al, 1996], the apparent complete segregation of severe early-onset periodontitis with palmoplantar hyperkeratosis in the 19 families reportedly linked to the chromosome 11q14 region in three independent studies to date suggests that the periodontal disease component is not simply an occasional associated finding [present report, Laass et al, 1997;Fischer et al, 1997].…”