Lipoid proteinosis (Urbach-Wiethe disease) is a rare autosomal recessive di
sorder associated with deposition of periodic acid-Schiff (PAS)-positive hy
aline material ire various tissues including skin, mucous membranes, and in
ternal organs. A family is reported in which four siblings (two boys and tw
o girls) born to nonconsanguineous parents had lipoid proteinosis, All had
the characteristic hoarseness of voice and three had skin lesions. The diag
nosis was confirmed by the presence of typical features on light and electr
on microscopy.