The Papillon-Lefevre syndrome is a rare autosomal recessive disorder. Consa
nguinity seems a notable prerequisite. Papillon-Lefevre syndrome manifests
in the first 6 months of life with rapidly progressive periodontitis and se
vere alveolar bone destruction leading to early loss of both the deciduous
and permanent teeth in association with palmo-plantar hyperkeratosis. We pr
esent two unusual cases of familial Papillon-Lefevre syndrome, one of whom
has only late onset of mild skin lesions and the other has severe skin lesi
ons and relatively mild periodontal disease. A number of other cases recent
ly described have also had atypical features.