CHILD Syndrome | Figure 2.35 A: ILC in Netherton syndrome (Courtesy of Dr. Michelle B. Bain) B: CHILD syndrome (Reprint from Burgdorf WH, Plewig G, Wolff HH, Landthaler M, eds. Braun- Falco’s Dermatology. 3rd ed. Heidelberg: Springer; 2009) C: Chondrodysplasia punctata (Reprint from Laxer RM, ed. The Hospital for Sick Children: Atlas of Pediatrics. Philadelphia, PA: Current Medicine; 2005) |
(Figure 2.35B) - Congenital hemidysplasia with ichthyosiform erythroderma and limb defects
- XLD, NSDHL gene defect, encodes NADPH steroid dehydrogenase-like protein (enzyme 3b-hydroxysteroid-dehydrogenase)
- Presents at or near birth with striking unilateral ichthyotic erythroderma (face typically spared); over time erythema fades while hyperkeratosis persists
- Ipsilateral alopecia, ipsilateral organ aplasia/agenesis, ± cleft palate
- Ipsilateral skeletal defects such as hypoplasia of digits or ribs to complete amelia, stippled epiphyses (seen in early infancy and resolves during childhood)
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