Ectodermal Dysplasias

(see Table 2-8)
   
 
Table 2-8 Ectodermal Dysplasias
 Disease Inh Mutation Clinical Appearance
 
Hidrotic Ectodermal Dysplasia
(Clouston Syndrome)
AD
GJB6 (connexin 30)
Hypotrichosis, diffuse PPK, nail dystrophy, NORMAL teeth and sweating, MR, ocular abnormalities
 
Hypohidrotic (Anhidrotic) Ectodermal Dysplasia (Christ-Siemens-Touraine)
XR
EDA (ectodysplasin A)
Hypotrichosis, periorbital hyperpigmentation, ABSENT or conical teeth, sweating with heat intolerance, NORMAL nails, saddle nose, everted thick lips, ↑ bronchopulmonary infections
 
AD, AR
EDAR gene (ED-A receptor)
 
Ankyloblepharon-Ectodermal Dysplasia-Clefting Syndrome
(AEC) (Hay-Wells)
AD
p63
Chronic erosive scalp dermatitis, abnormal granulation tissue, recurrent bacterial infections, ankyloblepharon, hypotrichosis, 80% cleft lip/palate
 
Ectodermal Dysplasia- Ectrodactyly-Clefting Syndrome
(EEC) (Split Hand-Split Foot- Ectodermal Dysplasia-Clefting)
AD
p63
Ectrodactyly (split hand/foot), hearing loss, nail dystrophy, ± PPK, 70% cleft lip/palate, sparse and dry hair, hypodontia
 
Rapp-Hodgkin Syndrome
AD
Mid facial hypoplasia, cleft lip/palate, scalp dermatitis, ↓ sweating, nail dystrophy, hypodontia
 
Ectodermal Dysplasia/Skin Fragility Syndrome
AR
Plakophilin-1
Trauma-induced bullae (most prominent during infancy), sparse hair, thick dystrophic nails