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Hypohidrotic Ectodermal Dysplasia

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Copyright 1998, 2002



Synonyms of Hypohidrotic Ectodermal Dysplasia
  • Anhidrotic Ectodermal Dysplasia
  • Christ-Siemens-Touraine Syndrome
  • CST Syndrome
  • EDA
  • HED

Disorder Subdivisions



General Discussion
Hypohidrotic ectodermal dysplasia (HED) is a rare inherited multisystem disorder that belongs to the group of diseases known as ectodermal dysplasias. Ectodermal dysplasias typically affect the hair, teeth, nails, and/or skin. HED is primarily characterized by partial or complete absence of certain sweat glands (eccrine glands), causing lack of or diminished sweating (anhidrosis or hypohidrosis), heat intolerance, and fever; abnormally sparse hair (hypotrichosis); and absence (hypodontia) and/or malformation of certain teeth. Many individuals with HED also have characteristic facial abnormalities including a prominent forehead, a sunken nasal bridge (so-called "saddle nose"), unusually thick lips, and/or a large chin. The skin on most of the body may be abnormally thin, dry, and soft with an abnormal lack of pigmentation (hypopigmentation). However, the skin around the eyes (periorbital) may be darkly pigmented (hyperpigmentation) and finely wrinkled, appearing prematurely aged. In many cases, affected infants and children may also exhibit underdevelopment (hypoplasia) or absence (aplasia) of mucous glands within the respiratory and gastrointestinal (GI) tracts and, in some cases, decreased function of certain components of the immune system (e.g., depressed lymphocyte function, cellular immune hypofunction), potentially causing an increased susceptibility to certain infections and/or allergic conditions. Many affected infants and children experience recurrent attacks of wheezing and breathlessness (asthma); respiratory infections; chronic inflammation of the nasal passages (atrophic rhinitis); scaling, itchy (pruritic) skin rashes (eczema); and/or other findings.

HED is usually inherited as an X-linked recessive genetic trait; in such cases, the disorder is fully expressed in males only. However, females who carry a single copy of the disease gene (heterozygote carreirs) may exhibit some of the symptoms and findings associated with the disorder. These may include absence and/or malformation of certain teeth, sparse hair, and/or reduced sweating. Researchers also have reported cases in which HED appears to be inherited as an autosomal recessive genetic trait. In such cases, the disorder is fully expressed in both males and females.

Organizations related to Hypohidrotic Ectodermal Dysplasia
  • Ectodermal Dysplasia Society
    108 Charlton Lane
    Cheltenham
    Glos None GL53 9EA
    Phone #: +44- (0-) 1242 261332
    800 #: N/A
    e-mail: diana@ectodermaldysplasia.org
    Home page: http://www.ectodermaldysplasia.org
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-251-4925
    800 #: 888-205-2311
    e-mail: ordr@od.nih.gov
    Home page: http://rarediseases.info.nih.gov/Default.aspx
  • Madisons Foundation
    PO Box 241956
    Los Angeles CA 90024
    Phone #: 310-264-0826
    800 #: N/A
    e-mail: getinfo@madisonsfoundation.org
    Home page: http://www.madisonsfoundation.org
  • March of Dimes Birth Defects Foundation
    1275 Mamaroneck Avenue
    White Plains NY 10605
    Phone #: 914-997-4488
    800 #: 888-663-4637
    e-mail: Askus@marchofdimes.com
    Home page: http://www.marchofdimes.com
  • NIH/National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse
    1 AMS Circle
    Bethesda MD 20892-3675
    Phone #: 301-495-4484
    800 #: 877-226-4267
    e-mail: NIAMSinfo@mail.nih.gov
    Home page: http://www.niams.nih.gov/Health_Info
  • NIH/National Oral Health Information Clearinghouse
    1 NOHIC Way
    Bethesda MD 20892-3500
    Phone #: 301-402-7364
    800 #: --
    e-mail: nohic@nidcr.nih.gov
    Home page: http://www.nohic.nidcr.nih.gov
  • National Foundation for Ectodermal Dysplasias
    410 East Main Street
    PO Box 114
    Mascoutah IL 62258-0114
    Phone #: 618-566-2020
    800 #: --
    e-mail: info@nfed.org
    Home page: http://www.nfed.org

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Last modified Wednesday, November 26, 2008