Conradi-Hünermann

Other names: chondrodysplasia punctata with ichthyosis; Happle syndrome

OMIM: 302960

Inheritance: X-linked dominant

Incidence: rare; lethal in males

Key findings:

  • skin: follicular depressions with mild scale or increased pigmentation in a linear or whorled pattern
  • hair: various hair shaft abnormalities and pattered hair loss (common)

Associated findings:

  • skeletal: asymptomatic bone densities on x-ray that resolve with time; limb shortening, extra digits and hip dysplasia (common)
  • eyes: early cataracts (common)

Age at first appearance: birth

Long-term course: erythroderma and generalized scaling at birth resolves within several months; whorled, follicular scale often progressively improves

Diagnostic tests: analysis of cellular DNA

Abnormal gene: sterol isomerase


 


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