MAJOR HEREDITARY ECTODERMAL DYSPLASIA
MAJOR HEREDITARY ECTODERMAL DYSPLASIA
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DOI:
10.1016/s0022-3476(51)80108-2
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发表时间:
1951-01-01
影响因子:
5.1
通讯作者:
ELLINGSON, RJ
中科院分区:
文献类型:
--
作者:
ELLINGSON, RJ
EREDITARY ectodermal defects In consequence of the absence of are not uncommon. Alopecia, de-sweat glands, heat regulation is defecfects of the nails, and like disorders tive. When resting Under normal of hereditary origin occur frequently temperature conditions, insensible perin some areas. 1 Such conditions are spiration is normal and body temperausually not physically incapacitating, ture is normal. However, when the but some of them do impose extra-environmental temperature is high or ordinary problems upon the individual the individual is engaging in strenuous in the area of mental and social ad-physical activity, the body temperature justment. The cases described here rises rapidly. 2 During the summer present a picture of ectodermal defect months the individual is fatigued and sufficiently severe to cause serious psy-apathetic, and often collapses if subchological problems and some degree jeeted to too much heat or exertion. of physical incapacity. Of the symptoms listed, three seem Cases of" major" hereditary ecto-to be of special diagnostic value: hypodermal dysplasia are comparatively trichosis, anhidrosis, and adontia. rare in the literature. I-Iowever, the Many patients with hereditary ectosymptoms of the various cases which dermal dysplasia have only one or two have been reported are so similar, that of these symptoms rather than the they may be considered to constitute entire syndrome. The term major a definite syndrome, hereditary ectodermal dysplasia as Briefly, the symptoms are these, used here will refer to the above triad The skin is dry, smooth, and pliable, of symptoms plus ancillary symptoms. There is a complete Or nearl $ complete This disorder seems to be sex-linked absence of sweat glands (except axial), with males displaying the symptoms sebaceous glands, and hair follicles, and females acting mainly as trans-Lanugo hair is absent. Scalp hair is mitters. 2, 3, 9 However, in one case resparse, dry, and brittle. The forehead ported, a female exhibited the full is usually prominent, and the nose syndrome2 Some of the" lesser" malformed (saddle nose). The lips forms of hereditary ectodermal dysare thick and muscular. There may plasia are transmitted in other ways be no teeth or a few malformed ones.(eg, as simple Mendelian dominant The nasal cavities are often malformed, charaeters~). and the senses of taste and smell may be impaired. Finally, a tendency to- CASE REPORTS ward mental deficiency has been noted. The two patients (Paul and Wil-