Focal dermal hypoplasia

General Information (adopted from Orphanet):

Synonyms, Signs: FDH
DHOF
FODH
goltz syndrome
goltz-gorlin syndrome
Number of Symptoms 170
OrphanetNr: 2092
OMIM Id: 305600
ICD-10: Q82.8
UMLs: C0016395
MeSH: D005489
MedDRA:
Snomed: 205573006
2298005

Prevalence, inheritance and age of onset:

Prevalence: 300 cases [Orphanet]
Inheritance: X-linked dominant
[Orphanet]
Age of onset: Neonatal
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Connective tissue disease with eye involvement
 -Rare eye disease
 -Rare genetic disease
Ectodermal dysplasia syndrome
 -Rare developmental defect during embryogenesis
 -Rare genetic disease
 -Rare skin disease
Genetic mixed dermis disorder
 -Rare genetic disease
Genetic multiple congenital anomalies/dysmorphic syndrome - variable intellectual deficit
 -Rare genetic disease
Lens shape anomaly
 -Rare eye disease
 -Rare genetic disease
Malformation syndrome with hamartosis
 -Rare developmental defect during embryogenesis
 -Rare genetic disease
Mixed dermis disorder
 -Rare skin disease
Multiple congenital anomalies/dysmorphic syndrome - variable intellectual deficit
 -Rare developmental defect during embryogenesis
Syndromic developmental defect of the eye
 -Rare developmental defect during embryogenesis
 -Rare eye disease
 -Rare genetic disease
X-linked syndromic intellectual deficit
 -Rare genetic disease
 -Rare neurologic disease

Symptom Information: Sort by abundance 

1
(HPO:0008678) Renal hypoplasia/aplasia Occasional [Orphanet] 127 / 7739
2
(HPO:0000073) Ureteral duplication 11 / 7739
3
(HPO:0000066) Labial hypoplasia 10 / 7739
4
(HPO:0000060) Clitoral hypoplasia 9 / 7739
5
(HPO:0000028) Cryptorchidism 347 / 7739
6
(HPO:0000126) Hydronephrosis 119 / 7739
7
(HPO:0000072) Hydroureter Occasional [Orphanet] 146 / 7739
8
(HPO:0000107) Renal cyst Frequent [Orphanet] 126 / 7739
9
(HPO:0000085) Horseshoe kidney 39 / 7739
10
(HPO:0100542) Abnormal localization of kidney Frequent [Orphanet] 64 / 7739
11
(HPO:0000252) Microcephaly 832 / 7739
12
(HPO:0000307) Pointed chin Occasional [Orphanet] 45 / 7739
13
(HPO:0011331) Hemifacial atrophy Frequent [Orphanet] 79 / 7739
14
(HPO:0011478) True anophthalmia 17 / 7739
15
(HPO:0003191) Cleft ala nasi 8 / 7739
16
(HPO:0000324) Facial asymmetry 57 / 7739
17
(HPO:0000684) Delayed eruption of teeth 117 / 7739
18
(HPO:0006297) Hypoplasia of dental enamel 64 / 7739
19
(HPO:0000164) Abnormality of the teeth Frequent [Orphanet] 291 / 7739
20
(HPO:0000668) Hypodontia 81 / 7739
21
(HPO:0000175) Cleft palate 349 / 7739
22
(HPO:0000682) Abnormality of dental enamel Very frequent [Orphanet] 102 / 7739
23
(HPO:0000204) Cleft upper lip 193 / 7739
24
(HPO:0000528) Anophthalmia 42 / 7739
25
(HPO:0000677) Oligodontia 41 / 7739
26
(HPO:0000455) Broad nasal tip 67 / 7739
27
(HPO:0009804) Reduced number of teeth Very frequent [Orphanet] 137 / 7739
28
(HPO:0006482) Abnormality of dental morphology Very frequent [Orphanet] 81 / 7739
29
(HPO:0000689) Dental malocclusion Frequent [Orphanet] 114 / 7739
30
(HPO:0000568) Microphthalmia 183 / 7739
31
(HPO:0000446) Narrow nasal bridge Occasional [Orphanet] 29 / 7739
32
(HPO:0000567) Chorioretinal coloboma 26 / 7739
33
(HPO:0007676) Hypoplasia of the iris 22 / 7739
34
(HPO:0000526) Aniridia 12 / 7739
35
(HPO:0008056) Aplasia/Hypoplasia affecting the eye Frequent [Orphanet] 142 / 7739
36
(HPO:0008053) Aplasia/Hypoplasia of the iris Frequent [Orphanet] 38 / 7739
37
(HPO:0000648) Optic atrophy 238 / 7739
38
(HPO:0001132) Lens subluxation 13 / 7739
39
(HPO:0001089) Iris atrophy 8 / 7739
40
(HPO:0000486) Strabismus Frequent [Orphanet] 576 / 7739
41
(HPO:0000612) Iris coloboma Frequent [Orphanet] 116 / 7739
42
(HPO:0007663) Reduced visual acuity 100 / 7739
43
(HPO:0000639) Nystagmus 555 / 7739
44
(HPO:0000610) Abnormality of the choroid Frequent [Orphanet] 11 / 7739
45
(HPO:0001083) Ectopia lentis Frequent [Orphanet] 45 / 7739
46
(HPO:0000481) Abnormality of the cornea Frequent [Orphanet] 124 / 7739
47
(HPO:0000505) Visual impairment 297 / 7739
48
(HPO:0000357) Abnormal location of ears Very frequent [Orphanet] 328 / 7739
49
(HPO:0004452) Abnormality of the middle ear ossicles Very frequent [Orphanet] 26 / 7739
50
(HPO:0000598) Abnormality of the ear Very frequent [Orphanet] 98 / 7739
51
(HPO:0000369) Low-set ears 372 / 7739
52
(HPO:0000410) Mixed hearing impairment 22 / 7739
53
(HPO:0000377) Abnormality of the pinna 111 / 7739
54
(HPO:0000402) Stenosis of the external auditory canal 22 / 7739
55
(HPO:0001249) Intellectual disability 1089 / 7739
56
(HPO:0002557) Hypoplastic nipples 33 / 7739
57
(HPO:0002558) Supernumerary nipple 40 / 7739
58
(HPO:0100259) Postaxial polydactyly 85 / 7739
59
(HPO:0001770) Toe syndactyly Very frequent [Orphanet] 149 / 7739
60
(HPO:0002650) Scoliosis Frequent [Orphanet] 705 / 7739
61
(HPO:0001374) Congenital hip dislocation 51 / 7739
62
(HPO:0009380) Aplasia of the fingers Very frequent [Orphanet] 51 / 7739
63
(HPO:0001180) Hand oligodactyly 17 / 7739
64
(HPO:0002414) Spina bifida Frequent [Orphanet] 47 / 7739
65
(HPO:0000773) Short ribs 70 / 7739
66
(HPO:0001171) Split hand 72 / 7739
67
(HPO:0100257) Ectrodactyly 27 / 7739
68
(HPO:0010442) Polydactyly 69 / 7739
69
(HPO:0006101) Finger syndactyly Very frequent [Orphanet] 198 / 7739
70
(HPO:0002475) Myelomeningocele 29 / 7739
71
(HPO:0005930) Abnormality of epiphysis morphology Very frequent [Orphanet] 119 / 7739
72
(HPO:0002817) Abnormality of the upper limb Very frequent [Orphanet] 25 / 7739
73
(HPO:0100559) Lower limb asymmetry Very frequent [Orphanet] 30 / 7739
74
(HPO:0006608) Midclavicular hypoplasia 1 / 7739
75
(HPO:0010621) Cutaneous syndactyly of toes 36 / 7739
76
(HPO:0000772) Abnormality of the ribs Frequent [Orphanet] 146 / 7739
77
(HPO:0001849) Foot oligodactyly 9 / 7739
78
(HPO:0010743) Short metatarsal 56 / 7739
79
(HPO:0100490) Camptodactyly of finger Very frequent [Orphanet] 212 / 7739
80
(HPO:0001839) Split foot 28 / 7739
81
(HPO:0001159) Syndactyly 140 / 7739
82
(HPO:0010740) Osteopathia striata 3 / 7739
83
(HPO:0001162) Postaxial hand polydactyly 119 / 7739
84
(HPO:0001156) Brachydactyly syndrome 180 / 7739
85
(HPO:0001829) Foot polydactyly 41 / 7739
86
(HPO:0009700) Finger symphalangism 55 / 7739
87
(HPO:0012165) Oligodactyly 18 / 7739
88
(HPO:0009381) Short finger 45 / 7739
89
(HPO:0010760) Absent toe Very frequent [Orphanet] 15 / 7739
90
(HPO:0004691) 2-3 toe syndactyly 50 / 7739
91
(HPO:0010049) Short metacarpal 99 / 7739
92
(HPO:0001161) Hand polydactyly Very frequent [Orphanet] 71 / 7739
93
(HPO:0100670) Rough bone trabeculation Very frequent [Orphanet] 12 / 7739
94
(HPO:0009803) Short phalanx of finger 79 / 7739
95
(HPO:0011867) Abnormality of the wing of the ilium Frequent [Orphanet] 123 / 7739
96
(HPO:0010622) Neoplasm of the skeletal system Occasional [Orphanet] 30 / 7739
97
(HPO:0003298) Spina bifida occulta 67 / 7739
98
(HPO:0006660) Aplastic clavicles Frequent [Orphanet] 70 / 7739
99
(HPO:0001388) Joint laxity 117 / 7739
100
(HPO:0006638) Midclavicular aplasia 1 / 7739
101
(HPO:0001155) Abnormality of the hand Very frequent [Orphanet] 54 / 7739
102
(HPO:0002566) Intestinal malrotation 89 / 7739
103
(HPO:0000775) Abnormality of the diaphragm Occasional [Orphanet] 62 / 7739
104
(HPO:0001537) Umbilical hernia Occasional [Orphanet] 206 / 7739
105
(HPO:0002027) Abdominal pain Occasional [Orphanet] 184 / 7739
106
(HPO:0002036) Hiatus hernia 24 / 7739
107
(HPO:0006554) Acute hepatic failure Occasional [Orphanet] 20 / 7739
108
(HPO:0004299) Hernia of the abdominal wall Very frequent [Orphanet] 176 / 7739
109
(HPO:0002577) Abnormality of the stomach Occasional [Orphanet] 84 / 7739
110
(HPO:0001539) Omphalocele Occasional [Orphanet] 102 / 7739
111
(HPO:0001545) Anteriorly placed anus 55 / 7739
112
(HPO:0000776) Congenital diaphragmatic hernia 36 / 7739
113
(HPO:0001540) Diastasis recti 23 / 7739
114
(HPO:0000023) Inguinal hernia 181 / 7739
115
(HPO:0100867) Duodenal stenosis Occasional [Orphanet] 29 / 7739
116
(HPO:0004322) Short stature 1232 / 7739
117
(HPO:0002299) Brittle hair 52 / 7739
118
(HPO:0008070) Sparse hair 94 / 7739
119
(HPO:0001597) Abnormality of the nail Very frequent [Orphanet] 115 / 7739
120
(HPO:0001802) Absent toenail 6 / 7739
121
(HPO:0000963) Thin skin Very frequent [Orphanet] 96 / 7739
122
(HPO:0002164) Nail dysplasia 82 / 7739
123
(HPO:0001009) Telangiectasia 46 / 7739
124
(HPO:0007588) Reticular hyperpigmentation 9 / 7739
125
(HPO:0002232) Patchy alopecia 4 / 7739
126
(HPO:0001817) Absent fingernail 2 / 7739
127
(HPO:0100585) Telangiectasia of the skin Very frequent [Orphanet] 66 / 7739
128
(HPO:0004334) Dermal atrophy Very frequent [Orphanet] 34 / 7739
129
(HPO:0200043) Verrucae 11 / 7739
130
(HPO:0001000) Abnormality of skin pigmentation Very frequent [Orphanet] 105 / 7739
131
(HPO:0001031) Subcutaneous lipoma Frequent [Orphanet] 112 / 7739
132
(HPO:0007546) Linear hyperpigmentation 2 / 7739
133
(HPO:0001596) Alopecia Frequent [Orphanet] 162 / 7739
134
(HPO:0008069) Neoplasm of the skin Frequent [Orphanet] 84 / 7739
135
(HPO:0008065) Aplasia/Hypoplasia of the skin Very frequent [Orphanet] 81 / 7739
136
(HPO:0008404) Nail dystrophy 89 / 7739
137
(HPO:0010783) Erythema Frequent [Orphanet] 138 / 7739
138
(HPO:0001629) Ventricular septal defect Occasional [Orphanet] 316 / 7739
139
(HPO:0001643) Patent ductus arteriosus Occasional [Orphanet] 228 / 7739
140
(HPO:0004760) Congenital septal defect Occasional [Orphanet] 69 / 7739
141
(HPO:0011718) Abnormality of the pulmonary veins Occasional [Orphanet] 6 / 7739
142
(HPO:0001600) Abnormality of the larynx 15 / 7739
143
(HPO:0006703) Aplasia/Hypoplasia of the lungs Occasional [Orphanet] 79 / 7739
144
(HPO:0009125) Lipodystrophy Occasional [Orphanet] 54 / 7739
145
(HPO:0001522) Death in infancy Very frequent [Orphanet] 275 / 7739
146
(OMIM) Papillomatosis 4 / 7739
147
(HPO:0001274) Agenesis of corpus callosum 142 / 7739
148
(OMIM) Asymmetric breast 1 / 7739
149
(MedDRA:10072883) Brachydactyly 153 / 7739
150
(OMIM) Protruding, simple ears 1 / 7739
151
(HPO:0012740) Papilloma Very frequent [Orphanet] 17 / 7739
152
(OMIM) Asymmetric skull 6 / 7739
153
(HPO:0045026) Abnormality of the mediastinum Occasional [Orphanet] 6 / 7739
154
(OMIM) Hidrocystomas 1 / 7739
155
(OMIM) Hypoplastic fingertip epidermal ridges 1 / 7739
156
(HPO:0030037) Bifid ureter 2 / 7739
157
(OMIM) Skeletal asymmetry 1 / 7739
158
(OMIM) Arborescent papillomas (axillae, periumbilical area, anus, vulva) 1 / 7739
159
(OMIM) Microcephaly, mild 4 / 7739
160
(OMIM) Failure of pubic bone fusion 1 / 7739
161
(OMIM) Bifid ureter 2 / 7739
162
(OMIM) Linear or reticular hyperpigmentation 1 / 7739
163
(OMIM) Notched incisors 1 / 7739
164
(HPO:0000238) Hydrocephalus 278 / 7739
165
(HPO:0001423) X-linked dominant inheritance 69 / 7739
166
(HPO:0002308) Arnold-Chiari malformation 42 / 7739
167
(HPO:0012758) Neurodevelopmental delay Frequent [Orphanet] 949 / 7739
168
(MedDRA:10025421) Macule Very frequent [Orphanet] 55 / 7739
169
(OMIM) Localized cutaneous deposits of superficial fat 1 / 7739
170
(OMIM) Esophageal papillomas 1 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Clinical Description OMIM Focal dermal hypoplasia is inherited as an X-linked dominant with in utero lethality in males. The features include atrophy and linear pigmentation of the skin, herniation of fat through the dermal defects, and multiple papillomas of the mucous ...
Molecular genetics OMIM Wang et al. (2007) cohybridized genomic DNA of girls with FDH with reference female DNA onto a genomewide oligonucleotide comparative genomic hybridization (CGH) array and identified a 219-kb region of copy number loss in 11p11.23 in DNA from ...
Diagnosis GeneReviews Focal dermal hypoplasia is a multisystem disorder primarily involving the skin, skeletal system, eyes, and face. The diagnosis of focal dermal hypoplasia should be considered in individuals with either of the following:...
Clinical Description GeneReviews Focal dermal hypoplasia is a multisystem disorder caused by developmental abnormalities in mesodermal and ectodermal structures and thus primarily involves the skin, skeletal system, eyes, and face. The manifestations vary among affected individuals and many have only a subset of the characteristic features. Nearly all individuals have at least a few of the skin manifestations....
Genotype-Phenotype Correlations GeneReviews Information on genotype-phenotype correlations in focal dermal hypoplasia is limited....
Differential Diagnosis GeneReviews Microphthalmia with linear skin defects (MLS). Similar skin and ophthalmologic manifestations may be seen in MLS; however, limb and skeletal malformations are uncommon in MLS. MLS is caused by deletions and point mutations of HCCS [Wimplinger et al 2006]; thus, as was previously proposed [Van den Veyver 2002], MLS and focal dermal hypoplasia are not allelic conditions [Harmsen et al 2009; Author, unpublished data]. ...
Management GeneReviews To establish the extent of disease and needs in an individual diagnosed with focal dermal hypoplasia, the following evaluations are recommended:...
Molecular genetics GeneReviews Information in the Molecular Genetics and OMIM tables may differ from that elsewhere in the GeneReview: tables may contain more recent information. —ED....