Cutaneous, Cranial, And Skeletal Defects In Children And Adults With Focal Dermal Hypoplasia

This study examines the complex clinical and genetic nature of Focal Dermal Hypoplasia (Goltz syndrome) in 8 female patients aged 6 months to 16 years, highlighting significant cutaneous, cranial, and skeletal abnormalities. The research identifies alopecia, papillomas, striated skin pigmentations, and limb malformations such as ectrodactyly. Advanced imaging revealed massive demineralization of the cranium and various skeletal anomalies, with some patients showing heterozygous mutations in the PORCN gene. The study underscores the importance of comprehensive diagnostic processes and early diagnosis to manage the syndrome's complex manifestations effectively, noting potential severe complications if cranio-cervical pathologies are not addressed.