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Ectrodactyly–ectodermal dysplasia–cleft syndrome

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434:. p63 mutations have been implicated in other human malformation conditions as well, including AEC or Hay–Wells syndrome, limb–mammary syndrome, ADULT syndrome, and non-syndromic split hand–split foot malformation. When comparing the data for these syndromes, each syndrome has a distinct pattern and type of mutations, with extensive genotype–phenotype correlations. Brunner and colleagues found that most of the p63 mutations associated with EEC "involve amino acid substitutions in the DNA binding domain common to all known p63 isoforms". The findings of their study propose that the most frequently mutated arginine codons associated with EEC are 204, 227, 279, 280, and 304, with these five amino acid mutations accounting for 75% of all reported cases of EEC syndrome. Other studies have had similar findings. One study found three of the five listed amino acid mutations in their subjects and noted that when 200 control chromosomes were tested, these three mutant alleles were not present. 414:, each parent contributes 23 chromosomes; 22 autosomal chromosomes and one sex chromosome. As stated above, EEC syndrome is an autosomal dominant disorder. This means that there is an abnormal gene on one of the autosomal (non-sex) chromosomes from either parent. Because the gene is dominant, only one parent must contribute the abnormal gene for the child to inherit the disease and the contributing parent will usually have the disease, due to the expression of the dominant gene in the parent. Some characteristics of autosomal dominant inheritance patterns include a vertical transmission pattern, meaning that the disease phenotype is seen in generation after generation. Also, the recurrence risk is 50% and there are an equal number of affected males and females. Though we can calculate the chance of inheritance of the gene, the degree of expression cannot be calculated. 61: 37: 368: 446:. The frameshift mutation introduces a premature stop codon that affected the α isotope, but does not affect the β and γ isotopes of p63. From this, it can be concluded that mutant p63α isotopes seem to play a major role in the pathogenesis of EEC syndrome. It seems that p63α is the predominant p63 isotope in epithelial basal cell layers, which are the cell type often associated with the anomalies found in patients with EEC syndrome. 455:
be significant interfamilial and intrafamilial variability in expressivity, more noticeably between rather than within families. Because of this variability, it is possible that there is more than one genetic locus involved in the actual manifestation of the syndrome in any given person. Other notably proposed sections of the involved chromosome include 3q27, and more highly disputed areas, including 7q11.2–q21.3
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and fold upward, forming the neural folds, which eventually meet to form the neural tube and neural crest. Because these two events occur at roughly the same time in embryological development, abnormalities found in this syndrome can involve not only the ectodermal cells, but also disruption to development in the mesectodermal layer constituted by the neural crest.
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identified as a compound targeting and reactivating p53 mutants based on a cell-based screening for rescuing the apoptotic activity of p53, as efficient to rescue R304W mutation defect. Of interest, similar effect had been observed on keratinocytes derived from the same patients. PRIMA-1MET could become an effective therapeutic tool for EEC patients.
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very useful in distinguishing between syndromes that present with very similar clinical findings. There is much debate in current literature regarding clinical markers for syndromic diagnoses. Genetic findings could have great implications in clinical diagnosis and treatment of not only EEC, but also many other related syndromes.
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EEC can be both familial and sporadic, both cases relating back to abnormalities of the p63 gene. This means that in some cases, EEC expresses de novo in a child of unaffected parents (sporadic) due to spontaneous mutation, in addition to the existing autosomal dominant inherited form. There seems to
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P63-deficient mice lack all squamous epithelia and their derivatives, including hair, whiskers, teeth, as well as the mammary, lacrimal, and salivary glands. Particularly striking are severe limb truncations with forelimbs showing a complete absence of the phalanges and carpals, and variable defects
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There are two layers of mesoderm; intraembryonic and extraembryonic. As the intraembryonic layer grows laterally, it becomes continuous with the extraembryonic layer, forming the chorion (contributing to the blood supply). At the same time during embryonic development, the ectoderm begins to thicken
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may not be as hydrated as is necessary during the adduction phase of vocal fold vibration (due to lack of lubrication), a complete seal may not be accomplished between the folds and mucosal wave movement may be disrupted. This results in air escapement between the folds and the production of breathy
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Further genetic research is necessary to identify and rule out other possible loci contributing to EEC syndrome, though it seems certain that disruption of the p63 gene is involved to some extent. In addition, genetic research with an emphasis on genetic syndrome differentiation should prove to be
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Ectrodactyly involves the deficiency or absence of one or more central digits of the hand or foot and is also known as split hand–split foot malformation (SHFM). The hands and feet of people with ectrodactyly are often described as "claw-like" and may include only the thumb and one finger (usually
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Modeling EEC syndrome in vitro has been achieved by reprogramming EEC fibroblasts carrying mutations R304W and R204W into induced pluripotent stem cell (iPSC) lines. EEC-iPSC recapitulated defective epidermal and corneal fates. This model further identified PRIMA-1MET, a small compound that was
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This striking data offers convincing support for the p63 gene hypothesis. This study is also cited in the demonstration that the growth and patterning of the underlying mesenchyme is highly dependent on the apical ectodermal ridge of the limbs, as well as the maxillary and mandibular branchial
426:, within the region of D19S894 and D19S416 has been postulated as the locus for the abnormalities found in EEC syndrome. This is supported by reports (though conflicting) regarding an association of cleft lip +/- palate on locus 19q, which suggests that EEC could be an allelic variant. 351:"What these structures have in common is that their development and morphogenesis depends on the signaling between specialized ectodermal cells and the underlying mesoderm. Epithelial-mesenchymal interactions between the apical ectodermal ridge (AER) and the underlying 458:
A study supports the hypothesis of the p63 gene as the locus for the mutations associated with EEC syndrome. The study is known as the p63 knockout mice study, in which the phenotypes of p63-deficient mice are described. The description of the mice is as follows:
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due to ossicular anomalies is often encountered in patients with EEC syndrome, which can have significant impacts on language acquisition. Also, the impaired cognitive functioning that sometimes accompanies EEC can inhibit language acquisition.
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ectoderm that are so prominently disturbed in these mice. All of these findings are consistent with the clinical presentation of EEC in humans and may explain the association of limb malformation and clefting that are found in this syndrome.
261:+/- palate and use this marker as a means of distinguishing EEC from other syndromes, such as AEC syndrome (ankyloblepharon, ectodermal dysplasia, and clefting) in which other types of clefting are found. Other authors include 429:
More recently, the p63 gene has been targeted in numerous studies. The p63 gene is a homologue of the tumor suppressor gene p53, though this is not indicative that patients with EEC are more likely to develop
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and velopharyngeal incompetence. Because of this, compensatory articulation strategies including retruded articulation and glottal compensation are often incorporated into the patient's speech.
205:. In addition, abnormalities of ectodermal derivatives, neuroectodermal derivatives, and mesectodermal derivatives are often found. The ectodermal derivative abnormalities can affect the 464:
of ulnae and radiae and hindlimbs that are lacking altogether…The p63 mutations act in a dominant fashion in humans, giving rise to a phenotype that resembles that of p63 knockout mice.
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The mutations found in EEC are missense mutations, meaning that there is a single amino acid change in the protein, as opposed to premature termination of protein synthesis, known as a
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The ectodermal dysplasia associated with EEC syndrome arises from abnormalities in the embryonic ectoderm, as described above. Very early in embryonic development, the embryonic
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There is much discrepancy in the literature regarding the exact nature of the facial clefting involved in EEC. Some authors claim that the clefting involved in EEC is always
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Shen J, van den Bogaard EH, Kouwenhoven EN, Bykov VJ, Rinne T, Zhang Q, Tjabringa GS, Gilissen C, van Heeringen SJ, Schalkwijk J, van Bokhoven H, Wiman KG, Zhou H (2013).
217:. Neuroectodermal derivatives that can be affected include sensory placodes, cutaneous pigmental cells, and hair buds. Mesectodermal derivatives affected can include the 1448: 897:
Moerman P, Fryns JP (1996). "Ectodermal dysplasia, Rapp–Hodgkin type in a mother and severe ectrodactyly–ectodermal dysplasia–clefting syndrome (EEC) in her child".
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Ruhin B, Martinot V, Lafforgue P, Catteau B, Manouvrier-Hanu S, Ferri J (2001). "Pure ectodermal dysplasia: retrospective study of 16 cases and literature review".
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resulting in dry (hypohydrotic), often scale-like skin, sparse and usually coarse scalp hair that is often blonde, sparse eyebrows and eyelashes, and small brittle
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GeneReviews/NCBI/NIH/UW entry on Ankyloblepharon-Ectodermal Defects-Cleft Lip/Palate Syndrome or AEC Syndrome, Hay-Wells Syndrome. Includes: Rapp-Hodgkin Syndrome
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either the little finger, ring finger, or a syndactyly of the two) with similar abnormalities of the feet. It is sometimes referred to as "lobster claw" syndrome.
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Current research regarding EEC syndrome is focused on the genetic components contributing to the presented traits found in patients with EEC. A normal human
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The hypohydrotic symptoms of ectodermal dysplasia described above are evidenced not only in the skin of affected individuals, but also in their
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Genetics research relating to EEC has made great strides in recent years, but many findings are currently being debated in the literature.
910: 189:. These abnormalities affect both the superficial ectodermal layer, as well as the mesectodermal layer constituted by the neural crest. 1440: 1257:"APR-246/PRIMA-1(MET) rescues epidermal differentiation in skin keratinocytes derived from EEC syndrome patients with p63 mutations" 1871: 1701: 1630: 1572: 2062: 1562: 2487: 1594: 1148: 881: 781: 2477: 2353: 2034: 1943: 1665: 1646: 1567: 1206:"Impaired epithelial differentiation of induced pluripotent stem cells from EEC patients is rescued by APR-246/PRIMA-1MET" 2020: 1394: 316:. It is from these three types of cells that all body organs originate. In general terms, ectodermal cells generate the 2482: 1579: 629: 608: 714:
Ramirez D, Lammer EJ (2004). "Lacrimoauriculodentodigital syndrome with cleft lip/palate and renal manifestations".
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Peterson-Falzone SJ, Caldarelli DD, Landahl KL (1981). "Abnormal laryngeal vocal quality in ectodermal dysplasia".
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is further impaired by the numerous dental anomalies, including missing or malformed teeth found in EEC syndrome.
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only (CPO) in conjunction with ectrodactyly and ectodermal dysplasia as sufficient for a diagnosis of EEC.
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Peterson-Falzone, Sally J.; Mary A. Hardin-Jones; Michael P. Karnell; Betty Jane McWilliams (2001).
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The speech deficits associated with EEC syndrome are numerous. The clefting often causes
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Ectodermal dysplasia describes abnormalities of structures derived from the embryonic
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deficits are also associated with EEC syndrome and are attributed to two factors.
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and one pair of sex chromosomes, constituting a total of 46 chromosomes. During
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voice, which often accompanies the skin abnormalities of ectodermal dysplasia.
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10.1002/(SICI)1096-8628(19960614)63:3<479::AID-AJMG12>3.0.CO;2-J
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and sweat glands, as well as hairs, dental enamel, nails, lens, and the
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Ectrodactyly–ectodermal dysplasia–cleft syndrome is autosomal dominant
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List of dental abnormalities associated with cutaneous conditions
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Barrow LL, van Bokhoven H, Daack-Hirsch S, et al. (2002).
431: 333: 226: 218: 159: 151: 1031: 229:, head muscles and conjunctival cells, cervicofacial vascular 2347: 2256: 2112: 2084: 2070: 2056: 2042: 2028: 1823: 1790: 936: 341: 329: 325: 241: 143: 2361: 2333: 2137: 1984: 1970: 1951: 1937: 1923: 1909: 1884: 1865: 1804: 1776: 1748: 337: 317: 135: 1316:"A step closer toward therapies for p63-related disorders" 807: 502: 122:. Other features noted in association with EEC include 620:
James, William; Berger, Timothy; Elston, Dirk (2005).
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O'Quinn JR, Hennekam RC, Jorde LB, Bamshad M (1998).
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Proceedings of the National Academy of Sciences, USA
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Proceedings of the National Academy of Sciences, USA
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Andrews' Diseases of the Skin: Clinical Dermatology
2376:Ectrodactyly–ectodermal dysplasia–cleft syndrome 3 1166:Speech and Hearing Science: Anatomy and Physiology 1136: 869: 769: 490:These people are noted as having this condition. 2459: 872:Genetics, Syndromes, and Communication Disorders 659:Celli J, Duijf P, Hamel BC, et al. (1999). 548: 197:Ectodermal dysplasia is characterized by absent 22:Ectrodactyly–ectodermal dysplasia–cleft syndrome 951:10.1597/1545-1569_2001_038_0504_pedrso_2.0.co_2 658: 549:Buss PW, Hughes HE, Clarke A (September 1995). 344:, the digestive system and the urinary system. 97:–split foot–ectodermal dysplasia–cleft syndrome 2268:Yemenite deaf-blind hypopigmentation syndrome 1456: 808:Brunner HG, Hamel BC, Van Bokhoven H (2002). 713: 601:Fitzpatrick's Dermatology in General Medicine 304:differentiate into three types of cells: the 896: 863: 861: 859: 857: 855: 853: 1313: 763: 761: 759: 757: 755: 753: 1463: 1449: 1204:Shalom Feuerstein R.; et al. (2012). 867: 542: 406:includes 22 pairs of autosomal or non-sex 233:, and part of the maxillofacial skeleton. 59: 35: 1339: 1290: 1280: 1231: 1221: 1111: 1081: 1079: 1077: 1057: 1027: 1025: 1023: 1021: 1019: 1017: 1015: 1013: 1011: 973: 850: 833: 810:"The p63 gene in EEC and other syndromes" 803: 801: 799: 797: 795: 793: 709: 707: 679: 576: 1872:Posterior polymorphous corneal dystrophy 1702:Autoimmune polyendocrine syndrome type 1 1177: 1175: 932: 930: 928: 750: 472: 2063:Anterior segment mesenchymal dysgenesis 1134: 1128: 654: 652: 650: 648: 646: 644: 642: 640: 638: 192: 114:. EEC is characterized by the triad of 2460: 1163: 1157: 1074: 1008: 890: 790: 704: 614: 158:, occasional cognitive impairment and 1595:X-linked adrenal hypoplasia congenita 1444: 1172: 925: 449: 1647:Greig cephalopolysyndactyly syndrome 1181: 994:10.1001/archotol.1981.00790410038010 899:American Journal of Medical Genetics 635: 593: 362: 340:, and endodermal cells generate the 2021:Iridogoniodysgenesis, dominant type 13: 2305: 1360: 1092:American Journal of Human Genetics 268: 252: 14: 2504: 1372: 939:Cleft Palate-Craniofacial Journal 716:Cleft Palate-Craniofacial Journal 485: 2035:Lymphedema–distichiasis syndrome 1631:Tricho–rhino–phalangeal syndrome 1605:Familial partial lipodystrophy 3 366: 134:, decreased pigmentation of the 2299:(0) Other transcription factors 1590:Estrogen insensitivity syndrome 1558:Androgen insensitivity syndrome 1307: 1248: 1197: 1182:Hall, Judith G. (August 2007). 174: 169: 2180:Hyperimmunoglobulin E syndrome 1585:PHA1AD pseudohypoaldosteronism 1143:. Baltimore: Paul H. Brookes. 868:Shprintzen, Robert J. (1997). 150:, absent punctae in the lower 1: 2442:Atrichia with papular lesions 681:10.1016/S0092-8674(00)81646-3 535: 358: 295: 2488:Syndromes affecting the skin 2149:Popliteal pterygium syndrome 2091:Enlarged vestibular aqueduct 1930:Waardenburg syndrome 1&3 1715:(3) Helix-turn-helix domains 1474:relating to deficiencies of 520:List of cutaneous conditions 437: 118:, ectodermal dysplasia, and 7: 2478:Syndromes affecting hearing 2249:Premature ovarian failure 7 2105:Premature ovarian failure 3 1977:Congenital hypothyroidism 2 1164:Zemlin, Willard R. (1981). 1038:Journal of Medical Genetics 814:Journal of Medical Genetics 556:Journal of Medical Genetics 508: 417: 397: 10: 2509: 2396:Transcription coregulators 2166:with minor groove contacts 1553:Thyroid hormone resistance 1314:Zhou H, Aberdam D (2013). 1139:Children with Disabilities 982:Archives of Otolaryngology 603:. (6th ed.). McGraw-Hill. 599:Freedberg, et al. (2003). 88:, and also referred to as 2483:Syndromes affecting teeth 2428: 2418:Rubinstein–Taybi syndrome 2403: 2394: 2325: 2298: 2278: 2244:SRY XY gonadal dysgenesis 2214: 2188: 2172: 2163: 2129: 2049:Bamforth–Lazarus syndrome 2001: 1901: 1721: 1714: 1694: 1661:Duane-radial ray syndrome 1639: 1618: 1610:SF1 XY gonadal dysgenesis 1540: 1531: 1511: 1490: 1483: 1380: 1135:Batshaw, Mark L. (2002). 48: 43: 34: 26: 21: 2286:Cleidocranial dysostosis 1503:Saethre–Chotzen syndrome 624:. (10th ed.). Saunders. 244:production. Because the 128:urinary tract infections 107:disorder inherited as a 2468:Syndromes with dysmelia 2263:Waardenburg syndrome 4c 1963:Coloboma of optic nerve 1811:Tooth and nail syndrome 1651:Pallister–Hall syndrome 1282:10.1073/pnas.1201993110 1223:10.1073/pnas.1201753109 1184:"Chromosomes and Genes" 876:. Singular Pub. Group. 289:Conductive hearing loss 164:conductive hearing loss 2206:Ulnar–mammary syndrome 2164:(4) β-Scaffold factors 2144:Van der Woude syndrome 1676:Townes–Brocks syndrome 1549:Intracellular receptor 466: 375:This section is empty. 142:, missing or abnormal 2380:Limb–mammary syndrome 2368:Rapp–Hodgkin syndrome 2340:Pitt–Hopkins syndrome 1916:Papillorenal syndrome 1891:Mowat–Wilson syndrome 1797:Nail–patella syndrome 1681:Acrocallosal syndrome 515:Limb–mammary syndrome 473:In vitro model of EEC 461: 130:, obstruction of the 124:vesicoureteral reflux 2222:Campomelic dysplasia 2201:Li–Fraumeni syndrome 1686:Myotonic dystrophy 2 1656:Denys–Drash syndrome 1476:transcription factor 1050:10.1136/jmg.39.8.559 826:10.1136/jmg.39.6.377 569:10.1136/jmg.32.9.716 193:Ectodermal dysplasia 101:ectodermal dysplasia 76:ectodermal dysplasia 2016:Axenfeld syndrome 3 1830:Axenfeld syndrome 1 1769:SPD1 synpolydactyly 1534:DNA-binding domains 1436:OMIM entries on AEC 1273:2013PNAS..110.2157S 772:Cleft Palate Speech 209:including mammary, 2372:Hay–Wells syndrome 2196:Holt–Oram syndrome 1958:Gillespie syndrome 1877:Fuchs' dystrophy 3 1755:Currarino syndrome 1332:10.4161/rdis.24247 450:Genetic expression 105:autosomal dominant 99:is a rare form of 2455: 2454: 2451: 2450: 2321: 2320: 2294: 2293: 2159: 2158: 1736:Ohtahara syndrome 1710: 1709: 1580:Kennedy's disease 1527: 1526: 1498:Feingold syndrome 1484:(1) Basic domains 1472:Genetic disorders 1431: 1430: 1150:978-1-55766-581-2 883:978-1-56593-620-1 783:978-0-8151-3153-3 444:nonsense mutation 395: 394: 275:hypernasal speech 231:endothelial cells 132:nasolacrimal duct 68: 67: 16:Medical condition 2500: 2401: 2400: 2303: 2302: 2170: 2169: 1741:Lissencephaly X2 1719: 1718: 1626:Barakat syndrome 1538: 1537: 1488: 1487: 1465: 1458: 1451: 1442: 1441: 1378: 1377: 1354: 1353: 1343: 1311: 1305: 1304: 1294: 1284: 1267:(6): 2157–2162. 1252: 1246: 1245: 1235: 1225: 1216:(6): 2152–2156. 1201: 1195: 1194: 1192: 1191: 1179: 1170: 1169: 1168:. Prentice-Hall. 1161: 1155: 1154: 1142: 1132: 1126: 1125: 1115: 1083: 1072: 1071: 1061: 1029: 1006: 1005: 977: 971: 970: 934: 923: 922: 894: 888: 887: 875: 865: 848: 847: 837: 805: 788: 787: 775: 765: 748: 747: 728:10.1597/03-080.1 711: 702: 701: 683: 665: 656: 633: 618: 612: 597: 591: 590: 580: 546: 390: 387: 377:You can help by 370: 363: 64: 63: 55:Medical genetics 39: 19: 18: 2508: 2507: 2503: 2502: 2501: 2499: 2498: 2497: 2458: 2457: 2456: 2447: 2424: 2390: 2317: 2313:Kabuki syndrome 2290: 2274: 2210: 2184: 2165: 2155: 2125: 1997: 1897: 1706: 1690: 1635: 1614: 1533: 1532:(2) Zinc finger 1523: 1507: 1479: 1478:or coregulators 1469: 1432: 1427: 1426: 1389: 1375: 1363: 1361:Further reading 1358: 1357: 1312: 1308: 1253: 1249: 1202: 1198: 1189: 1187: 1180: 1173: 1162: 1158: 1151: 1133: 1129: 1084: 1075: 1030: 1009: 978: 974: 935: 926: 895: 891: 884: 866: 851: 806: 791: 784: 766: 751: 712: 705: 663: 657: 636: 619: 615: 598: 594: 547: 543: 538: 511: 495:Francesca Jones 488: 475: 452: 440: 420: 400: 391: 385: 382: 361: 298: 271: 269:Speech deficits 255: 253:Facial clefting 195: 177: 172: 162:anomalies, and 58: 17: 12: 11: 5: 2506: 2496: 2495: 2493:Rare syndromes 2490: 2485: 2480: 2475: 2473:Genodermatoses 2470: 2453: 2452: 2449: 2448: 2446: 2445: 2432: 2430: 2426: 2425: 2423: 2422: 2421: 2420: 2407: 2405: 2398: 2392: 2391: 2389: 2388: 2387: 2386: 2358: 2357: 2356: 2344: 2343: 2342: 2329: 2327: 2323: 2322: 2319: 2318: 2316: 2315: 2309: 2307: 2300: 2296: 2295: 2292: 2291: 2289: 2288: 2282: 2280: 2276: 2275: 2273: 2272: 2271: 2270: 2265: 2253: 2252: 2251: 2246: 2234: 2229: 2224: 2218: 2216: 2212: 2211: 2209: 2208: 2203: 2198: 2192: 2190: 2186: 2185: 2183: 2182: 2176: 2174: 2167: 2161: 2160: 2157: 2156: 2154: 2153: 2152: 2151: 2146: 2133: 2131: 2127: 2126: 2124: 2123: 2122: 2121: 2109: 2108: 2107: 2095: 2094: 2093: 2081: 2080: 2079: 2067: 2066: 2065: 2053: 2052: 2051: 2039: 2038: 2037: 2025: 2024: 2023: 2018: 2005: 2003: 1999: 1998: 1996: 1995: 1994: 1993: 1981: 1980: 1979: 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1104:10.1086/301687 1098:(1): 130–135. 1073: 1044:(8): 559–566. 1007: 988:(5): 300–304. 972: 945:(5): 504–518. 924: 905:(3): 479–481. 889: 882: 849: 820:(6): 377–381. 789: 782: 749: 722:(5): 501–506. 703: 674:(2): 143–153. 634: 613: 592: 563:(9): 716–723. 540: 539: 537: 534: 533: 532: 527: 522: 517: 510: 507: 506: 505: 487: 486:Notable people 484: 474: 471: 451: 448: 439: 436: 419: 416: 399: 396: 393: 392: 373: 371: 360: 357: 297: 294: 270: 267: 254: 251: 194: 191: 176: 173: 171: 168: 66: 65: 52: 46: 45: 41: 40: 32: 31: 28: 24: 23: 15: 9: 6: 4: 3: 2: 2505: 2494: 2491: 2489: 2486: 2484: 2481: 2479: 2476: 2474: 2471: 2469: 2466: 2465: 2463: 2443: 2439: 2438: 2434: 2433: 2431: 2427: 2419: 2416: 2415: 2414: 2413: 2409: 2408: 2406: 2402: 2399: 2397: 2393: 2385: 2381: 2377: 2373: 2369: 2366: 2365: 2364: 2363: 2359: 2355: 2352: 2351: 2350: 2349: 2345: 2341: 2338: 2337: 2336: 2335: 2331: 2330: 2328: 2324: 2314: 2311: 2310: 2308: 2304: 2301: 2297: 2287: 2284: 2283: 2281: 2277: 2269: 2266: 2264: 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1337: 1333: 1329: 1325: 1321: 1320:Rare Diseases 1317: 1310: 1302: 1298: 1293: 1288: 1283: 1278: 1274: 1270: 1266: 1262: 1258: 1251: 1243: 1239: 1234: 1229: 1224: 1219: 1215: 1211: 1207: 1200: 1185: 1178: 1176: 1167: 1160: 1152: 1146: 1141: 1140: 1131: 1123: 1119: 1114: 1109: 1105: 1101: 1097: 1093: 1089: 1082: 1080: 1078: 1069: 1065: 1060: 1055: 1051: 1047: 1043: 1039: 1035: 1028: 1026: 1024: 1022: 1020: 1018: 1016: 1014: 1012: 1003: 999: 995: 991: 987: 983: 976: 968: 964: 960: 956: 952: 948: 944: 940: 933: 931: 929: 920: 916: 912: 908: 904: 900: 893: 885: 879: 874: 873: 864: 862: 860: 858: 856: 854: 845: 841: 836: 831: 827: 823: 819: 815: 811: 804: 802: 800: 798: 796: 794: 785: 779: 774: 773: 764: 762: 760: 758: 756: 754: 745: 741: 737: 733: 729: 725: 721: 717: 710: 708: 699: 695: 691: 687: 682: 677: 673: 669: 662: 655: 653: 651: 649: 647: 645: 643: 641: 639: 631: 630:0-7216-2921-0 627: 623: 617: 610: 609:0-07-138076-0 606: 602: 596: 588: 584: 579: 574: 570: 566: 562: 558: 557: 552: 545: 541: 531: 528: 526: 523: 521: 518: 516: 513: 512: 504: 500: 499:tennis player 496: 493: 492: 491: 483: 479: 470: 465: 460: 456: 447: 445: 435: 433: 427: 425: 424:Chromosome 19 415: 413: 409: 405: 389: 380: 376: 372: 369: 365: 364: 356: 354: 349: 345: 343: 339: 335: 331: 327: 323: 319: 315: 311: 307: 303: 293: 290: 286: 282: 280: 276: 266: 264: 260: 250: 247: 243: 239: 234: 232: 228: 224: 220: 216: 212: 208: 204: 200: 190: 188: 183: 182: 167: 165: 161: 157: 153: 149: 145: 141: 137: 133: 129: 125: 121: 120:facial clefts 117: 113: 110: 106: 102: 98: 96: 91: 87: 83: 81: 77: 73: 62: 56: 53: 51: 47: 42: 38: 33: 29: 25: 20: 2435: 2429:Corepressor: 2410: 2404:Coactivator: 2375: 2360: 2346: 2332: 2255: 2236: 2136: 2111: 2097: 2083: 2069: 2055: 2041: 2027: 2008: 1983: 1969: 1950: 1936: 1922: 1908: 1883: 1864: 1850: 1836: 1822: 1803: 1789: 1775: 1761: 1747: 1728: 1415: 1404: 1393: 1323: 1319: 1309: 1264: 1260: 1250: 1213: 1209: 1199: 1188:. Retrieved 1165: 1159: 1138: 1130: 1095: 1091: 1041: 1037: 985: 981: 975: 942: 938: 902: 898: 892: 871: 817: 813: 771: 719: 715: 671: 667: 621: 616: 600: 595: 560: 554: 544: 489: 480: 476: 467: 462: 457: 453: 441: 428: 421: 412:reproduction 401: 383: 379:adding to it 374: 350: 346: 299: 283: 279:Articulation 272: 263:cleft palate 256: 235: 215:internal ear 199:sweat glands 196: 184: 178: 175:Ectrodactyly 170:Presentation 126:, recurrent 116:ectrodactyly 93: 90:EEC syndrome 89: 85: 72:Ectrodactyly 70: 69: 30:EEC syndrome 408:chromosomes 322:spinal cord 246:vocal folds 156:photophobia 27:Other names 2462:Categories 1417:DiseasesDB 1326:: e24247. 1190:2008-10-01 536:References 525:Cleft hand 386:March 2017 359:Management 353:mesenchyme 302:stem cells 296:Embryology 223:hypodermis 148:hypoplasia 95:split hand 2326:Ungrouped 967:208150324 776:. Mosby. 438:Mutations 404:karyotype 332:vessels, 259:cleft lip 238:phonation 211:pituitary 207:epidermis 146:, enamel 50:Specialty 1350:25002990 1301:23355676 1242:23355677 1068:12161593 959:11522173 844:12070241 744:20874635 736:15352854 698:18193864 690:10535733 509:See also 418:Genetics 398:Research 314:endoderm 310:mesoderm 306:ectoderm 285:Language 187:ectoderm 82:syndrome 2077:ACD/MPV 1411:C536189 1341:3932939 1292:3568378 1269:Bibcode 1233:3568301 1186:. Merck 1122:9443880 1113:1376811 1059:1735218 1002:7224950 919:8737656 835:1735150 587:8544192 578:1051673 152:eyelids 109:genetic 2412:CREBBP 2232:MODY 5 2227:MODY 3 1991:STHAG3 1944:MODY 9 1852:POU3F4 1844:DFNA15 1838:POU4F3 1783:MODY 4 1763:HOXD13 1671:MRX 89 1666:MODY 7 1600:MODY 1 1400:129900 1348:  1338:  1299:  1289:  1240:  1230:  1147:  1120:  1110:  1066:  1056:  1000:  965:  957:  917:  880:  842:  832:  780:  742:  734:  696:  688:  628:  607:  585:  575:  432:tumors 334:muscle 324:, and 312:, and 227:dentin 219:dermis 160:kidney 57:  2354:TNDM1 2348:ZFP57 2257:SOX10 2113:FOXP3 2099:FOXL2 2085:FOXI1 2071:FOXF1 2057:FOXE3 2043:FOXE1 2029:FOXC2 2010:FOXC1 1858:DFNX2 1824:PITX2 1791:LMX1B 1422:34402 963:S2CID 740:S2CID 694:S2CID 664:(PDF) 342:lungs 330:blood 326:teeth 242:voice 203:nails 144:teeth 112:trait 103:, an 84:, or 80:cleft 2384:OFC8 2362:TP63 2334:TCF4 2279:4.11 2138:IRF6 2119:IPEX 1985:PAX9 1971:PAX8 1952:PAX6 1938:PAX4 1924:PAX3 1910:PAX2 1885:ZEB2 1866:ZEB1 1816:OFC5 1805:MSX1 1777:PDX1 1749:MNX1 1573:CAIS 1568:MAIS 1563:PAIS 1406:MeSH 1395:OMIM 1346:PMID 1297:PMID 1238:PMID 1145:ISBN 1118:PMID 1064:PMID 998:PMID 955:PMID 915:PMID 878:ISBN 840:PMID 778:ISBN 732:PMID 686:PMID 668:Cell 626:ISBN 605:ISBN 583:PMID 338:bone 336:and 318:skin 240:and 140:skin 138:and 136:hair 92:and 2306:0.6 2238:SF1 2215:4.7 2189:4.3 2173:4.2 2130:3.5 2002:3.3 1902:3.2 1730:ARX 1722:3.1 1695:2.5 1640:2.3 1619:2.2 1551:): 1541:2.1 1512:1.3 1491:1.2 1336:PMC 1328:doi 1287:PMC 1277:doi 1265:110 1228:PMC 1218:doi 1214:110 1108:PMC 1100:doi 1054:PMC 1046:doi 990:doi 986:107 947:doi 907:doi 830:PMC 822:doi 724:doi 676:doi 573:PMC 565:doi 381:. 86:EEC 2464:: 2437:HR 1420:: 1409:: 1398:: 1344:. 1334:. 1322:. 1318:. 1295:. 1285:. 1275:. 1263:. 1259:. 1236:. 1226:. 1212:. 1208:. 1174:^ 1116:. 1106:. 1096:62 1094:. 1090:. 1076:^ 1062:. 1052:. 1042:39 1040:. 1036:. 1010:^ 996:. 984:. 961:. 953:. 943:38 941:. 927:^ 913:. 903:63 901:. 852:^ 838:. 828:. 818:39 816:. 812:. 792:^ 752:^ 738:. 730:. 720:41 718:. 706:^ 692:. 684:. 672:99 670:. 666:. 637:^ 581:. 571:. 561:32 559:. 553:. 503:UK 501:, 497:- 320:, 308:, 225:, 221:, 166:. 154:, 2444:) 2440:( 2382:/ 2378:/ 2374:/ 2370:/ 1649:/ 1547:( 1464:e 1457:t 1450:v 1387:D 1352:. 1330:: 1324:1 1303:. 1279:: 1271:: 1244:. 1220:: 1193:. 1153:. 1124:. 1102:: 1070:. 1048:: 1004:. 992:: 969:. 949:: 921:. 909:: 886:. 846:. 824:: 786:. 746:. 726:: 700:. 678:: 632:. 611:. 589:. 567:: 388:) 384:( 78:– 74:–

Index


Specialty
Medical genetics
Edit this on Wikidata
Ectrodactyly
ectodermal dysplasia
cleft
split hand
ectodermal dysplasia
autosomal dominant
genetic
trait
ectrodactyly
facial clefts
vesicoureteral reflux
urinary tract infections
nasolacrimal duct
hair
skin
teeth
hypoplasia
eyelids
photophobia
kidney
conductive hearing loss

ectoderm
sweat glands
nails
epidermis

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