Blepharocheilodontic syndrome Overview Blepharocheilodontic (BCD) syndrome is a rare, inherited genetic disorder present at birth that primarily affects the eyelids (blepharo--), upper lip (-cheilo--), and teeth (-dontic-). It follows an autosomal dominant inheritance pattern and is typically caused by variants in the CDH1 or CTNND1 genes, which disrupt normal cell-to-cell adhesion pathways. Symptoms Eye and Eyelid Features • Ectropion: The lower eyelids turn outward, exposing the inner surface. • Euryblepharon: The outer part of the lower eyelid sags away from the eye. • Lagophthalmia: Inability to close the eyelids completely. • Distichiasis: An extra row of eyelashes grows out of the inner lining of the upper eyelid, which can scratch and damage the cornea. • Hypertelorism: Widely spaced eyes, often accompanied by a flat face and a high forehead Oral and Dental Features • Cleft Lip and Palate: Bilateral (both sides) cleft lip and an opening in the roof of the mouth (cleft p...
Epidermolytic hyperkeratosis (EHK) Overview Epidermolytic hyperkeratosis (EHK), now more commonly called epidermolytic ichthyosis, is a rare, genetic skin disorder characterized by severe blistering at birth and thick, scaly skin development later in life. Symptoms • Widespread redness (erythroderma): Skin appears bright red or raw at birth. • Blisters and peeling: Fragile skin easily forms fluid-filled blisters (bullae) and peels away (denuded skin) with minor friction or touch. • Systemic risks: Missing skin barriers can lead to dangerous dehydration, electrolyte imbalances, and severe skin or systemic infections (sepsis). • Thickened skin (hyperkeratosis): Blistering decreases over time, and the skin forms thick, dark-brown, gray, or yellowish-white scales or verrucous (wart-like) plaques. • Flexural involvement: Thickening is often most prominent over skin creases and joints (such as the elbows, knees, neck, wrists, and ankles). • Painful fissuring and erosions : The hardened s...