Related Experiment Video
Updated: Feb 27, 2026

Author Spotlight: Three-Dimensional Cephalometric Landmark Annotation Demonstration on Human Cone Beam Computed Tomography Scans
Published on: September 8, 2023
The focal facial dermal dysplasias: phenotypic spectrum and molecular genetic heterogeneity
Beom Hee Lee1,2, Aneel Aggarwal3, Anne Slavotinek4
1Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, USA.
Abstract:
Focal facial dermal dysplasias (FFDDs) are rare genetic/developmental disorders characterised by bilateral 'scar-like' facial lesions. Four subtypes are classified by the bitemporal (FFDD1-3) or preauricular (FFDD4) lesion location. FFDD1-3 are differentiated by additional facial abnormalities and inheritance patterns. Although the genetic defects causing FFDD1 and FFDD2 remain unknown, recent studies identified defects causing FFDD3 and FFDD4. Here, the clinical phenotypes, genetic defects and inheritance of the four FFDD subtypes are described. In addition, the overlapping facial abnormalities in FFDD3 and two other genetic disorders, Ablepharon macrostomia syndrome and Barber-Say syndrome, are noted. Familiarity with the FFDDs by clinicians will further delineate the phenotypes and genetic/developmental defects of these dermal facial disorders.
Insights
Focal facial dermal dysplasias (FFDDs) are rare genetic disorders causing facial lesions. This study details the four subtypes, their clinical features, genetic causes, and inheritance patterns, aiding in diagnosis.
Area of Science:
- Genetics
- Developmental Biology
- Dermatology
Background:
- Focal facial dermal dysplasias (FFDDs) are rare genetic/developmental disorders.
- Characterized by bilateral, scar-like facial lesions.
- Four subtypes (FFDD1-4) are classified by lesion location and additional abnormalities.
Purpose of the Study:
- To describe the clinical phenotypes, genetic defects, and inheritance of the four FFDD subtypes.
- To highlight overlapping facial abnormalities in FFDD3 with other genetic syndromes.
- To improve clinical recognition and delineation of FFDDs.
Main Methods:
- Review of clinical phenotypes.
- Analysis of genetic defects.
- Examination of inheritance patterns.
Main Results:
- Detailed description of the four FFDD subtypes.
- Identification of genetic defects for FFDD3 and FFDD4.
- Noted overlap in facial abnormalities between FFDD3, Ablepharon macrostomia syndrome, and Barber-Say syndrome.
Conclusions:
- Familiarity with FFDD subtypes is crucial for clinicians.
- Further delineation of phenotypes and genetic defects is needed.
- Understanding genetic causes aids in diagnosis and management of these rare disorders.
Related Concept Videos
Desmosomes
Pleiotropy
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Pedigree Analysis
Principles of Pharmacogenetics: Types of Genetic Variants

