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Congenital Milia With Alopecia and Multisystem Anomalies in Oral-Facial-Digital Syndrome Type 1
Kawtar El Fid1,2, Meryem Soughi1,2, Chaimae Bouhamdi1,2
1Deparment of Dermatology, Centre Hospitalier Universitaire Hassan II, Fez, Morocco.
Insights
Congenital milia can be an early indicator of Oral-facial-digital syndrome type 1 (OFD1), an X-linked dominant ciliopathy. This case report details a child with OFD1, emphasizing milia as a key diagnostic sign.
Area of Science:
- Genetics
- Developmental Biology
- Ciliopathies
Background:
- Oral-facial-digital syndrome type 1 (OFD1) is a rare X-linked dominant ciliopathy.
- It presents with characteristic facial, oral, and digital malformations, frequently involving neurological deficits.
- Early identification is crucial for managing associated health issues.
Abstract:
Oral-facial-digital syndrome type 1 (OFD1) is an X-linked dominant ciliopathy characterized by facial, oral, and digital anomalies, often with neurological involvement. We report an 11-month-old girl presenting with multiple congenital milia on the cheeks, forehead, and auricular helices, accompanied by sparse wiry hair, partial occipital alopecia, and trichoscopic features of pili torti and comma-shaped black dots. Additional findings included craniofacial and oral anomalies, brachydactyly, preaxial polydactyly type 1 (PPD1), and agenesis of the corpus callosum with intracerebral cysts. This case highlights the diagnostic significance of congenital milia as an early clue for recognizing OFD1.
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