CHILD Syndrome


Figure 2.35 A: ILC in Netherton syndrome (Courtesy of Dr. Michelle B. Bain) B: CHILD syndrome (Reprint from Burgdorf WH, Plewig G, Wolff HH, Landthaler M, eds. Braun-Falco’s Dermatology. 3rd ed. Heidelberg: Springer; 2009) C: Chondrodysplasia punctata (Reprint from Laxer RM , ed. The Hospital for Sick Children: Atlas of Pediatrics. Philadelphia, PA: Current Medicine; 2005)
Figure 2.35
A: ILC in Netherton syndrome
(Courtesy of Dr. Michelle
B. Bain
)
B: CHILD syndrome
(Reprint from Burgdorf WH,
Plewig G, Wolff HH,
Landthaler M, eds. Braun-
Falco’s Dermatology. 3rd ed.
Heidelberg: Springer; 2009
)
C: Chondrodysplasia punctata
(Reprint from Laxer RM, ed.
The Hospital for Sick Children:
Atlas of Pediatrics. Philadelphia,
PA: Current Medicine; 2005
)
(Figure 2.35B)
  • Congenital hemidysplasia with ichthyosiform erythroderma and limb defects
  • XLD, NSDHL gene defect, encodes NADPH steroid dehydrogenase-like protein (enzyme 3b-hydroxysteroid-dehydrogenase)
  • Presents at or near birth with striking unilateral ichthyotic erythroderma (face typically spared); over time erythema fades while hyperkeratosis persists
  • Ipsilateral alopecia, ipsilateral organ aplasia/agenesis, ± cleft palate
  • Ipsilateral skeletal defects such as hypoplasia of digits or ribs to complete amelia, stippled epiphyses (seen in early infancy and resolves during childhood)