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Living with Autosomal dominant hypohidrotic ectodermal dysplasia

An inherited condition with thin hair, less sweating, and missing or oddly formed teeth.

Understanding Autosomal dominant hypohidrotic ectodermal dysplasia

Autosomal dominant hypohidrotic ectodermal dysplasia (HED) is an inherited condition with thin hair, reduced sweating, and missing teeth.

The classic features become clear in childhood. Scalp hair is thin, lightly colored, and slow growing. Sweating is greatly reduced, which can lead to overheating until people learn ways to control temperature. Only a few abnormally shaped teeth come in, later than average. Growth and development are otherwise normal. Mild forms have milder features.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Reduced ability to sweat (hypohidrosis)
  • Sparse scalp and body hair
  • Missing teeth (hypodontia)
  • Oddly shaped teeth
  • Thin skin
  • Nail changes

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists, genetic specialists, gum, teeth and mouth specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Foundation for Ectodermal Dysplasias and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can I stay safe in hot weather or during illness?
Which dental options work for missing teeth?
Would genetic testing help my family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticSkin

Also known as: ad-hed; autosomal dominant anhidrotic ectodermal dysplasia; autosomal dominant hypohidrotic ectodermal dysplasia syndrome; hypohidrotic ectodermal dysplasia, autosomal dominant

Patient organizations

Source: NIH GARD · Autosomal dominant hypohidrotic ectodermal dysplasiaGARD ID 2048 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autosomal dominant hypohidrotic ectodermal dysplasia.

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