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Living with Cleft lip/palate-ectodermal dysplasia syndrome

A rare genetic condition, also called Zlotogora-Ogur syndrome, with cleft lip and palate and differences in hair, skin, and teeth.

Understanding Cleft lip/palate-ectodermal dysplasia syndrome

Cleft lip/palate-ectodermal dysplasia syndrome, also called Zlotogora-Ogur syndrome, is an ectodermal dysplasia syndrome.

Features include differences in the hair, skin, and teeth, facial differences with cleft lip and palate, webbed fingers or toes (cutaneous syndactyly), and in some cases intellectual disability. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Cleft lip and palate
  • Differences in teeth
  • Sparse or missing eyebrows
  • Underdeveloped cheekbones
  • Differences in speech
  • Underactive gonads (hypogonadism)

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 brain and nervous system specialists, ear, nose, and throat specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in NECTIN1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias, World Craniofacial Foundation
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
Can NECTIN1 genetic testing confirm the diagnosis?
How can we care for hair, skin, and teeth differences?
Which specialists should plan cleft care?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesNECTIN1

GARD says changes in the NECTIN1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkin

Also known as: cleft lip and cleft palate with ectodermal dysplasia syndrome; cleft lip and palate with syndactyly and pili torti; cleft lip/palate-syndactyly-pili torti syndrome; clped1; ectodermal dysplasia, margarita island type; ectodermal dysplasia, type 4

Patient organizations

Source: NIH GARD · Cleft lip/palate-ectodermal dysplasia syndromeGARD ID 375 · 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 Cleft lip/palate-ectodermal dysplasia syndrome.

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