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Living with Ectodermal dysplasia-syndactyly syndrome

A rare inherited condition with sparse or missing hair, small cone-shaped teeth, thick skin on the palms and soles, and webbed fingers and toes.

Understanding Ectodermal dysplasia-syndactyly syndrome

Ectodermal dysplasia-syndactyly syndrome is a rare inherited ectodermal dysplasia with hair and tooth differences and partly joined fingers and toes.

People have sparse to absent scalp hair, eyebrows, and eyelashes. Teeth are widely spaced and cone- or peg-shaped, with thin enamel. The skin on the palms and soles is thickened. Fingers and toes are partly joined by skin (syndactyly). Signs show up in the newborn and infant years.

Signs & symptoms

GARD doesn't list specific symptoms for this condition separately, but the summary describes these features:

  • Sparse or missing scalp hair, eyebrows, and eyelashes
  • Widely spaced, cone-shaped teeth
  • Thin tooth enamel
  • Thick skin on the palms and soles
  • Partly joined fingers and toes (syndactyly)

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 genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in NECTIN4 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 may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); 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
Would genetic testing for the NECTIN4 gene help our family?
What dental care and tooth replacement options are available?
Is surgery helpful for the joined fingers and toes?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesNECTIN4

GARD says changes in the NECTIN4 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticSkin

Also known as: ectodermal dysplasia syndactyly syndrome; ectodermal dysplasia-syndactyly syndrome type 1; edss; edss1

Patient organizations

Source: NIH GARD · Ectodermal dysplasia-syndactyly syndromeGARD ID 17198 · 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 Ectodermal dysplasia-syndactyly syndrome.

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