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Living with Trichodysplasia-xeroderma syndrome

An extremely rare genetic condition with sparse, brittle, dry hair and dry skin from birth.

Understanding Trichodysplasia-xeroderma syndrome

Trichodysplasia-xeroderma syndrome is an extremely rare condition that affects the hair shaft and skin.

Scalp hair is sparse, coarse, brittle, very dry, and slow-growing. Underarm and pubic hair, eyelashes, and eyebrows are sparse or missing, and the skin is dry. It is noticed at birth. GARD says there have been no further descriptions in the medical literature since 1987.

Signs & symptoms

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

  • Sparse, slow-growing scalp hair
  • Brittle, coarse hair
  • Flattened, twisted hair (pili torti)
  • Sparse eyebrows and body hair
  • Dry skin
  • Hair breaks easily (trichorrhexis nodosa)

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. Ask which tests can help

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

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Children's Skin Disease Foundation
  • 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
Which skin care do you recommend for dry skin?
How is the hair shaft checked under a microscope?
Would genetic counseling help our family?

Quick facts

Symptoms usually startNewborn

GARD says changes in genes (variants) cause this condition, but it doesn't name a specific gene.

GeneticSkin

Also known as: trichodysplasia-xeroderma

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Trichodysplasia-xeroderma syndromeGARD ID 5261 · 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 Trichodysplasia-xeroderma syndrome.

Explore the Trichodysplasia-xeroderma syndrome blog

Explore research for Trichodysplasia-xeroderma syndrome

Explore actively recruiting Trichodysplasia-xeroderma syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Trichodysplasia-xeroderma syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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