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Living with Trichoodontoonychial dysplasia

A very rare genetic condition affecting hair, teeth, nails, skull bone, and skin.

Understanding Trichoodontoonychial dysplasia

Trichoodontoonychial dysplasia is a rare genetic ectodermal dysplasia that affects the hair, teeth, nails, and skin.

People have very sparse hair, tooth enamel that is poorly formed with later tooth loss, changes in the nails, and a bone gap in the front-side area of the skull. Skin features can include moles, small bumps, freckles, thick palms and soles, and extra nipples. It is noticed in the newborn period or infancy. GARD says there have been no further descriptions in the medical literature since 1983.

Signs & symptoms

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

  • Very sparse hair and hair loss at the top sides of the head
  • Poorly formed tooth enamel
  • Nail changes (onychodystrophy)
  • Thin bone in the skull
  • Thick skin on the palms and soles
  • Extra nipples

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, 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
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
Which dental care and dental specialist would help?
Would genetic counseling help our family?
Which skin, hair, and nail care do you recommend?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says this condition is autosomal recessive, so a child inherits a changed copy of a gene from each parent. It doesn't name a specific gene.

GeneticSkin

Also known as: trichoodontoonychial dysplasia with bone deficiency in frontoparietal region

Patient organizations

Source: NIH GARD · Trichoodontoonychial dysplasiaGARD ID 5267 · 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 Trichoodontoonychial dysplasia.

Explore the Trichoodontoonychial dysplasia blog

Explore research for Trichoodontoonychial dysplasia

Explore actively recruiting Trichoodontoonychial dysplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Trichoodontoonychial dysplasia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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