Main clinical features
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cutaneous fragility and congenital ectodermal dysplasia, affecting skin, hair and nails
blistering and desquamation on face, limbs, and buttocks, hair short and sparse, and nails thickened and dystrophic, trauma-induced tearing and blisters on the pressure points of the soles after prolonged standing or walking
light microscopy of the skin revealed thickening of the epidermis and extensive widening of keratinocyte intercellular spaces, extending from the first suprabasal layer upward.; electron microscopy showed a loss of keratinocyte-keratinocyte adhesion, and desmosomes, particularly in the lower suprabasal layers |