Main clinical features
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brittle hair and nails (because of reduced content of cysteine-rich matrix proteins), ichthyotic skin, and physical, microcephaly and hypomyelination and mental retardation, sulfur-deficient brittle hair and neuroectodermal symptoms
photosensitivity, ichthyosis, brittle hair, intellectual impairment, ocular abnormalities (cataract), decreased fertility, and short stature (Faghri 2008)
half of TTD patients exhibit photosensitivity, resulting from the defect in the nucleotide excision repair (Hashimoto 2009)
light microscopy test of hair shaft reveals trichoschisis; there is a cleaving, breaking, irregular and flattening hair surface like a trichorrhexis nodosa |