IFAP Syndrome with or without Bresheck Syndrome

Alternative Names

  • Ichthyosis Follicularis, Atrichia, and Photophobia Syndrome
  • Ichthyosis Follicularis, Atrichia, and Photophobia with or without Brain Anomalies, Retardation, Ectodermal Dysplasia, Skeletal Malformations, Hirschsprung Disease, Ear/Eye Anomalies, Cleft Palate/Cryptorchidism, and Kidney Dysplasia/Hypoplasia
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WHO-ICD-10 version:2010

Congenital malformations, deformations and chromosomal abnormalities

Other congenital malformations

OMIM Number

308205

Mode of Inheritance

X-linked recessive

Gene Map Locus

Xp22.12

Description

IFAP syndrome is characterized by ichthyosiform lesions, striking alopecia, short stature, severe photophobia, and mental retardation. Two kinds of dermatological abnormalities have been described in IFAP. The 'classical' IFAP syndrome is characterized by the presence of generalized cutaneous thorn-like projections, giving a 'nutmeg grater' or 'prickly surface of a rose leaf' feeling. However, atypical cases of the syndrome show a generalized lamellar desquamation, with well demarcated psoriasiform lesions involving the buttocks, gluteal fold, or the limbs, associated with inguinal hernia and/or ectrodactyly. 

Epidemiology in the Arab World

View Map
Subject IDCountrySexFamily HistoryParental ConsanguinityHPO TermsVariantZygosityMode of InheritanceReferenceRemarks
308205.1.1LebanonMaleYes Alopecia; Ichthyosis follicularis; Pso...NM_015884.3:c.1424T>CHemizygousX-linked, RecessiveNemer et al, 2017; Bornholdt et al. 2013 Sibling of 308205.1....
308205.1.2LebanonMaleYes Alopecia; Ichthyosis follicularis; Pso...NM_015884.3:c.1424T>CHemizygousX-linked, RecessiveNemer et al, 2017; Bornholdt et al. 2013 Sibling of 308205.1....
308205.2.1SyriaMaleYes Generalized keratosis follicularis; Alop...NM_015884.3:c.1499G>AHemizygousX-linked, RecessiveBornholdt et al. 2013
308205.2.2SyriaMaleYes Generalized keratosis follicularis; Alop...NM_015884.3:c.1499G>AHemizygousX-linked, RecessiveBornholdt et al. 2013 Sibling of 308205.2....
308205.3AlgeriaMale Follicular hyperkeratosis; Congenital al...NM_015884.3:c.1430A>THemizygousX-linked, RecessiveBornholdt et al. 2013

Other Reports

Lebanon

Megarbane et al. (2004) reported the case of two siblings diagnosed with IFAP syndrome, born to non-consanguineous Lebanese parents. They noted that these cases had several overlapping symptoms with dermotrichic syndrome, indicating that both the disorders could be one and the same.  Later, Traboulsi et al. (2004) reported the ocular findings in two siblings described by Megarbane et al. (2004) with IFAP and their mother to review the natural course of the keratopathy of this disease.

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