Pathology · single question

A patient has fine wrinkled skin, sparse/brittle hair, and missing teeth. What is the most likely diagnosis?

  1. Ectodermal dysplasia
  2. Down syndrome
  3. Cleidocranial dysplasia
  4. Osteogenesis imperfecta
Show answer and explanation

Correct answer: A. Ectodermal dysplasia

  • A. Correct. Ectodermal dysplasia affects ectoderm-derived tissues: hypodontia/conical teeth, sparse fine hair (hypotrichosis), dry wrinkled skin, and reduced sweating.
  • B. Down syndrome features include microdontia, periodontal disease, and characteristic facies — not the hair/skin triad.
  • C. Cleidocranial dysplasia gives multiple supernumerary/unerupted teeth and clavicular defects.
  • D. Osteogenesis imperfecta affects bone and (with DI) teeth, not hair/skin in this pattern.

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