European Journal of Pediatrics

, Volume 160, Issue 12, pp 728–731

Trichothiodystrophy with severe cardiac and neurological involvement in two sisters

  • Sandra P. Toelle
  • Emanuela Valsangiacomo
  • Eugen Boltshauser
Original Paper

DOI: 10.1007/s004310100845

Cite this article as:
Toelle, S.P., Valsangiacomo, E. & Boltshauser, E. Eur J Pediatr (2001) 160: 728. doi:10.1007/s004310100845

Abstract.

Trichothiodystrophy or sulphur-deficient brittle hair is a clinical marker for several autosomal recessive neurocutaneous syndromes. The typical hair abnormality is frequently associated with many alterations affecting the skin, nervous system, eyes and bones as well as the immune, gonadal and endocrine systems. We report the first cases of dilated cardiomyopathy in two sisters with trichothiodystrophy, leading to cerebral infarction in the younger one. In addition, both suffer from severe hearing impairment, osteosclerosis, and psychomotor retardation with central hypomyelination. Conclusion: severe cardiac involvement and stroke may be associated features of trichothiodystrophy.

Cardiomyopathy Congenital heart defect Hypomyelination Stroke Trichothiodystrophy

Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Sandra P. Toelle
    • 1
  • Emanuela Valsangiacomo
    • 2
  • Eugen Boltshauser
    • 1
  1. 1.Division of Neurology, University Children's Hospital, Steinwiesstrasse 75, 8032 ZurichSwitzerland
  2. 2.Division of Cardiology, University Children's Hospital, ZurichSwitzerland