Gender and Genodermatoses

  • Sivan Sheffer Levi
  • Vered Molho-Pessach


Inherited skin disorders that have gender specific expression, are those genodermatoses that involve the sex chromosomes. These include the X-linked genodermatoses (recessive and dominant) and sex chromosome abnormalities. The normal X inactivation (lyonization) which occurs in females and results in functional mosaicism, determines the variable phenotypic expression of the same genetic defect, among genders. In recessive X-linked disorders males are affected, while females may be asymptomatic or present with variable and usually mild phenotype, following a mosaic pattern of distribution. Dominant X-linked disorders are usually lethal in male embryos and are seen almost exclusively in female heterozygotes, usually presenting with Blaschko-linear skin involvement. In this chapter, we will review the various X-linked genodermatoses, as well as the cutaneous features of sex chromosomal abnormalities.


Genodermatoses X chromosome Y chromosome Sex chromosome abnormalities X chromosome inactivation X linked recessive X linked dominant Functional mosaicism Blaschkolinear skin involvement 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sivan Sheffer Levi
    • 1
  • Vered Molho-Pessach
    • 1
  1. 1.Department of DermatologyHadassah-Hebrew University Medical CenterJerusalemIsrael

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