Skip to main content

Child Syndrome

  • Chapter
  • First Online:
Neurocutaneous Disorders
  • 807 Accesses

Abstract

In 1903, Otto Sachs published the first case with xanthoma-like naevus. The acronym CHILD stands for congenital hemidysplasia, ichthyosiform erythroderma and limb defects, akin to other cases in the literature coined as ichthyosiform erythroderma, erythrokeratoderma, epidermal naevus, ectromelia, inflammatory epidermal naevus and limb and skin deformities with congenital heart disease. The condition predominates the female gender (lethal male trait) and right hemibody for obscure reasons. Mutations occur in the NSDHL gene at Xq28 locus, encoding for NAD(P)-dependent 3-β-hydroxysterol dehydrogenase found in the endoplasmic reticulum and involved in cholesterol biosynthesis. Symptomatic treatment varies according to the severity of phenotypic expression.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sachs O. Beiträge zur Histologie der weichen Naevi. Ein Fall von spitzem Kondylom am kleinen Finger der rechten Hand, xanthomartigen Naevus verrucosus der rechten Achselhöhle und mehreren über den körper vertreuten Naevi lineares. Arch Dermatol Syphilis. 1903;66:101–26.

    Article  Google Scholar 

  2. Zellweger H, Üehlinger E. Ein Fall von halbseitiger Knochenchondromatose (Ollier) mit Naevus ichthyosiformis. Helv Paediatr Acta. 1948;3:153–63.

    CAS  PubMed  Google Scholar 

  3. Solomon LM, Fretzin DF, Dewald RL. The epidermal nevus syndrome. Arch Dermatol. 1968;97:273–85.

    Article  CAS  Google Scholar 

  4. Happle R, Koch H, Lenz W. The CHILD syndrome. Congenital hemidysplasia with ichthyosiform erythroderma and limb defects. Eur J Pediatr. 1980;134:27–33.

    Article  CAS  Google Scholar 

  5. Bergqvist C, Abdallah B, Hasbani DJ, et al. CHILD syndrome: a modified pathogenesis-targeted therapeutic approach. Am J Med Genet A. 2018;176:733–8.

    Article  CAS  Google Scholar 

  6. Happle R. The lines of Blaschko: a developmental pattern visualizing functional X-chromosome mosaicism. Curr Probl Dermatol. 1987;17:5–18.

    Article  CAS  Google Scholar 

  7. Ramphul K, Kota V, Mejias SG. Child syndrome. Treasure Island, FL: StatPearls Publishing; 2021.

    Google Scholar 

  8. Bittar M, Happle R. CHILD syndrome avant la lettre. J Am Acad Dermatol. 2004;50:s34–7.

    Article  Google Scholar 

  9. Diczfalusy U, Alexson SE. Peroxisomal chain-shortening of prostaglandin F2 alpha. J Lipid Res. 1998;29:1629–36.

    Article  Google Scholar 

  10. Emami S, Rizzo WB, Hanley KP, et al. Peroxisomal abnormality in fibroblasts from involved skin of CHILD syndrome. Case study and review of peroxisomal disorders in relation to skin disease. Arch Dermatol. 1992;128:1213–22.

    Article  CAS  Google Scholar 

  11. Hashimoto K, Topper S, Sharata H, Edwards M. CHILD syndrome: analysis of abnormal keratinization and ultrastructure. Pediatr Dermatol. 1995;12:116–29.

    Article  CAS  Google Scholar 

  12. Blaschko A. Die Nervenleitung in der Haut in ihrer Beziehung zu den Erkrankungen der Haut. Wien, Leipzig: Braunmüller; 1901.

    Google Scholar 

  13. Fink-Puches R, Soyer HP, Peter G, et al. Systematized in inflammatory epidermal nevus with symmetrical involvement: an unusual case of child syndrome. J Am Acad Dermatol. 1977;36:823–6.

    Article  Google Scholar 

  14. König A, Happle R, Fink-Puches R, et al. A novel missense mutation of NSDHL in an unusual case of CHILD syndrome showing bilateral, almost symmetric involvement. J Am Acad Dermatol. 2002;46:594–6.

    Article  Google Scholar 

  15. König A, Happle R, Bornholdt D, et al. Mutations in the NSDHL gene, encoding a 3p-hydroxysteroid dehydrogenase, cause CHILD syndrome. Am J Med Genet. 2000;90:339–46.

    Article  Google Scholar 

  16. Seeger MA, Paller AS. The role of abnormalities in the distal pathway of cholesterol synthesis in the congenital Hemidysplasia with Ichthyosiform erythroderma and limb defects (CHILD) syndrome. Biochim Biophys Acta. 2014;1841:345–52.

    Article  CAS  Google Scholar 

  17. Cunningham D, DeBarber AE, Bir N, et al. Analysis of hedgehog signaling in cerebellar granule cell precursors in a conditional Nsdhl allele demonstrates an essential role for cholesterol in postnatal CNS development. Hum Mol Genet. 2015;24:2808–25.

    Article  CAS  Google Scholar 

  18. Happle R, Mittag H, Kuster W. The CHILD nevus: a distinct skin disorder. Dermatology. 1995;191:210–6.

    Article  CAS  Google Scholar 

  19. Enjolras O, Guerin D, Hewitt J. Knowledge of Solomon's epidermal nevus syndrome [author's transl]. Ann Dermatol Venereol. 1979;106:673–80.

    CAS  PubMed  Google Scholar 

  20. Tadini G, Restano L, Gonzales-Perez R, et al. Phacomatosis pigmentokeratotica: report of new cases and further delineation of the syndrome. Arch Dermatol. 1998;134:333–7.

    Article  CAS  Google Scholar 

  21. Estapé A, Josifova D, Rampling D, et al. Congenital hemidysplasia with ichthyosiform naevus and limb defects (CHILD) syndrome without hemidysplasia. Br J Dermatol. 2015;173:304–7.

    Article  Google Scholar 

  22. Golitz LE, Weston WL. Inflammatory linear verrucous epidermal nevus. Association with epidermal nevus syndrome. Arch Dermatol. 1979;115:1208–9.

    Article  CAS  Google Scholar 

  23. Bittar M, Happle R, Grzeschik K-H, et al. CHILD syndrome in 3 generations. Arch Dermatol. 2006;142:348–51.

    Article  Google Scholar 

  24. Happle R. Ptychotropism as a cutaneous feature of the CHILD syndrome. J Am Acad Dermatol. 1990;23:763–6.

    Article  CAS  Google Scholar 

  25. Braverman N, Lin P, Moebius FF, et al. Mutations in the gene encoding 3p-hydroxysteroid-A7-A8-isomerase cause X-linked dominant Conradi-Huenermann syndrome. Nature Genet. 1999;22:291–4.

    Article  CAS  Google Scholar 

  26. Hebert AA, Esterly NB, Holbrook KA, Hall JC. The CHILD syndrome. Histologic and ultrastructural studies. Arch Dermatol. 1987;123:503–9.

    Article  CAS  Google Scholar 

  27. Liu T, Qian G, Wang XX, Zhang YG. CHILD syndrome: effective treatment of ichthyosiform naevus with oral and topical ketoconazole. Acta Derm Venereol. 2015;95:91–2.

    Article  Google Scholar 

  28. Alexopoulos A, Kakourou T. CHILD syndrome: successful treatment of skin lesions with topical simvastatin/cholesterol ointment-a case report. Pediatr Dermatol. 2015;32:e145–7.

    Article  Google Scholar 

  29. Cho SK, Ashworth LD, Goldman S. Topical cholesterol/simvastatin gel for the treatment of CHILD syndrome in an adolescent. Int J Pharm Compd. 2020;24:367–9.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Panteliadis, C.P. (2022). Child Syndrome. In: Panteliadis, C.P., Benjamin, R., Hagel, C. (eds) Neurocutaneous Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-87893-1_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-87893-1_34

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-87892-4

  • Online ISBN: 978-3-030-87893-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics