Case Report
A 9 years old boy presented to our OPD with complaints of dry skin,
multiple missing teeth in both upper and lower jaws, absent right middle
finger distal phalanx and nail, and sparse fine grey hairs in the scalp.
His vitals and systemic examination were normal. The child had
mandibular hypodontia with peg‑shaped mandibular canine. He had sparse,
hypopigmented hairs in the scalp. His distal phalanx of right middle
finger along with its nail plate was missing (Figure 1,2 and 3).
Orthopantomograph (OPG) revealed multiple missing permanent tooth buds.
His family history was also significant. His siblings i.e, brother and
sister were normal. But his father had dry, coarse skin with sparse hair
in scalp with multiple missing teeth in upper and lower jaw. However,
father had normal fingers and nails. On the basis of history, clinical
and radiological examinations, a final diagnosis of hypohidrotic
ectodermal dysplasia was made.