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X-Linked Hypohidrotic Ectodermal Dysplasia (XLHED): debilitating and potentially life-threatening disease

A Prenatal Study for XLHED Affected Boys
 
XLHED is a rare genetic disorder affecting ectodermal structures including sweat glands, respiratory glands, skin, hair and teeth [1]. Clinical manifestations of XLHED are severe and can include life-threatening episodes of hyperthermia, heat intolerance, and an increased risk of serious respiratory tract infections. There are currently no approved therapies for the treatment of XLHED and the current standard of care is only palliative.
 

XLHED is debilitating and potentially life-threatening disease in the first years of life, when infants are at risk due to hyperthermia and/or severe respiratory infections. Disease morbidity, including psychosocial challenges, often persist into adulthood [2].

Some of the key symptoms of XLHED

  • Diminished or absent sweat function resulting in an inability to regulate the body’s temperature. These hyperthermic episodes can lead to seizures and brain damage ;
  • Impaired or absent bronchial glands leading to increased respiratory problems (mortality rate in the first years increased up to 3x) ;
  • Few and often pointed teeth that cause malnutrition and lead to extensive dental work ;
  • Fine, sparse hair ;
  • Chronic dry, scaly skin ;
  • Dry eyes.

XLHED

 

XLHED, a disabling and potentially life-threatening disease afflicting patients throughout their lives.

 

XLHED Symptoms as reported by Patients 

(adapted from: Fete M, Hermann J, Behrens J, Huttner KM, 2014 Am J Med Genet Part A (10):2437-42)

 

The incidence of XLHED is estimated to be ~4/100,000 male births. Each year, this represents ~100 male births across Europe and about ~80 in the US. Worldwide, it represents ~350 male births per year. 

XLHED represents also an important medical and economic burden to the healthcare system.

Recurrent infections, hyperthermic episodes and other health issues cause frequent hospitalizations, especially in the first part of infancy and childhood. It is estimated that direct hospital costs amount to over $ 50’000 in the first 3 years of life alone [3] and dental costs amounting to up to $ 150’000 [4] throughout a patient’s lifespan can be expected. Consequences of brain damage, treatments related to hair, dentition issues as well as psychosocial challenges require important and costly medical care throughout the life of XLHED patients.

ER-004: a "single course" prenatal therapy to induce normal ectodermal development.

References

[1] Clarke, A., Phillips, D. I., Brown, R., Harper, P. S. (1987). Archives of Disease in Childhood. 62, 989-996
[2] Clarke A, Sarfarazi M, Thomas NS, Roberts K, Harper PS. (1987). X-linked hypohidrotic ectodermal dysplasia: DNA probe linkage analysis and gene localization. Hum Genet. 75(4):378- 80, Freire-Maia N, Pinheiro M. (1990). Precocious mortality in Christ-Siemens-Touraine syndrome. Am J Med Genet. 37:299, Blüschke, G., K. D. Nusken and H. Schneider (2010). Prevalence and prevention of severe complications of hypohidrotic ectodermal dysplasia in infancy. Early Hum Dev 86(7): 397-399
[3] EspeRare data
[4] NFED data
An XLHED child wearing
a cooling vest 

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