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Death Due to Complications of Anhidrotic Ectodermal Dysplasia
Authors:Emily Ogden M.D.  Cynthia Schandl M.D.   Ph.D.  Lee Marie Tormos M.D.
Affiliation:Pathology and Laboratory Medicine, Medical University of South Carolina, , Charleston, SC, 29425
Abstract:Ectodermal dysplasia comprises a group of disorders affecting ectodermal tissues. Severity depends on the genetic aberration; hyperpyrexia secondary to absence of sweat glands is a common complication. Treatment is supportive. This case report describes a 1‐month, 27‐day‐old male infant with a diagnosis of X‐linked recessive anhidrotic ectodermal dysplasia. On the day of his death, his mother swaddled him in a blanket and placed him on the couch at 5:30 am. When she picked him up at 8:00 am, he was unresponsive. At the emergency department, his rectal temperature was 40°C. Postmortem blood culture was positive for group B streptococcus, a possible etiology for fever. It is vital to teach parents that close monitoring of children with ectodermal dysplasia is necessary, as an increase in body temperature can become life threatening.
Keywords:forensic science  genetic disease  anhidrotic ectodermal dysplasia  scene recreation  late‐onset group B streptococcus  EDA gene
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