The patient was a healthy child until the first signs of hypohidrotic ectodermal dysplasia (HED). He developed recurrent otitis media and excessive cerumen production. He had conically shaped teeth with delayed eruption resulting in a genetics referral at age 2 and a diagnosis of HED. Other HED symptoms included periorbital hyperpigmentation, dry skin, eczema, reduced sweating, sparse eyebrows, eyelashes, body, and scalp hair. At a young age, the patient perceived differences in his appearance and talked about wanting skin surgery, teeth, and hair transplants. Numerous dental procedures were done including dentures at age four, unsuccessful dental implants at age 11, and partial dental implants at age 17. He saw dermatology repeatedly to address his thin eyelashes, eyebrows, and scalp hair, and a keloid scar from a burn. Dermatological interventions included numerous periorbital moisturizers, bimatoprost, minoxidil, cryotherapy for the keloid scar, and referral for an artificial hair piece.
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