Two cases of hidrotic hereditary ectodermal dysplasia are reported in father and son. The disease has an autosomal dominant pattern of inheritance. Out of the studied 21 members of the family 12 showed the same changes, namely, palmar and plantar keratodermia, pachyonychia, atrichia, hyperhidrosis and hypoplasia of the skin capillaries. The palmar keratodermia was especially pronounced in the father. The cytogenetic study of the patients displayed a high percentage of aneuploidy (chiefly of the hypodiploid type) and in the father a high percentage of endoreduplication (twins).