“…Syndactyly, sclerotic bands of the wrists 10 , nail dystrophy, ectropion of the lower lid, multiple stromal nebular corneal opacities, thickened corneal nerves 11 , palmoplantar keratoderma, pseudoainhum, leucokeratosis of the lips and oral mucosa, xerostomia 12 , dental caries and atypical periodontitis with earlier onset and more rapid progression 13 , squamous cell carcinoma 14 , hypohidrosis, phimosis, skeletal abnormalities 15 , such as dome-shaped skull, bifid or missing ribs and mandibular abnormalities may be also observed.…”