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A cardioectodermal syndrome that is often associated with the gene DSP, encoding desmoplakin. Desmoplakin is a member of the plakin family of cell adhesion molecules that are responsible for the formation and maintenance of desmosomes. Variation in DSP is associated with cardiomyopathic manifestations that include: (1) seemingly isolated arrhythmogenic right ventricle cardiomyopathy (ARVC) that is atypical and can show left ventricle dominance, or be present in the left and right ventricle simultaneously; and (2) dilated cardiomyopathy. Cutaneous phenotypes including wooly hair and/or keratoderma can present along with the cardiomyopathy, but are noted as less penetrant features.
Features include always present findings: Fragile skin, Acantholysis, Abnormal blistering of the skin, and Palmoplantar keratoderma; and very common findings: Woolly hair. 21 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 8 | Alopecia, Fragile skin, Palmoplantar hyperkeratosis |
Heart and blood vessels | 4 | Abnormality of the cardiovascular system, Ventricular tachycardia, Enlarged and weakened heart (dilated cardiomyopathy) |
Growth and development | 1 | Failure to thrive |
Arms and legs | 1 | Clubbing of fingers |
Age of onset: at birth.
DSP encodes desmoplakin (2,871 aa). A component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion. Highest expression in Skin Sun Exposed Lower leg (1,294 TPM) and Skin Not Sun Exposed Suprapubic (1,155 TPM).
Arrhythmogenic cardiomyopathy with wooly hair and keratoderma is caused by mutations in the DSP gene on chromosome 6.
The DSP protein participates in DSPGs are secreted pathway.
DSP is classified as a druggable target with score 1.8.
Genetic testing for DSP is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for arrhythmogenic cardiomyopathy with wooly hair and keratoderma has been reported in the published literature.
Phenotype severity distribution: 4 always present features, 1 very common feature, 9 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for arrhythmogenic cardiomyopathy with wooly hair and keratoderma.
128 publications have been identified in PubMed for arrhythmogenic cardiomyopathy with wooly hair and keratoderma. Research spans Basic Science / Preclinical (39%), Review / Meta-Analysis (27%), and Case Report / Case Series (13%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 50 | 39% |
Research summaries | 34 | 27% |
Patient case studies | 16 | 13% |
Other research | 9 | 7% |
Disease patterns and progression | 8 | 6% |
Testing and diagnosis research | 4 | 3% |
New treatment approaches | 4 | 3% |
Clinical study results | 3 | 2% |
Yamanaka R (2026). [PMID: 41549123](https://pubmed.ncbi.nlm.nih.gov/41549123/). *Hypertens Res*. [Basic Science / Preclinical]
Protonotarios I (2026). [PMID: 41936932](https://pubmed.ncbi.nlm.nih.gov/41936932/). *Hellenic J Cardiol*. [Review / Meta-Analysis]
Tosun D (2026). [PMID: 41608912](https://pubmed.ncbi.nlm.nih.gov/41608912/). *Cardiol Young*. [Other]
Sapienza M (2026). [PMID: 41851710](https://pubmed.ncbi.nlm.nih.gov/41851710/). *J Orthop Surg Res*. [Review / Meta-Analysis]
Brandt E (2026). [PMID: 41108751](https://pubmed.ncbi.nlm.nih.gov/41108751/). *Clin Exp Dermatol*. [Basic Science / Preclinical]
Richman DE (2026). [PMID: 41698922](https://pubmed.ncbi.nlm.nih.gov/41698922/). *Nat Commun*. [Case Report / Case Series]
Tsatsopoulou A (2026). [PMID: 40316016](https://pubmed.ncbi.nlm.nih.gov/40316016/). *Hellenic J Cardiol*. [Review / Meta-Analysis]
Lecký P (2026). [PMID: 41988554](https://pubmed.ncbi.nlm.nih.gov/41988554/). *Eur J Case Rep Intern Med*. [Case Report / Case Series]
Gong S (2026). [PMID: 41483147](https://pubmed.ncbi.nlm.nih.gov/41483147/). *Neurosci Bull*. [Basic Science / Preclinical]
Wang Y (2026). [PMID: 41894777](https://pubmed.ncbi.nlm.nih.gov/41894777/). *Phys Rev Lett*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Oct 23, 2026, 7:40 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center