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Any cranioectodermal dysplasia in which the cause of the disease is a mutation in the IFT122 gene.
Features include always present findings: Full cheeks, Protuberant abdomen, Low-set ears, and Rhizomelia and others; and very common findings: Sparse hair and Dolichocephaly. 65 total HPO annotations.
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 12:58 PM UTC
Online Mendelian Inheritance in Man
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 5 | Tubulointerstitial nephritis, Chronic kidney disease, Stage 1 chronic kidney disease |
Arms and legs | 5 | Radial deviation of finger, Broad distal phalanges of all fingers, Short distal phalanx of finger |
Digestive system | 5 | Hepatic cysts, Hepatic failure, Liver scarring (fibrosis) (hepatic fibrosis) |
Head and neck | 4 | Sagittal craniosynostosis, High, narrow palate, High palate |
Eyes | 2 | Nystagmus, Retinal dystrophy |
Bones and joints | 2 | Joint hypermobility, Weak and brittle bones (osteoporosis) |
Skin | 2 | Thin nail, Short nail |
Heart and blood vessels | 1 | Bicuspid aortic valve |
Brain and nerves | 1 | Intellectual disability |
Muscles | 1 | Renal magnesium wasting |
Lungs and breathing | 1 | Recurrent respiratory infections |
Blood and immune system | 1 | Recurrent respiratory infections |
Cranioectodermal dysplasia (CED) is a ciliopathy with significant involvement of the skeleton, ectoderm (teeth, hair, and nails), retina, kidneys, liver, lungs, and occasionally the brain. The current understanding of the CED phenotype is limited by the small number of well-described affected individuals reported and the even smaller number with a molecularly confirmed diagnosis. To date, 44 individuals with biallelic pathogenic variants in one of the genes listed in have been described clinically [; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; Author, personal communication]. The following description of the phenotypic features associated with this condition is based on these reports.
Table 2.
Select Features of Cranioectodermal Dysplasia
Frequency | Features
| Characterist...
Source: GeneReviews — "Cranioectodermal Dysplasia"
IFT122 encodes intraflagellar transport 122 (1,241 aa). As a component of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs), it is required in ciliogenesis and ciliary protein trafficking. Highest expression in Testis (157.0 TPM) and Ovary (43.0 TPM).
Cranioectodermal dysplasia 1 is caused by mutations in the IFT122 gene on chromosome 3.
IFT122 is classified as a druggable target with score 0.0.
No genotype-phenotype correlations have been confirmed.
Source: GeneReviews — "Cranioectodermal Dysplasia"
Cranioectodermal dysplasia (CED) should be suspected in individuals with the following clinical and radiographic findings.
Frequent features (in 75%)
Characteristic facial features (e.g., frontal bossing, low-set/simple ears, high forehead, telecanthus, epicanthal folds, full cheeks, everted lower lip)
Brachydactyly
Dolichocephaly and sagittal craniosynostosis
Shortening (and bowing) of proximal bones (mostly humeri)
Short stature
Common features (50%-75%)
Source: GeneReviews — "Cranioectodermal Dysplasia"
Cranioectodermal dysplasia (CED) is part of a spectrum of disorders caused by disruption of the cilium, an organelle of the cell that appears and functions as an antenna . These disorders, collectively referred to as ciliopathies, display marked phenotypic overlap. Typical clinical features of ciliopathies are: renal cystic disease; retinal dystrophy; shortening of ribs, phalanges, and long bones; polydactyly; hepatic fibrosis; and developmental delay. Within the ciliopathies, Jeune asphyxiating thoracic dystrophy, Mainzer-Saldino syndrome, Ellis-van Creveld syndrome, and the short-rib polydactyly syndromes resemble CED the most . These autosomal recessive skeletal ciliopathies are referred to as short-rib thoracic dysplasia in OMIM (OMIM PS208500). Table 4. Skeletal Ciliopathies of Interest in the Differential Diagnosis of Cranioectodermal Dysplasia
Genes | Disorder | Overlapping Features | Distinguishing Features |
|---|---|---|---|
Skeletal abnormalities |
Genetic testing for IFT122 is available. Testing is considered confirmatory for diagnosis.
No approved treatments are currently available for cranioectodermal dysplasia 1. The disease remains an area of unmet medical need.
Evaluations Following Initial Diagnosis To establish the extent of disease and needs of a newborn or infant diagnosed with cranioectodermal dysplasia (CED), the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 5. Recommended Evaluations Following Initial Diagnosis in Individuals with Cranioectodermal Dysplasia
System/Concern | Evaluation | Comment |
|---|---|---|
craniosynostosis | Head CT exam in those w/dolichocephaly | To evaluate for craniosynostosis |
Skeletal features | Radiograph of thorax long bones | Ectodermal |
manifestations | Physical exam of skin, hair, nails, teeth | — |
Dental anomalies | Dental eval | Nephronophthisis |
Retinal dystrophy | Ophthalmologic eval | By age 4 yrs; ERG fundoscopy can be performed earlier if evidence of vision. Pulmonary manifestations (respiratory distress, asthma, |
pneumothorax) |
Source: GeneReviews — "Cranioectodermal Dysplasia"
If kidney disease is present, a nephrologist may recommend reduction of potassium and phosphorus from the diet. Nephrotoxic medications, including the NSAID class of drugs, may also be a relative contraindication in individuals with kidney involvement. Individuals should be under the care of a nephrologist, if indicated, to discuss what nephrotoxic agents to avoid.
Source: GeneReviews — "Cranioectodermal Dysplasia"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Cranioectodermal Dysplasia"
View trials for cranioectodermal dysplasia 1
Table 7. Recommended Surveillance for Individuals with Cranioectodermal Dysplasia
System/Concern | Evaluation | Frequency |
|---|---|---|
Dental anomalies | Dental exam to detect tooth damage oligodontia | Every 6 mos beginning at age 1 yr Nephronophthisis |
Hepatic fibrosis | Measurement of transaminases synthetic liver function | Per clinical course per hepatologist after diagnosis Retinal |
dystrophy | Ophthalmologic exams | Annually starting at age 4 yrs; ERG fundoscopy can be performed earlier if evidence of vision. Cardiac |
malformations | Cardiac exam, EKG, echocardiography per cardiologist | Per clinical course per cardiologist recommendations, depending on initial findings after diagnosis Developmental |
delay | Developmental eval | W/each visit during infancy childhood; Formal eval w/neuropsychologist if delays are present EKG = electrocardiogram; ERG = electroretinography |
Source: GeneReviews — "Cranioectodermal Dysplasia"
Phenotype severity distribution: 11 always present features, 2 very common features, 5 common features.
No clinical trials have been registered for cranioectodermal dysplasia 1.
11 publications have been identified in PubMed for cranioectodermal dysplasia 1. Research spans Case Report / Case Series (64%), Basic Science / Preclinical (27%), and Review / Meta-Analysis (9%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 7 | 64% |
Laboratory research | 3 | 27% |
Research summaries | 1 | 9% |
Aljeaid D (2026). [PMID: 42144731](https://pubmed.ncbi.nlm.nih.gov/42144731/). *Mol Genet Genomic Med*. [Case Report / Case Series]
Gao Y (2026). [PMID: 41942325](https://pubmed.ncbi.nlm.nih.gov/41942325/). *Zhonghua Nei Ke Za Zhi*. [Case Report / Case Series]
Ürel Demir G (2026). [PMID: 41876698](https://pubmed.ncbi.nlm.nih.gov/41876698/). *Pediatr Res*. [Basic Science / Preclinical]
Kocagil S (2026). [PMID: 42137187](https://pubmed.ncbi.nlm.nih.gov/42137187/). *Mol Syndromol*. [Case Report / Case Series]
Berger R (2025). [PMID: 40148735](https://pubmed.ncbi.nlm.nih.gov/40148735/). *Pediatr Transplant*. [Case Report / Case Series]
Sezer A (2025). [PMID: 40615527](https://pubmed.ncbi.nlm.nih.gov/40615527/). *Eur J Hum Genet*. [Case Report / Case Series]
Karuntu JS (2025). [PMID: 39733931](https://pubmed.ncbi.nlm.nih.gov/39733931/). *Prog Retin Eye Res*. [Review / Meta-Analysis]
Zhou C (2025). [PMID: 40445021](https://pubmed.ncbi.nlm.nih.gov/40445021/). *Prenat Diagn*. [Case Report / Case Series]
Wójcik-Niklewska B (2025). [PMID: 40647705](https://pubmed.ncbi.nlm.nih.gov/40647705/). *Diagnostics (Basel)*. [Basic Science / Preclinical]
Nagayama S (2024). [PMID: 38637985](https://pubmed.ncbi.nlm.nih.gov/38637985/). *Congenit Anom (Kyoto)*. [Case Report / Case Series]
Jeune asphyxiating thoracic dystrophy (JATD) |
Polydactyly, brachydactyly, rhizomelic limb shortening |
Mainzer-Saldino syndrome (MZSDS) | Phalangeal cone-shaped epiphyses; narrow thorax scaphocephaly variably seen2 | Retinal dystrophy; nephronophthisis; cerebellar ataxia hepatic fibrosis variably seen2 | MZSDS usually lacks typical ectodermal features of CED. |
Short-rib polydactyly syndromes (SRPS)1,3 | Extremely short limbs ribs (severe narrow rib cage), polydactyly | Malformations in variety of organs4 | SRPS is lethal in perinatal period due to severe narrow rib cage. EVC EVC2 |
WDR35 | Ellis-van Creveld syndrome (EVC)3 | Postaxial polydactyly; shortening of limbs ribs | Ectodermal dysplasia affecting hair, nails, teeth;5 congenital heart disease (major finding in EVC syndrome: septal defects, mainly atrial) |
Source: GeneReviews — "Cranioectodermal Dysplasia"
Eval by pulmonologist
Cardiac |
malformations | Cardiac eval incl EKG echocardiogram | Developmental |
delay | Developmental eval | Brain MRI in those w/delays to assess cause Genetic |
counseling | By genetics professionals1 | To inform affected persons families re nature, MOI, implications of CED to facilitate medical personal decision making Family support |
resources | By clinicians, wider care team, family support organizations | Assessment of family social structure to determine need for:; Community or online such as Parent to Parent; Social work involvement for parental support; Home nursing referral CED = cranioectodermal dysplasia; EKG = electrocardiogram; ERG = electroretinography; MOI = mode of inheritance 1. |
Treatment of Manifestations in Individuals with Cranioectodermal Dysplasia Manifestation/Concern | Treatment | Considerations/Other |
Craniosynostosis | Surgical treatment usually in 1st yr of life | — |
Polydactyly | Surgical correction is optional. | — |
Hip dysplasia | Orthopedic care as required | — |
Short stature | Growth hormone treatment when standard criteria for this treatment are met | Only for those children w/severe growth deficiency in whom therapy is expected to be successful. |
Dental anomalies | Standard treatment per dentist /or oral surgeon | Timely intervention of structural tooth abnormalities /or oligodontia may limit aesthetic, functional, psychological issues. |
Nephronophthisis | Treatment per nephrologist | Renal transplantation is an option in advanced stages. |
Hepatic fibrosis | Treatment per hepatologist | Liver transplantation is treatment option in advanced stages. |
Progressive visual impairment | Low-vision aids per ophthalmologist appropriate educational programs | — |
Pulmonary hypoplasia | Mechanical ventilation may be required in affected newborns. | Respiratory infections |
Cardiac malformations | Treatment per cardiologist | Developmental delay |
Inguinal/umbilical hernias | Surgical intervention | IEP = individualized educational plan; PT = physical therapy Surveillance Table 7. |