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Features include always present findings: Bone spicule pigmentation of the retina, Nyctalopia, Optic disc pallor, and Attenuation of retinal blood vessels; and common findings: Retinal pigment epithelial atrophy. 6 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 3 | Optic disc pallor, Attenuation of retinal blood vessels, Retinal pigment epithelial atrophy |
IFT43 encodes intraflagellar transport 43 (208 aa). As a component of IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs), it is involved in ciliogenesis. Highest expression in Testis (38.9 TPM) and Pituitary (32.1 TPM).
Retinitis pigmentosa 81 is associated with mutations in the IFT43 gene on chromosome 14.
IFT43 is classified as a druggable target with score 0.0.
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
No approved treatments are currently available for retinitis pigmentosa 81. 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
Table 7. Recommended Surveillance for Individuals with Cranioectodermal Dysplasia
System/Concern |
|---|
No clinical trials have been registered for retinitis pigmentosa 81.
35 publications have been identified in PubMed for retinitis pigmentosa 81. Research spans Epidemiology / Natural History (31%), Diagnostic / Biomarker (20%), and Basic Science / Preclinical (17%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 11 | 31% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 6:46 AM UTC
Online Mendelian Inheritance in Man
Bones and joints |
1 |
Bone spicule pigmentation of the retina |
Muscles | 1 | Retinal pigment epithelial atrophy |
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"
No genotype-phenotype correlations have been confirmed.
Source: GeneReviews — "Cranioectodermal Dysplasia"
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 | Extraskeletal features CEP120DYNC2H1DYNC2I1 (WDR60)DYNC2I2 (WDR34)DYNC2LI1IFT52IFT80IFT81IFT140IFT172INTUKIAA0586NEK1TCTEX1D2TTC21BWDR19(OMIM PS208500) | 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"
Genetic testing for IFT43 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for retinitis pigmentosa 81 has been reported in the published literature.
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) | 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. |
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 retinitis pigmentosa 81
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: 4 always present features, 1 common feature.
Testing and diagnosis research
7 |
20% |
Laboratory research | 6 | 17% |
New treatment approaches | 4 | 11% |
Research summaries | 3 | 9% |
Clinical study results | 3 | 9% |
Patient case studies | 1 | 3% |
Schofield D (2026). [PMID: 42168561](https://pubmed.ncbi.nlm.nih.gov/42168561/). *Eye (Lond)*. [Review / Meta-Analysis]
Most JA (2026). [PMID: 40743462](https://pubmed.ncbi.nlm.nih.gov/40743462/). *Retina (Philadelphia, Pa.)*. [Epidemiology / Natural History]
Karuntu JS (2026). [PMID: 40530429](https://pubmed.ncbi.nlm.nih.gov/40530429/). *Acta ophthalmologica*. [Basic Science / Preclinical]
Marsh K (2026). [PMID: 41697461](https://pubmed.ncbi.nlm.nih.gov/41697461/). *PharmacoEconomics - open*. [Epidemiology / Natural History]
Schäfer D (2026). [PMID: 41423877](https://pubmed.ncbi.nlm.nih.gov/41423877/). *Angewandte Chemie (International ed. in English)*. [Gene Therapy / Novel Therapeutics]
Sung JY (2026). [PMID: 41341794](https://pubmed.ncbi.nlm.nih.gov/41341794/). *Ophthalmology science*. [Basic Science / Preclinical]
Tang W (2026). [PMID: 41729366](https://pubmed.ncbi.nlm.nih.gov/41729366/). *International ophthalmology*. [Clinical Trial Publication]
Demirkol A (2026). [PMID: 41562913](https://pubmed.ncbi.nlm.nih.gov/41562913/). *Medical sciences (Basel, Switzerland)*. [Epidemiology / Natural History]
Lin Y (2025). [PMID: 40993143](https://pubmed.ncbi.nlm.nih.gov/40993143/). *Scientific reports*. [Epidemiology / Natural History]
Pomeroy J (2025). [PMID: 40456618](https://pubmed.ncbi.nlm.nih.gov/40456618/). *Pediatric obesity*. [Epidemiology / Natural History]